Flexible transnasal endoscope under topical anesthesia - 4% lidocaine spray.Angiolytic laser surgery - complete resolution in 85% with one treatment (17 cases) and in 155 (3 cases) after two procedures.Mizuta et al (2012) compared vocal fold polyp in-office treatment with KTP in an older group selected for in-office treatment with a younger group treated under general anesthesia with 'microflap' resection showing similar favorable outcomes they conclude the transasal laser approach 'may be used as an effective, practical, and safe alternative treatment for small vocal polyps".6 week follow showed similar favorable results in both groups.Transnasal laser approach: higher subjective effectiveness at 2 weeks post-op compared to microdirect laryngoscopy with resectino.Findings from comparison of matched pairs (25 each) with hemorrhagic vocal vold polyps.All specimens sent for pathologic review.Goal to leave free margin of vocal folds straight with avoiding excess removal of mucosal cover and lamina propria.Grasping and cutting of the exopyitc vocal polyps done bimanually (microscopic control).Small-caliber endotracheal tube (5.0/5.5 for women 5.5/6.0 for men).General anesthesia for microlaryngoscopic surgery (N=25).Suggested that use of biopsy forceps to remove coagulated polyp facilitates more rapid removal of coagulated polyp.They cite previous study suggesting that final outcome comparable whether or not the coagulate polyp removed (Wang 2013).The mean duration of the procedure was 14 minutes.Blunt-ended grasping forceps used to remove cauterized vocal polyp.
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