Chapter 18: Table of Contents
Ventriculectomy or Sacculectomy for Everted Laryngeal Saccules
Everted laryngeal saccules are grasped one at a time using Debakey forceps and resected by cutting them at the base of the crypt using a curved Metzembaum scissor. The operator must clearly identify the vocal cord prior to incising to ensure it is not damaged. Everted saccules are most efficiently removed in one piece but if remaining tissue is present, one can attempt to remove a little more tissue at the base. Bleeding is typically minimal and self-limiting. Once resected, the palate length is assessed once more for length and to determine the site of resection and the endotracheal tube is inserted to protect the airway.