Use of Pulsed Dye Laser in the Treatment of Sulcus Vocalis

Hwang, Chi Sang; Lee, Hyun Jin; Ha, Jong Gyun; Cho, Chang Il; Kim, Na Hyun; Hong, Hyeyoung; Choi, Hong‐Shik

doi:10.1177/0194599813479909

Cited by 30 publications

(27 citation statements)

References 24 publications

(56 reference statements)

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“…Since the initial attempt of McMillan et al of applying PDL in treating laryngeal papillomas [ 14 , 15 ], there have been numerous reports of PDL application in the management of leukoplakia, glottic dysplasia, granuloma, and vascular abnormalities of the vocal folds [ 16 – 19 ]. The utility of the PDL has been further verified with the treatment of glottic hyperkeratosis and sulcus vocalis by Choi et al [ 8 , 9 ].…”

Section: Discussionmentioning

confidence: 97%

“…The chromophore of the PDL is oxyhemoglobin, resulting in the laser inducing photocoagulation of microvascular lesions with minimal damage to the surrounding normal tissue. Based on our recent successful reports of PDL application in treating sulcus vocalis and glottic leukoplakia [ 8 , 9 ], we have managed to use PDL in surgically removing hemorrhagic vocal polyps. This study aims to report our surgical technique, PDL-assisted enucleation laryngomicrosurgery (LMS), which can effectively resect the polyp with vocal fold mucosa preservation.…”

Section: Introductionmentioning

confidence: 99%

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Treatment of Hemorrhagic Vocal Polyps by Pulsed Dye Laser-Assisted Laryngomicrosurgery

Byeon

Han

Choi

et al. 2015

BioMed Research International

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Objective. Conventional surgical techniques of laryngomicrosurgery (LMS) on hemorrhagic vocal polyps are often difficult due to obscuration of the surgical field by inadvertent bleeding from the lesion, and there are often significant amounts of mucosal epithelium loss. Here, we introduce our surgical technique using pulsed dye laser (PDL), which can effectively resect the polyp with vocal fold mucosa preservation. Methods. Patients who were diagnosed with hemorrhagic vocal polyp and who were surgically managed using PDL from March 2013 to October 2014 were retrospectively reviewed. Preoperative and postoperative clinical outcomes and surgical findings were evaluated. Results. A total of 39 patients were treated with PDL-assisted enucleation LMS. The average age was 43.7 years (range 20–73), and there were 20 males and 19 females (17 professional voice users). In all cases, the hemorrhagic polyp was successfully enucleated after application of PDL, thereby preserving the overlying epithelium. Postoperative voice outcomes were favorable with clear preservation of the vocal fold mucosal wave. Conclusion. PDL-assisted enucleation LMS for the treatment of hemorrhagic vocal polyps can be a safe and effective surgical technique. It can be considered a promising treatment option for hemorrhagic vocal polyps.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Treatment of Hemorrhagic Vocal Polyps by Pulsed Dye Laser-Assisted Laryngomicrosurgery

Byeon

Han

Choi

et al. 2015

BioMed Research International

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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%

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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“…Therefore, the application of 585-nm PDL to benign vocal cord disease have been reported and suggested that PDL is superior to CO2 laser. 8,13 The mechanism to remove a tissue with the PDL is photocoagulation of submucosal microcircula-tion. In particular, PDL denatures basement membrane anchoring fibers located in the lamina lucida of the basement membrane through a photoacoustic or photothermal effect and creates a cleavage plane between the epithelium and superficial lamina propria.…”

Section: Discussionmentioning

confidence: 99%

Treating Oral Leukoplakia with a 532-nm Pulsed Diode Laser

Kim

et al. 2019

Medical Lasers

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A 50-year-old Korean female with oral erythro-leukoplakia was treated using a 532-nm Diode laser at 6 Watts with a pulsed width of 25 milliseconds. After two months following the laser treatment, the resected region was well-healed without any significant scar contracture. We suggest that the use of the 532-nm Diode laser can be a safe and effective treatment modality for patients suffering from oral leukoplakia.

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Use of Pulsed Dye Laser in the Treatment of Sulcus Vocalis

Cited by 30 publications

References 24 publications

Treatment of Hemorrhagic Vocal Polyps by Pulsed Dye Laser-Assisted Laryngomicrosurgery

Treatment of Hemorrhagic Vocal Polyps by Pulsed Dye Laser-Assisted Laryngomicrosurgery

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

Treating Oral Leukoplakia with a 532-nm Pulsed Diode Laser

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