Tags

Type your tag names separated by a space and hit enter

Comparison of vocal outcomes after angiolytic laser surgery and microflap surgery for vocal polyps.
Auris Nasus Larynx. 2015 Dec; 42(6):453-7.AN

Abstract

OBJECTIVE

The microflap technique is a standard procedure for the treatment of vocal fold polyps. Angiolytic laser surgery carried out under topical anesthesia is an alternative method for vocal polyp removal. However, it is not clear whether angiolytic laser surgery has the same effects on vocal outcomes as the microflap technique because of a lack of studies comparing both procedures. In the current study, vocal outcomes after both procedures were compared to clarify the effects of angiolytic laser surgery for vocal polyp removal.

METHODS

Vocal outcomes were reviewed for patients who underwent angiolytic laser surgery (n=20, laser group) or microflap surgery (n=34, microflap group) for vocal polyp removal. The data analyzed included patient and lesion characteristics, number of surgeries required for complete resolution, and aerodynamic and acoustic examinations before and after surgery.

RESULTS

In the laser surgery group, complete resolution of the lesion was achieved with a single procedure in 17 cases (85%) and with two procedures in 3 cases (15%). Postoperative aerodynamic and acoustic parameters demonstrated significant improvement compared to preoperative parameters in both the laser surgery group and the microflap surgery group. There were no significant differences in any postoperative aerodynamic and acoustic parameters between the two groups.

CONCLUSION

The current retrospective study demonstrated that angiolytic laser surgery achieved complete resolution of vocal polyps within two procedures. Postoperative effects on aerodynamic and acoustic functions were similar to those after microflap surgery.

Authors+Show Affiliations

Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan. Electronic address: hirano@ent.kuhp.kyoto-u.ac.jp.

Pub Type(s)

Clinical Study
Comparative Study
Journal Article

Language

eng

PubMed ID

25933587

Citation

Mizuta, Masanobu, et al. "Comparison of Vocal Outcomes After Angiolytic Laser Surgery and Microflap Surgery for Vocal Polyps." Auris, Nasus, Larynx, vol. 42, no. 6, 2015, pp. 453-7.
Mizuta M, Hiwatashi N, Kobayashi T, et al. Comparison of vocal outcomes after angiolytic laser surgery and microflap surgery for vocal polyps. Auris Nasus Larynx. 2015;42(6):453-7.
Mizuta, M., Hiwatashi, N., Kobayashi, T., Kaneko, M., Tateya, I., & Hirano, S. (2015). Comparison of vocal outcomes after angiolytic laser surgery and microflap surgery for vocal polyps. Auris, Nasus, Larynx, 42(6), 453-7. https://doi.org/10.1016/j.anl.2015.03.011
Mizuta M, et al. Comparison of Vocal Outcomes After Angiolytic Laser Surgery and Microflap Surgery for Vocal Polyps. Auris Nasus Larynx. 2015;42(6):453-7. PubMed PMID: 25933587.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of vocal outcomes after angiolytic laser surgery and microflap surgery for vocal polyps. AU - Mizuta,Masanobu, AU - Hiwatashi,Nao, AU - Kobayashi,Toshiki, AU - Kaneko,Mami, AU - Tateya,Ichiro, AU - Hirano,Shigeru, Y1 - 2015/04/28/ PY - 2014/12/31/received PY - 2015/02/16/revised PY - 2015/03/20/accepted PY - 2015/5/3/entrez PY - 2015/5/3/pubmed PY - 2016/4/15/medline KW - Angiolytic laser surgery KW - Microflap surgery KW - Vocal outcome KW - Vocal polyp SP - 453 EP - 7 JF - Auris, nasus, larynx JO - Auris Nasus Larynx VL - 42 IS - 6 N2 - OBJECTIVE: The microflap technique is a standard procedure for the treatment of vocal fold polyps. Angiolytic laser surgery carried out under topical anesthesia is an alternative method for vocal polyp removal. However, it is not clear whether angiolytic laser surgery has the same effects on vocal outcomes as the microflap technique because of a lack of studies comparing both procedures. In the current study, vocal outcomes after both procedures were compared to clarify the effects of angiolytic laser surgery for vocal polyp removal. METHODS: Vocal outcomes were reviewed for patients who underwent angiolytic laser surgery (n=20, laser group) or microflap surgery (n=34, microflap group) for vocal polyp removal. The data analyzed included patient and lesion characteristics, number of surgeries required for complete resolution, and aerodynamic and acoustic examinations before and after surgery. RESULTS: In the laser surgery group, complete resolution of the lesion was achieved with a single procedure in 17 cases (85%) and with two procedures in 3 cases (15%). Postoperative aerodynamic and acoustic parameters demonstrated significant improvement compared to preoperative parameters in both the laser surgery group and the microflap surgery group. There were no significant differences in any postoperative aerodynamic and acoustic parameters between the two groups. CONCLUSION: The current retrospective study demonstrated that angiolytic laser surgery achieved complete resolution of vocal polyps within two procedures. Postoperative effects on aerodynamic and acoustic functions were similar to those after microflap surgery. SN - 1879-1476 UR - https://www.unboundmedicine.com/medline/citation/25933587/Comparison_of_vocal_outcomes_after_angiolytic_laser_surgery_and_microflap_surgery_for_vocal_polyps_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0385-8146(15)00102-9 DB - PRIME DP - Unbound Medicine ER -