Postoperative adhesions of the vocal folds can be operated on an outpatient basis.
Benign and malignant lesions of the vocal folds, especially when they involve the anterior commissure or both vocal folds at the same time, have the potential for postoperative vocal fold adhesions. Adhesions can be incised on an outpatient basis through an electronic laryngoscope under local anesthesia using a guidewire-like electrosurgical knife or a fiber-optic laser. Pseudomembranous adhesions formed at the site of the original incision are removed with biopsy forceps 1 week after surgery.
Generally, when the examination is repeated 2 months after the adhesion dissection, there is no obvious adhesion in the area of previous vocal fold adhesion, the vocal folds open well, and the quality of life of speaking and breathing can be significantly improved.
For patients who are found to have postoperative adhesions in the vocal folds, it is advisable to consult the local hospital outpatient clinic in advance about the feasibility of this type of surgery, and at the same time to improve the examination and preoperative preparations, and to avoid smoking and alcohol consumption as well as acute preoperative infections.