Unsedated Office-Based Thulium Laser Therapy in Patients With Vocal Fold Cysts
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SAGE Publications Ltd
Abstract
The objective is to report 3 cases of vocal fold cysts treated with thulium laser in an office setting under local anesthesia. The surgical technique, which consists of surgical marsupialization, is described in detail with emphasis on the laser setting. All 3 patients had complete regression of the lesion and marked improvement in voice quality and good closure of the vocal folds during phonation. The authors review the literature on the application of laser therapy in an office setting and advocate this as an alternative treatment option for patients with vocal fold cysts who are at high risk for general anesthesia or unwilling to undergo the conventional microsurgery. © The Author(s) 2019.
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Keywords
Cyst, Office-based procedure, Thulium laser, Vocal fold, Adult, Ambulatory surgical procedures, Cysts, Female, Humans, Laryngeal diseases, Laser therapy, Male, Medical illustration, Middle aged, Thulium, Treatment outcome, Vocal cords, Epinephrine, Lidocaine, Article, Breathing disorder, Case report, Clinical article, Clinical feature, Coughing, Disease duration, Dysphonia, Follow up, Human, Laryngeal videostroboscopy, Laryngoscopy, Larynx tumor, Laser surgery, Medical history, Patient decision making, Phonation, Postoperative period, Remission, Respiratory tract examination, Smoking, Surgical technique, Videoendoscopy, Voice, Ambulatory surgery, Larynx disorder, Low level laser therapy, Procedures, Vocal cord