Journal article
Office-Based Pulsed-Dye Laser Surgery for Laryngeal Lesions: A Retrospective Review
Journal of voice, v 28(2), pp 262.e9-262.e12
Mar 2014
PMID: 24075911
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The 585-nm pulsed-dye laser (PDL) is used for in-office treatment of recurrent respiratory papillomatosis (RRP), premalignant/early malignant lesions, vascular lesions, and proliferative lesions of the larynx. Reported advantages of this technique include avoidance of general anesthesia, improved efficiency, lower overall cost, and treatment of the anterior commissure with minimal web formation. Our objective was to review our experience with office-based PDL procedures for laryngeal lesions.
Retrospective review.
A chart review of patients undergoing office-based PDL procedures of laryngeal lesions from the years 2005 to 2012.
Of 33 patients, 32 (97%) tolerated the procedure without complication. One patient experienced an anxiety attack and the procedure was aborted. There were no complications. The following pathologies were treated: vascular lesions (n = 10), RRP (n = 8), granuloma (n = 5), premalignant lesions (n = 5), benign mass (n = 2), amyloidosis (n = 1), and anterior web (n = 1). Six (19%) patients, all with vascular lesions, were treated successfully with the in-office PDL and no operating room (OR) procedures. All six patients reported complete resolution of symptoms at 6 months posttreatment. Twenty-six (81%) patients were treated with a combination of in-office PDL and OR procedures, most commonly for RRP (n = 8). Seventeen patients had complete resolution of their symptoms with in-office PDL and OR procedures.
PDL treatment is a safe, well-tolerated, effective, adjunctive therapy and may function as monotherapy in the treatment of selected laryngeal lesions.
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Details
- Title
- Office-Based Pulsed-Dye Laser Surgery for Laryngeal Lesions: A Retrospective Review
- Creators
- Aaron Centric - Philadelphia College of Osteopathic MedicineAmanda Hu - Drexel UniversityYolanda D. Heman-Ackah - Drexel UniversityVenu Divi - Drexel UniversityRobert T. Sataloff - Drexel University
- Publication Details
- Journal of voice, v 28(2), pp 262.e9-262.e12
- Publisher
- Mosby, Inc
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine; Otolaryngology (and Head and Neck Surgery)
- Web of Science ID
- WOS:000332399000023
- Scopus ID
- 2-s2.0-84896721922
- Other Identifier
- 991019168166504721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Audiology & Speech-language Pathology
- Otorhinolaryngology