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Intubation Granuloma of the Larynx

Removal with the Laser and Topical Application of Mitomycin C

1. Preoperative view. 2. Another view. The stalk of the granuloma is seen.
3. Insertion of pledget to protect the cuff. 4. Starting the excision.
5. A mishap during dissection. A short accidental hit with the laser beam. 6. Insertion of a pledget to protect the endotracheal tube.
7. Completing the bisection of the stalk and removal of the granuloma. 8. View after removal of the granuloma.
9. Topical application of Mitomycin C. 10. Saline rinse to reduce complications from Mitomycin C.
11. Final view.