Kim Hyung-Tae, Auo Hyeon-Jin
Institute of Performing Art Medicine, Yeson Voice Center, Seoul, South Korea.
Acta Otolaryngol. 2008 Sep;128(9):1043-7. doi: 10.1080/00016480701787828.
Office-based 585 nm pulsed dye laser (PDL) surgery appeared to be safe and effective. It can be considered as a treatment option for office-based vocal polyp removal.
A 585 nm PDL has been introduced to photocoagulate vascular lesions of the superficial layer of the lamina propria in the vocal fold to treat laryngeal pathology including laryngeal papillomas, granulomas, leukoplakia, and Reinke's edema. This study investigated the efficacy and feasibility of PDL surgery for the treatment of vocal polyps, and evaluated the associated moribidity.
Among 270 patients who underwent office-based PDL surgery under local anesthesia at the Yeson Voice Center, 75 patients with vocal polyps were evaluated. The mean follow-up period was 5.2 months (range 3-10 months). A retrospective analysis was performed on the postoperative perceptual and acoustic level and treatment outcome.
All patients who underwent PDL surgery had complete regression of their laryngeal lesion. The postoperative voice assessment including aerodynamic, acoustic, and perceptual parameters showed significant improvement. All patients tolerated the procedure without serious complications.
门诊585纳米脉冲染料激光（PDL）手术似乎安全有效。它可被视为门诊切除声带息肉的一种治疗选择。
已引入585纳米PDL用于光凝声带固有层浅层的血管病变，以治疗包括喉乳头状瘤、肉芽肿、白斑病和任克氏水肿在内的喉部病变。本研究调查了PDL手术治疗声带息肉的疗效和可行性，并评估了相关发病率。
在Yeson嗓音中心接受门诊局部麻醉下PDL手术的270例患者中，评估了75例声带息肉患者。平均随访期为5.2个月（范围3 - 10个月）。对术后的感知和声学水平及治疗结果进行回顾性分析。
所有接受PDL手术的患者喉部病变均完全消退。包括空气动力学、声学和感知参数在内的术后嗓音评估显示有显著改善。所有患者均耐受该手术，无严重并发症。
