In recent years minimally invasive nasal and larynx surgery has become available due to the introduction of the endoscope and powered instruments by functional endoscopic sinus surgery (FESS) , transoral endoscopic laser surgery and more recently with robotic da Vinci surgery. The addition of lasers to the surgical armamentarium of otolaryngology -head and neck surgery has allowed ENT specialty to offer patients new and exciting ways of approaching disease management . Lasers offer certain unique advantages in endonasal surgery of the middle meatus complex and in reduction of turbinate hypertrophy like bloodless field offering better visual control .Today we have several laser systems and applications to use for treating .Further more laser technology has complimented cold microsurgical instrumentation in phonomicrosurgery .Surgical management aims at the removal of benigh laryngeal pathology such as polyps,nodules,cycts ,papilloma,laryngoceles,Reinkes oedema with great precision thus restores phonation .As regarding management of larynx cancer the main advantage is biopsy and operation at the same time providing better healing process thus less affecting swallowing mechanism.
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