Use of pulsed dye laser treatments in patients with vocal fold mucosal bridges with sulcus vocalis – our experience of five cases

Chang, Jae Won; Park, Ah Young; Byeon, Hyung Kwon; Choi, Hong‐Shik

doi:10.1111/coa.12618

Cited by 13 publications

(11 citation statements)

References 10 publications

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“…Finally, several studies have published results for microphonosurgical techniques in treating sulcus/scar [25][26][27][28][29][30][31][32][33][34][35][36][37][38]. Techniques vary and include: microflap with or without prosthesis (fibrin glue, fascia, fat), slicing techniques, superficial steroid injections and fat injections as well as laser procedures with PDL and KTP lasers.…”

Section: Discussionmentioning

confidence: 99%

“…Techniques vary and include: microflap with or without prosthesis (fibrin glue, fascia, fat), slicing techniques, superficial steroid injections and fat injections as well as laser procedures with PDL and KTP lasers. The mean decrease in VHI-30 in the publications from which this could be extracted [27,29,33,[36][37][38]; ranges from 1.7 [29] to 30.6 [38] points with an average decrease of 20.1 points. Although this does not constitute a qualified systematic review or meta-analysis, when comparing it to the average VHI-30 decrease in this study (24.9 points) it gives a rough indication that bilateral medialization thyroplasty may be as effective in treating sulcus/scar as performing microphonosurgery.…”

Section: Discussionmentioning

confidence: 99%

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Bilateral medialization thyroplasty in patients with vocal fold atrophy with or without sulcus

Broek

Heijnen

Hendriksma

et al. 2020

Eur Arch Otorhinolaryngol

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Purpose To evaluate voice outcome after bilateral medialization thyroplasty in patients with non-paralytic glottic insufficiency due to vocal fold atrophy with or without sulcus. Methods Retrospective cohort study on 29 patients undergoing bilateral medialization thyroplasty for vocal fold atrophy (14 procedures) or atrophy with sulcus (15 procedures) between October 2012 and November 2017. Voice data were collected and analyzed for the preoperative and the 3-and 12-month postoperative time point according to a standardized protocol, including Voice Handicap Index (VHI)-30 and perceptual, acoustic and aerodynamic parameters. Failure rate was based on number of revisions within 12 months and non-relevant improvement (< 10 points) in VHI-30 at 12 months. Results There was a clinically relevant (≥ 15 points) and statistically significant improvement (p < 0.0001) in the VHI-30 (preoperative: 55.8 points; postoperative at 12 months: 30.9 points). Fundamental frequency for male subjects decreased significantly from 175 to 159 Hz (p = 0.0001). The pre-and post-operative grade of dysphonia was significantly lower in patients with atrophy compared to atrophy and sulcus (mean difference 0.70, p = 0.017). Conclusion Bilateral medialization thyroplasty is a valid treatment option for patients with atrophy with or without sulcus. Outcomes are comparable to other methods reported in literature. However, there is a great need for larger, prospective studies with long-term follow-up to gain more insight into the comparative voice outcomes for the different forms of surgery for patients with glottic incompetence due to atrophy with or without sulcus.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Bilateral medialization thyroplasty in patients with vocal fold atrophy with or without sulcus

Broek

Heijnen

Hendriksma

et al. 2020

Eur Arch Otorhinolaryngol

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“…In one case series, 10 of 11 patients treated with in‐office low‐energy PDL for VF scar had subjective voice improvement . A recently published operative series may further support this approach . For now, the use of angiolytic lasers for VF scar remains investigational.…”

Section: Methodsmentioning

confidence: 99%

“…46 A recently published operative series may further support this approach. 47 For now, the use of angiolytic lasers for VF scar remains investigational.…”

Section: Vocal Fold Scarmentioning

confidence: 99%

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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“…En nuestro centro se prefirió el uso de sutura, técnica recientemente descrita como sandwich mucosal flap surgery 6,21 . También se describe el uso de láser en reemplazo de técnica fría, para reavivar las superficies en contacto, tanto del PM como de la cuerda vocal, con el cual no contamos en nuestro centro, por lo que no tenemos pacientes operados con esta técnica 6,22 .…”

Section: Largo Variableunclassified

Puentes mucosos de la cuerda vocal, en la Unidad de Voz del Hospital Clínico de la Universidad de Chile: diagnóstico y manejo desafiante

García

Vicencio

Cortez

et al. 2021

Rev. Otorrinolaringol. Cir. Cabeza Cuello

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Use of pulsed dye laser treatments in patients with vocal fold mucosal bridges with sulcus vocalis – our experience of five cases

Cited by 13 publications

References 10 publications

Bilateral medialization thyroplasty in patients with vocal fold atrophy with or without sulcus

Bilateral medialization thyroplasty in patients with vocal fold atrophy with or without sulcus

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

Puentes mucosos de la cuerda vocal, en la Unidad de Voz del Hospital Clínico de la Universidad de Chile: diagnóstico y manejo desafiante

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