Office-based 585 nm pulsed dye laser treatment for vocal polyps

Kim, Hyung-Tae; Auo, Hyeon-Jin

doi:10.1080/00016480701787828

Cited by 34 publications

(28 citation statements)

References 17 publications

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“…This being said, there is little evidence to show major cardiopulmonary effects from this type of procedure. In fact, the safety profile of in‐office laryngeal surgery is excellent 48–50…”

Section: Use Of the Laser For Treatment Of Laryngeal Conditions In Thmentioning

confidence: 99%

Advances in office‐based diagnosis and treatment in laryngology

et al. 2009

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Section: Use Of the Laser For Treatment Of Laryngeal Conditions In Thmentioning

confidence: 99%

Advances in office‐based diagnosis and treatment in laryngology

et al. 2009

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“…15,16 Ossoff et al in 1984 described total arytenoidectomy using the carbon dioxide laser. 8,15,16 The surgery which consists of removal of the arytenoid and corniculate cartilages, vocal process, and part of the thyroarytenoid muscle offered several advantages such as superior hemostasis, precision in excision, and minimal morbidity. 8 Few years later, Dennis and Kashima reported laser partial posterior cordotomy, a procedure that leaves a crescent shape defect posteriorly.…”

Section: Discussionmentioning

confidence: 99%

Laser Partial Arytenoidectomy as an Office Procedure

et al. 2019

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Bilateral vocal fold paralysis is a disabling condition that results in airway symptoms, dysphonia, and sometimes difficulty swallowing. Various types of glottal widening procedures have been described in the literature, all of which are performed in the operating room under general anesthesia. The aim is to report laser partial arytenoidectomy as an office-based treatment modality in a patient with bilateral vocal fold paralysis. Using Thulium laser fiber introduced through the working channel of fiberoptic nasopharyngoscope, a posterior cordectomy followed by resection of the vocal process of the right arytenoid was performed. The laser was used in a pulsed mode, power range 3.5 to 4.5 W, duration 70 to 300 milliseconds, repetition 2 to 4 Hz, and aiming beam 65%. The procedure was well tolerated and the patient was successfully decannulated 3 weeks later. Unsedated office-based laser arytenoidectomy might be considered a safe alternative to the commonly practiced glottal widening procedures in patients with a preexisting tracheotomy.

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“…Due to delayed lesion regression, the final result should only be expected 4 weeks after the procedure . Smaller polyps tend to respond well to single‐stage in‐office laser procedure, whereas larger polyps may require repeat procedures .…”

Section: Methodsmentioning

confidence: 99%

“…Smaller polyps tend to respond well to single‐stage in‐office laser procedure, whereas larger polyps may require repeat procedures . The reported complete resolution rates for in‐office KTP and PDL procedures are 85% to 100% and 38% to 100%, respectively. In one of those series, the authors recommend ablating the VF polyp in a noncontact mode until the color of the polyp becomes white, using KTP laser at a power of 1.5 watts (W), pulse width of 300 ms, and 500‐ms intervals.…”

Section: Methodsmentioning

confidence: 99%

“…Due to delayed lesion regression, the final result should only be expected 4 weeks after the procedure. 19 Smaller polyps tend to respond well to single-stage inoffice laser procedure, whereas larger polyps may require repeat procedures. 20 The reported complete resolution rates for in-office KTP and PDL procedures are 85% to 100% 5,21,22 and 38% to 100%, 19,20 respectively.…”

Section: + Dexamethasonementioning

confidence: 99%

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In‐office procedures for the treatment of benign vocal fold lesions in the awake patient: A contemporary review

et al. 2018

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Objectives To review available information regarding in‐office procedures for benign vocal fold lesions (BVFL). Methods PubMed term search on office/awake laryngeal procedures for any of the following specific lesions: Reinke's edema (RE), polyps, nodules, varices, vocal process granuloma, and vocal fold (VF) scar. Results In‐office ablative and nonablative laser procedures have been described for BVFL, including RE, polyps, varices, and granuloma. Fiber‐based lasers used include potassium titanyl phosphate, pulsed dye laser, and more recently CO2. In‐office intralesional steroid injection (ISI) for BVFL targets the inflammatory process involved with the lesion and may induce regression of polyps, nodules, RE, and granuloma. Botulinum toxin‐induced “voice rest” has been described as adjunctive treatment for refractory VF nodules or vocal process granuloma. Most in‐office techniques for treating BVFL rely on induction of lesion regression rather than complete lesion removal, as in conventional operative microsurgery. When treating VF scarring, in‐office procedures aim to alter the wound‐healing process; ISI targets the inflammatory phase and angiolytic lasers target the proliferative phase. Conclusion In‐office procedures for BVFL apply new technology that can potentially lower risk and cost. Although numerous case series have shown the potential of these procedures, data that thoroughly compares outcomes with those of microlaryngoscopic techniques is needed. Laryngoscope, 129:2131–2138, 2019

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Office-based 585 nm pulsed dye laser treatment for vocal polyps

Abstract: All patients who underwent PDL surgery had complete regression of their laryngeal lesion. The postoperative voice assessment including aerodynamic, acoustic, and perceptual parameters showed significant improvement. All patients tolerated the procedure without serious complications.

Cited by 34 publications

References 17 publications

Advances in office‐based diagnosis and treatment in laryngology

Advances in office‐based diagnosis and treatment in laryngology

Laser Partial Arytenoidectomy as an Office Procedure

In‐office procedures for the treatment of benign vocal fold lesions in the awake patient: A contemporary review

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