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

Authors
 Hyung Kwon Byeon  ;  Ji Hyuk Han  ;  Byeong Il Choi  ;  Hye Jin Hwang  ;  Ji-Hoon Kim  ;  Hong-Shik Choi 
Citation
 BIOMED RESEARCH INTERNATIONAL, Vol.2015 : 820654, 2015 
Journal Title
 BIOMED RESEARCH INTERNATIONAL 
ISSN
 2314-6133 
Issue Date
2015
MeSH
Adult ; Aged ; Female ; Humans ; Laryngeal Diseases/surgery* ; Laryngoscopy/methods* ; Lasers, Dye/therapeutic use* ; Male ; Microsurgery/methods* ; Middle Aged ; Retrospective Studies ; Treatment Outcome ; Vocal Cords/physiopathology ; Vocal Cords/surgery* ; Voice/physiology ; Young Adult
Abstract
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.
Files in This Item:
T201504942.pdf Download
DOI
10.1155/2015/820654
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Byeon, Hyung Kwon(변형권)
Choi, Byeong Il(최병일)
Choi, Hong Shik(최홍식)
Han, Ji Hyuk(한지혁)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/156931
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