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Reinke’s Edema
Polypoid Degeneration of the Vocal Cords
Phonosurgery technique
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1. Preoperative situation. |
2. Cutting along the upper surface of the left vocal cord at the border with the vocal ligament. |
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3. The gelatinous content of the Reinke’s edema is seen. |
4. Aspiration of the gelatinous content. |
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5. Aspiration inside the cavity of the edema. The vocal ligament is seen. |
6. Picture of the cord after the aspiration of the edema. |
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7. Removal of the excess mucosa. |
8. The final status of the vocal cord. Almost the entire traumatic surface is covered by mucosa. |
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9. Cutting along the upper surface of the right vocal cord. |
10. The incision in the upper surface of the cord. |
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11. Aspiration of the edema. |
12. The gelatinous texture of Reinke’s edema. |
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13. Removing foci of organized edema. |
14. Preservation of the mucosa of the cord. |
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15. Removal of the excess mucosa. |
16. Covering the traumatic surface with the mucosal flap. A small prominence insists close to the anterior commissure. |
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17. Removal of a small focus of organized edema. |
18. Final picture of the larynx. The traumatic surfaces of the vocal cords are covered with mucosa which accelerates healing and minimizes the risk of web formation. |
