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Treatment Outcomes of Angiolytic Laser-Assisted Glottoplasty in Patients With Sulcus Vocalis

Authors
 Young Min Park  ;  Jae-Yol Lim  ;  Min Seok Kang  ;  Hong-Shik Choi 
Citation
 ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, Vol.128(5) : 377-383, 2019 
Journal Title
 ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY 
ISSN
 0003-4894 
Issue Date
2019
MeSH
Adolescent ; Adult ; Aged ; Female ; Humans ; Laser Therapy/methods* ; Lasers, Dye ; Lasers, Solid-State ; Male ; Middle Aged ; Phosphates ; Retrospective Studies ; Titanium ; Vocal Cords/surgery* ; Voice Disorders/surgery* ; Young Adult
Keywords
angiolytic laser ; glottoplasty ; potassium titanyl phosphate laser ; pulsed dye laser ; sulcus vocalis
Abstract
OBJECTIVE: We have been performing glottoplasty using angiolytic laser, including pulsed dye laser (PDL) or potassium titanyl phosphate (KTP) laser, for the treatment of sulcus vocalis. In this study, we retrospectively reviewed the treatment results of sulcus vocalis patients who had undergone glottoplasty using angiolytic laser and evaluated the efficacy and safety of this surgical technique. METHODS: From January 2008 to April 2016, 79 patients with sulcus vocalis who underwent angiolytic LASER-assisted glottoplasty were enrolled in the study. RESULTS: Of the 79 patients who participated in this study, 55 were male, and 24 were female. PDL was used for glottoplasty in 68 patients, and KTP was used in the remaining 11 patients. Seventy-seven patients underwent surgery for bilateral vocal cord lesions, and only 2 patients underwent surgery for unilateral vocal cord lesion. After glottoplasty using angiolytic laser, most patients showed continuous improvement of the GRBAS (grade, roughness, breathiness, asthenia, strain) score and Voice Handicap Index score until 6 months after the operation. In addition, we observed improvement of objective voice indices such as noise to harmonic ratio, jitter, shimmer, and maximal phonation time postoperatively. CONCLUSIONS: Based on these results, we confirmed the efficacy and safety of glottoplasty using angiolytic laser in sulcus vocalis patients. Further studies are needed to confirm appropriate laser settings such as frequency of treatments and total energy delivered to the lesion. Also, multi-institutional studies are needed to confirm the efficacy and safety of the operation.
Full Text
https://journals.sagepub.com/doi/full/10.1177/0003489419826132
DOI
10.1177/0003489419826132
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Park, Young Min(박영민) ORCID logo https://orcid.org/0000-0002-7593-8461
Lim, Jae Yol(임재열) ORCID logo https://orcid.org/0000-0002-9757-6414
Choi, Hong Shik(최홍식)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/173097
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