Comparison of vocal outcomes after angiolytic laser surgery and microflap surgery for vocal polyps

Mizuta, Masanobu; Hiwatashi, Nao; Kobayashi, Toshiki; Kaneko, Mitsuaki; Tateya, Ichiro; Hirano, Shigeru

doi:10.1016/j.anl.2015.03.011

Cited by 28 publications

(40 citation statements)

References 15 publications

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“…Laser surgery, office-based laser surgery and microsurgery are frequently and erroneously interchanged for one another during presentations and even in some articles [ 6 , 7 ], with people confusing the tool, the approach, and the setting. Lasers of various wavelengths are a different way to interact with tissues during a surgical procedure, just as with cold steel instruments, and the approach might be endoscopic, transnasal or transoral.…”

Section: Discussionmentioning

confidence: 99%

Laser-assisted surgery of the upper aero-digestive tract: a clarification of nomenclature. A consensus statement of the European Laryngological Society

Remacle

Arens

Eldin

et al. 2017

Eur Arch Otorhinolaryngol

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Acronyms and abbreviations are frequently used in otorhinolaryngology and other medical specialties. CO2 laser-assisted transoral surgery of the pharynx, the larynx and the upper airway is a family of commonly performed surgical procedures termed transoral laser microsurgery (TLM). The abbreviation TLM can be confusing because of alternative modes of delivery. Classification and definition of the different types of procedures, performed transorally or transnasally, are proposed by the Working Committee for Nomenclature of the European Laryngological Society, emphasizing the type of laser used and the way this laser is transmitted. What is usually called TLM, would more clearly be defined as CO2 laser transoral microsurgery or CO2 TOLMS or CO2 laser transoral surgery only (with a handpiece) would be defined as CO2 TOLS. KTP transnasal flexible laser surgery would be KTP TNFLS. Transoral use of the flexible CO2 wave-guide with a handpiece would be a CO2 TOFLS. One can argue that these clarifications are not necessary and that the abbreviation TLM for transoral laser microsurgery is more than sufficient. But this is not the case. Laser surgery, office-based laser surgery and microsurgery are frequently and erroneously interchanged for one another. These classifications allow for a clear understanding of what was performed and what the results meant.

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Section: Discussionmentioning

confidence: 99%

Laser-assisted surgery of the upper aero-digestive tract: a clarification of nomenclature. A consensus statement of the European Laryngological Society

Remacle

Arens

Eldin

et al. 2017

Eur Arch Otorhinolaryngol

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“…Using these settings, they achieved complete resolution of the polyp after a single procedure in 85% and after 2 to 3 procedures in the remaining 15%. 22 A relatively small case series using CO 2 reported complete resolution of polyps in 100% of cases. 12 Two studies that compared outcome of DML with in-office KTP for polyps did not find significant differences in objective and subjective voice measurements 6 weeks after the procedure.…”

Section: + Dexamethasonementioning

confidence: 94%

“…A relatively small case series using CO 2 reported complete resolution of polyps in 100% of cases . Two studies that compared outcome of DML with in‐office KTP for polyps did not find significant differences in objective and subjective voice measurements 6 weeks after the procedure …”

Section: Methodsmentioning

confidence: 99%

“…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. Using these settings, they achieved complete resolution of the polyp after a single procedure in 85% and after 2 to 3 procedures in the remaining 15% …”

Section: Methodsmentioning

confidence: 99%

“…12 Two studies that compared outcome of DML with in-office KTP for polyps did not find significant differences in objective and subjective voice measurements 6 weeks after the procedure. 21,22 Laser-Assisted Polypectomy. KTP laser partial ablation followed by transnasal polypectomy through the working-channel laryngoscope has been reported.…”

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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Treatment Outcomes and Adverse Events Following In-Office Angiolytic Laser With or Without Concurrent Polypectomy for Vocal Fold Polyps

Lin

Wang

Lin

et al. 2018

JAMA Otolaryngol Head Neck Surg

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In-office angiolytic laser procedures can be an effective alternative treatment for vocal polyps, although with possible need for multiple treatment sessions and occasional occurrence of minor postoperative adverse events. Concurrent polypectomy following laser coagulation allows less laser energy delivery and reduces the risk of postoperative adverse events and the need for additional treatment sessions.

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Comparison of vocal outcomes after angiolytic laser surgery and microflap surgery for vocal polyps

Cited by 28 publications

References 15 publications

Laser-assisted surgery of the upper aero-digestive tract: a clarification of nomenclature. A consensus statement of the European Laryngological Society

Laser-assisted surgery of the upper aero-digestive tract: a clarification of nomenclature. A consensus statement of the European Laryngological Society

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

Treatment Outcomes and Adverse Events Following In-Office Angiolytic Laser With or Without Concurrent Polypectomy for Vocal Fold Polyps

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