Abstract: Objective To explore the enhanced recovery after surgery in otorhinolaryngology, head and neck surgery, study and formulate the clinical path and diagnosis and treatment mode in practical clinical application, so as to help patients recover quickly after operation. Methods We screened the patients who were diagnosed as vocal cord polyps from June 2021 to September 2021 and planned to undergo laser surgery under microscopic supporting laser laryngoscope. A clinical pathway of Enhanced Recovery after Surgery model was formulated and implemented, which included an experimental group （15 patients who received fast-track surgery for intervention, FAS） and a control group （15 patients who were treated with traditional mode）. The perioperative hunger, operation time, hospital stay, and satisfaction of the two groups were recorded and evaluated. Results Preoperative hunger and thirst were present in less FTS patients than the controls. Only 4 patients in the FTS group reported thirst during the perioperative period, while the number was 9 in the control group. Under the same operation and discharge standards, the patients treated with FTS showed shortened hospital stays and higher satisfaction than the control group. Conclusion FTS can be well applied in the perioperative period of otolaryngology, head and neck surgery under microscopic supporting laser laryngoscope to reduce patients’ preoperative discomfort such as hunger and thirst, shorten hospitalization time, increase perioperative satisfaction, and promote rapid recovery.

Key words: Enhanced recovery after surgery, Microscopic supporting laser laryngoscope, Clinical pathway