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Abstract From our study, we can conclude the following: Applications of microlaryngoscopy and endolaryngeal microsurgery is not curative line of treatment for laryngoscleroma, that is because the nature of the lesion is very tough and the lesion may involve a long segm¬ent of the larynx. Polyps and cysts that affect the anterior third of the vocal folds are due to voice trauma. On the other hand, polyps arising from the poste¬rior segments of the vocal folds are usually due to upper airway allergy, while cysts in these regions are usually due to an operative trauma (endo-tracheal intubation). Intubation granuloma may arise as haematoma formation with subseque¬nt organization ”new theory of pathogenesis”. Injection of cortisone may be of value in reducing its recurrence. Microlaryngoscopy must be applied for every patient having dysphonia, because sometimes intracordal cysts may be hidden and can not be seen via indirect or direct laryngoscopy. Some cases of ReinkeTs oedema may be unilateral. The results of arytenoidectomy were satisfactory, while those of the laryngeal stenosis were unsatisfactory. MLS has played a great role in prophylaxis against the vocal fold carcinoma, because many precancerous lesions are diagnosed early & easily, and precisely excised by this technique. It has also an effective role for control of vocal void carcinoma with preservation of voice, as many cases are diagnosed early and so treated early. However, regular follow up should be applied. |