Patient: 83-year-old male

Reason for Consultation/Symptoms: Progressive dysphonia over the past 4 months. No dyspnea or dysphagia.

Medical History and Lifestyle:

- Comorbidities: Arterial hypertension.

- Allergies: No known allergies.

- Lifestyle: former smoker, quit 20 years ago (40 pack-years; up to 20 cigarettes/day for 40 years). Regular alcohol consumption (1/4 L of wine per meal).

Voice Assessment (GIRBAS) GIRBAS score: G1, I0, R1, B1, A1, S1 (mild dysphonia with roughness, breathiness, asthenia, and strain).

Laryngeal Endoscopy (FLS - White Light): Flat leukoplakic lesion involving the anterior third of the left vocal fold. Bilaterally preserved vocal fold mobility and adequate airway patency. No abnormalities of the pyriform sinuses.

Laryngeal Endoscopy (FLS - NBI): Type III vascular pattern (Ni classification).

Surgical Indication: CO2 laser transoral microsurgery under general anesthesia.