Laser phonomicrosurgery of vocal fold polyps using CO2 and 532-nm lasers in Republic of Korea: a retrospective studies
- Author:
Yeon Soo KIM
1
;
Dabin LEE
;
Jaehyung PARK
;
Kwang-Yoon JUNG
;
Seung-Kuk BAEK
Author Information
- Publication Type:Original article
- From: Medical Lasers 2024;13(3):150-154
- CountryRepublic of Korea
- Language:English
-
Abstract:
Background:Laser laryngeal microsurgery is a common treatment of vocal fold polyps (VFP), a leading causeof dysphonia. The CO2 laser is predominantly used for its precision in excising delicate tissues while minimizingdamage to the surrounding healthy tissue. The 532-nm diode laser can also be employed for the cauterization of the microvasculature within the vocal folds. This study aims to evaluate the efficacy of the 532-nm diode laser in the treatment of VFP.
Methods:Forty-four patients diagnosed with VFP were enrolled and underwent laser laryngeal microsurgery using a CO2 laser. The patients were divided into two groups: one receiving additional treatment with the 532-nm diode laser. Voice status was assessed and compared preoperatively and postoperatively using acoustic analysis, aerodynamic analysis, voice range profile, the GRBAS scale, and the voice handicap index (VHI).
Results:The mean flow rate and maximal pitch showed significant improvements from preoperative to postoperative measurements in additional 532-nm diode laser treatment group. All objective indicators demonstrated normalization and enhancement following surgery. Subjective perceptual assessments also indicated significant improvement postoperatively, and the VHI showed improvement across all domains.However, there was no significant difference in the test results between the two groups, regardless of the additional use of the 532-nm diode laser.
Conclusion:Laser phonomicrosurgery using both CO2 and 532-nm diode lasers is an effective in treating VFP. Although the additional benefit of the diode laser was not conclusively demonstrated, its potential for photocoagulating the vocal fold microvasculature suggests further research is warranted.
