Precision in Microlaryngoscopy

During microlaryngoscopy, the surgeon operates in a space of just a few centimetres. The vocal cords, scarcely a centimetre long, need to be inspected and treated under magnification. Polyps, cysts, papillomas, or carcinomas require precise excision, ensuring healthy tissue is preserved. The CO₂ laser has established itself as the instrument of choice here: it cuts and coagulates simultaneously, and bleeding is minimal.

The integration of the laser into the operating microscope is achieved via a micromanipulator. The laser beam is directed through the microscope optics and hits exactly where the surgeon wants it. This requires a microscope designed for such adaptation. The Pro ENT Series by Karl Kaps meets this requirement: laser adapters from leading manufacturers can be seamlessly integrated.

The working positions in laryngeal surgery are often unusual. The patient lies on their back with their head extended, and the microscope must look down into the open mouth. Here, the value of a swivel tube and considered balancing becomes apparent: the microscope follows the surgeon, not the other way around.