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

CONCLUSIONS

Office-based 585 nm pulsed dye laser (PDL) surgery appeared to be safe and effective. It can be considered as a treatment option for office-based vocal polyp removal.

OBJECTIVES

A 585 nm PDL has been introduced to photocoagulate vascular lesions of the superficial layer of the lamina propria in the vocal fold to treat laryngeal pathology including laryngeal papillomas, granulomas, leukoplakia, and Reinke's edema. This study investigated the efficacy and feasibility of PDL surgery for the treatment of vocal polyps, and evaluated the associated moribidity.

SUBJECTS AND METHOD: Among 270 patients who underwent office-based PDL surgery under local anesthesia at the Yeson Voice Center, 75 patients with vocal polyps were evaluated. The mean follow-up period was 5.2 months (range 3-10 months). A retrospective analysis was performed on the postoperative perceptual and acoustic level and treatment outcome.

RESULTS

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.