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Laryngoplasty for laryngeal stenosis is a surgical procedure aimed at correcting the narrowing of the larynx, which can occur due to various reasons, either congenital (present at birth) or acquired (developing later in life). The larynx, commonly known as the voice box, can experience stenosis in different areas, including the supraglottic, glottic, or subglottic regions, with the subglottic area being the most frequently affected. This narrowing can lead to significant breathing difficulties and voice changes. The procedure involves a tracheotomy, which is a surgical opening made in the trachea to facilitate breathing, prior to performing the laryngoplasty. During the laryngoplasty, a graft or core mold is utilized to reconstruct the laryngeal structure, thereby widening the narrowed segment and restoring normal function. This complex surgical intervention requires careful planning and execution to ensure optimal outcomes for the patient.
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The procedure of laryngoplasty for laryngeal stenosis is indicated in the following situations:
The laryngoplasty procedure involves several critical steps to ensure successful correction of laryngeal stenosis:
After the laryngoplasty procedure, patients typically require careful monitoring and follow-up care. The placement of the tracheotomy tube allows for continued ventilation while the larynx heals. Patients may experience some swelling and discomfort in the throat, which is expected. It is essential to monitor for any signs of complications, such as infection or airway obstruction. Follow-up appointments will be necessary to assess the healing process and determine when the tracheotomy tube can be safely removed. The use of voice therapy may also be recommended to help patients regain normal vocal function following the procedure.
Short Descr | REVISION OF LARYNX | Medium Descr | LARYNGP LARYN STENOSIS GRF/CORE MOLD W/TRACHT | Long Descr | Laryngoplasty; for laryngeal stenosis, with graft or core mold, including tracheotomy | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 9 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | Not applicable/unspecified. | CCS Clinical Classification | 42 - Other OR therapeutic procedures on respiratory system |