chapter  79
Outpatient laryngeal procedures
ByMatthew Stephen Broadhurst
Pages 14

INTRODUCTION There have been significant advances in the technology of flexible and rigid video endoscopy, along with innovative techniques that now provide the otolaryngologist with the ability to perform office-based laryngeal procedures. This has enabled surgeons to take the patient from a hospital admission with general anaesthesia and associated risks and downtime, to an office-based setting. Here, the same procedure is performed entirely under local anaesthetic without sedation. With careful patient selection and realistic expectations for outcome, a proportion of the pathology that occurs in the larynx can be well treated in the office through awake unsedated laryngeal surgery (AULS).