CPT® Code 31420

An epiglottidectomy is a surgical procedure aimed at addressing dysphagia, which is difficulty in swallowing, that arises from dysfunction of the epiglottis. This condition may occur following cancer treatment or as a result of airway narrowing associated with obstructive sleep apnea. The epiglottis is a flap of tissue located at the root of the tongue that plays a crucial role in protecting the larynx during swallowing by covering it to prevent food and liquids from entering the airway. The epiglottis is made up of elastic fibrocartilage and is covered by a mucous membrane, which contributes to its flexibility and function. During an epiglottidectomy, a portion or the entirety of the epiglottis is excised to alleviate the symptoms associated with its dysfunction. The procedure can be performed using different approaches, including an open incisional method or a trans-oral approach, depending on the specific clinical scenario and the extent of the epiglottic involvement. The surgical technique involves careful dissection and removal of the epiglottis while ensuring that surrounding structures are preserved as much as possible to minimize complications and promote recovery.