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The procedure described by CPT® Code 31578 involves a flexible laryngoscopy that is specifically performed for the removal of lesions in the larynx or vocal cords. These lesions may include conditions such as granulomas and polyps, which can affect the function of the vocal cords and potentially lead to voice changes or other complications. The use of a flexible laryngoscope allows for a minimally invasive approach, providing the physician with the ability to visualize the larynx and surrounding structures in detail. During the procedure, a topical anesthetic is applied to ensure patient comfort, which is crucial given the sensitive nature of the areas being treated. The flexible laryngoscope is introduced through the nasal cavity, allowing for direct access to the larynx. Once the lesions are visualized, a specialized micro cutting or extraction device is utilized to excise the lesions without the use of laser technology. This method is particularly beneficial for patients who may not be candidates for laser procedures or for those requiring a more conservative approach to lesion removal.
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