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In Reply.—We thank Dr French for his remark concerning the juridical problems that he feels might be incited by our statement that "vocal fold stripping should be considered an obsolete procedure...." Dr French, in quoting our statement, however, did not include the last two words "... for phonosurgery" of the original statement, which makes a lot of difference.
Maybe for good understanding a definition of "vocal fold stripping" is required. In our view, vocal fold stripping is a procedure in which large parts, or the whole, of the vocal folds mucosa is grasped with a forceps and pulled, or cut, off the vocal ligament, without regard of the delicacy that is required for dissection within Reinke's space.
We wish to stress that the statement holds true only for phonosurgical procedures. In cases where malignant or premalignant lesions of the vocal folds are suspected, stripping is still considered good practice by
MAHIEU HF, DIKKERS FG. Vocal Fold Stripping-Reply. Arch Otolaryngol Head Neck Surg. 1992;118(9):1003. doi:10.1001/archotol.1992.01880090119033
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