Department of Head and Neck Surgery use advanced technologies to perform a variety of minimally invasive surgeries, which have revolutionized treatment for many conditions. These minimally invasive procedures result in less discomfort, quicker recovery times and better outcomes for patients than traditional “open” surgery.
Minimally invasive techniques are being used in:
- Endoscopic skull-base tumor resection (selected tumors and locations)
- Pediatric endoscopic airway surgery (larynx/trachea)
- Minimally invasive office-based procedures in laryngology
- Trans-cutaneous vocal cord injection
Minimally Invasive Surgeries
In general, “minimally invasive surgery” means that the smallest possible incision is used to allow safe and effective removal of the gland without disrupting normal surrounding tissue. Not all patients nor all thyroid pathologies easily lend themselves to minimal surgery, but where appropriate and safe, our head and neck surgeons are very adept at using minimally invasive thyroidectomy techniques that minimize incisions and hospital stay and maximize clinical outcomes.
Endoscopic Skull-base Surgery
Benign and malignant tumors involving the base of the skull —near vital structures such as the eyes and brain— have traditionally been approached using large facial incisions and often required retraction of the brain to optimize exposure and tumor removal. Our head and neck surgeons use less invasive means of tumor removal, eliminating the need for brain retraction. In selected cases, tumor removal can even be performed through the nose using microscopes and telescopes, without the need for facial incisions or brain retraction. This approach has been shown to decrease long-term side effects, and hospital stays.
Pediatric Endoscopic Airway Surgery (larynx/trachea)
Pediatric patients with airway disorders, either acquired or congenital, often require multiple airway surgeries and close follow-up care. The goal of treatment is to maximize results with minimal trauma to airway structures, preserving and/or restoring both anatomy and function.
Minimally invasive pediatric airway techniques have evolved over years of experience and research with the latest technology and the safest techniques.
Minimally Invasive Office-based Procedures in Laryngology
Office-based procedures are performed under local or topical anesthesia. In addition to offering fewer risks and side effects than general anesthesia, the use of local and topical anesthesia enables patients to drive themselves to and from their procedure appointments and to recover more rapidly. These procedures cost less money and cost patients less in missed work time. Office-based procedures have an excellent safety record and often prove more comfortable and convenient for patients than surgery in the OR.
Office-base procedures offered by the Clinic include:
- Placement of TEP speaking valves
- Panendoscopy for cancer screening
- Therapeutic vocal fold injection (e.g. augmentation, Botox)
- Laryngeal, tracheal, and esophageal dilation
- Diagnostics: pH testing, FEES, Manometry
Trans-Cutaneous Vocal Cord Injection
Most patients who are candidates for injection medialization have a history of vocal fold paralysis. This can occur secondary to injury during surgery by another physician, invasion of the nerve by cancer, or a viral infection. Diagnosis is performed with an analysis of the vocal fold movement and a medical evaluation of speech.
The injection of collagen or other materials is performed with a flexible scope evaluating the placement of the material. Patients are able to leave the office 10 minutes after the procedure and can eat about 30 minutes after that. They may use their voice immediately.
CARE WITH COMPASSION:
Our expert Head Neck cancer surgeon teams with medical oncologists, radiation oncologists, psychiatrists, psychologists, anesthesiologists, pathologists, radiologists, speech and swallow experts, nurses and nutrition management specialists to ensure:
- Personalized evaluation of each patient’s medical condition
- Access to all needed experts in the hospital
- Access to superspeciality care for other comorbidities
- The patient understands all treatment alternatives
- Close follow-up to maintain quality of life during and after treatment
The other elements incorporated in the clinic are
- Counseling, education and support groups for patients and family members
- Cancer Screening Camps
- Home health care coordination
- Survivorship and palliative care services in cancer patients