A Bump In The Road

Question:  You are seeing a 63 year old woman back in follow up 3 weeks after she underwent a transoral laser microsurgical resection of a T1a right true vocal fold squamous cell carcinoma.    There were no complications at the time of surgery and you were easily able to achieve negative margins.  She is otherwise healthy and currently doesn't smoke.  She has been doing well, and other than some mild to moderate dysphonia, she has no complaints.  On laryngoscopy you note a mound of fleshy smooth tissue overlying the anterior wound bed.  There is no obvious hyperkeratosis, ulceration, or other sinister pathology.  She has fully mobile cords.  What should you recommend?  [Answer will be posted with next week's new question]

Answer to last week's question, Nose Goes (October 5, 2015): 

Tardy's major tip support mechanisms:

  1. Resilience of the medial and lateral crura
  2. Attachment of the medial crural footplate to the quadrangular (septal) cartilage
  3. Attachement of the upper lateral cartilages to the alar cartilages