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Treatment Outcomes of In-Office KTP Ablation of Vocal Fold Granulomas.
Ann Otol Rhinol Laryngol. 2017 Dec; 126(12):829-834.AO

Abstract

OBJECTIVE

To determine the effectiveness of in-office potassium-titanyl-phosphate (KTP) treatment of vocal fold granulomas and identify any predictors of complete lesion resolution.

METHODS

A retrospective review of patients who underwent in-office KTP ablation of vocal fold granulomas between 2007 and 2016 was performed. Medical records were reviewed for use of acid suppression medication, prior surgical treatment, voice therapy, laser settings, number of treatments, follow-up time, and Voice Handicap Index-10 (VHI-10) scores.

RESULTS

Twenty-six patients underwent a total of 43 laser treatments. Eighty percent of patients were previously on acid suppression medication, and 42.3% had failed previous endoscopic treatments. Patients underwent a mean number of 1.65 ± 1.16 in-office treatments with decrease in size in 96.2% of cases. The VHI-10 was not significantly affected. Complete resolution occurred in 73.1% of cases with follow-up time ranging from 1 to 86 months (median = 9.5 months). No recurrences occurred in patients with complete resolution. Other than undergoing a single KTP treatment, no variable was found to be predictive of complete lesion resolution. Granuloma etiology was not predictive of lesion resolution but did correlate with symptom improvement.

CONCLUSION

In-office pulsed KTP laser is an effective treatment option for vocal fold granulomas as the lesion resolves in the majority of cases.

Authors+Show Affiliations

1 Department of Otolaryngology, UT Health Science Center San Antonio, San Antonio, Texas, USA.1 Department of Otolaryngology, UT Health Science Center San Antonio, San Antonio, Texas, USA.1 Department of Otolaryngology, UT Health Science Center San Antonio, San Antonio, Texas, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29078715

Citation

Dominguez, Laura M., et al. "Treatment Outcomes of In-Office KTP Ablation of Vocal Fold Granulomas." The Annals of Otology, Rhinology, and Laryngology, vol. 126, no. 12, 2017, pp. 829-834.
Dominguez LM, Brown RJ, Simpson CB. Treatment Outcomes of In-Office KTP Ablation of Vocal Fold Granulomas. Ann Otol Rhinol Laryngol. 2017;126(12):829-834.
Dominguez, L. M., Brown, R. J., & Simpson, C. B. (2017). Treatment Outcomes of In-Office KTP Ablation of Vocal Fold Granulomas. The Annals of Otology, Rhinology, and Laryngology, 126(12), 829-834. https://doi.org/10.1177/0003489417738790
Dominguez LM, Brown RJ, Simpson CB. Treatment Outcomes of In-Office KTP Ablation of Vocal Fold Granulomas. Ann Otol Rhinol Laryngol. 2017;126(12):829-834. PubMed PMID: 29078715.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Treatment Outcomes of In-Office KTP Ablation of Vocal Fold Granulomas. AU - Dominguez,Laura M, AU - Brown,Raymond J, AU - Simpson,C Blake, Y1 - 2017/10/27/ PY - 2017/10/29/pubmed PY - 2017/11/14/medline PY - 2017/10/29/entrez KW - KTP laser KW - in-office treatment KW - vocal fold granulomas KW - vocal process granulomas SP - 829 EP - 834 JF - The Annals of otology, rhinology, and laryngology JO - Ann Otol Rhinol Laryngol VL - 126 IS - 12 N2 - OBJECTIVE: To determine the effectiveness of in-office potassium-titanyl-phosphate (KTP) treatment of vocal fold granulomas and identify any predictors of complete lesion resolution. METHODS: A retrospective review of patients who underwent in-office KTP ablation of vocal fold granulomas between 2007 and 2016 was performed. Medical records were reviewed for use of acid suppression medication, prior surgical treatment, voice therapy, laser settings, number of treatments, follow-up time, and Voice Handicap Index-10 (VHI-10) scores. RESULTS: Twenty-six patients underwent a total of 43 laser treatments. Eighty percent of patients were previously on acid suppression medication, and 42.3% had failed previous endoscopic treatments. Patients underwent a mean number of 1.65 ± 1.16 in-office treatments with decrease in size in 96.2% of cases. The VHI-10 was not significantly affected. Complete resolution occurred in 73.1% of cases with follow-up time ranging from 1 to 86 months (median = 9.5 months). No recurrences occurred in patients with complete resolution. Other than undergoing a single KTP treatment, no variable was found to be predictive of complete lesion resolution. Granuloma etiology was not predictive of lesion resolution but did correlate with symptom improvement. CONCLUSION: In-office pulsed KTP laser is an effective treatment option for vocal fold granulomas as the lesion resolves in the majority of cases. SN - 1943-572X UR - https://www.unboundmedicine.com/medline/citation/29078715/Treatment_Outcomes_of_In_Office_KTP_Ablation_of_Vocal_Fold_Granulomas_ L2 - https://journals.sagepub.com/doi/10.1177/0003489417738790?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -