Analysis of Potassium Titanyl Phosphate Laser Settings and Voice Outcomes in the Treatment of Reinke’s Edema

@article{Young2015AnalysisOP,
  title={Analysis of Potassium Titanyl Phosphate Laser Settings and Voice Outcomes in the Treatment of Reinke’s Edema},
  author={VyVy N. Young and Pavan S Mallur and A. Dasgupta-M. W. Wong and Rajarsi Mandal and Giuseppe V Staltari and Jackie L. Gartner-Schmidt and Clark A. Rosen},
  journal={Annals of Otology, Rhinology \& Laryngology},
  year={2015},
  volume={124},
  pages={216 - 220}
}
Objective: Despite increased clinical utility of the 532-nm potassium titanyl phosphate (KTP) laser, no studies have examined outcomes for Reinke’s edema (RE) as a function of laser parameters and initial treatment effects. Variability in delivery parameters, fiber-to-tissue distance, and immediate end-tissue effects limits universal application of existing study outcomes. We examine voice outcomes using standardized treatment classification, providing justification for laser parameter… 

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References

SHOWING 1-10 OF 20 REFERENCES

Multi-institutional experience with the in-office potassium titanyl phosphate laser for laryngeal lesions.

Potassium titanyl phosphate laser treatment of intubation vocal granuloma

TLDR
It is found that KTP laser microlaryngosurgery can be a useful therapy and can lead avoidance of repetitive surgical procedures.

Use of potassium titanyl phosphate (KTP) laser in management of subglottic hemangiomas.

Photocoagulation of Microvascular and Hemorrhagic Lesions of the Vocal Fold with the KTP Laser

TLDR
KTP laser photocoagulation of perimeter or feeding vessels of such disorders may facilitate the following procedure by avoiding unnecessary bleeding, as well as preventing recurrence of hemorrhagic lesions.

Pulsed Angiolytic Laser Treatment of Ectasias and Varices in Singers

TLDR
Both the 585-nm PDL and the 532-nm pulsed KTP laser were found to be efficacious and relatively safe treatment modalities for vascular abnormalities of the vocal folds in singers.

Photoangiolytic Laser Treatment of Early Glottic Cancer: A New Management Strategy

TLDR
Observations from this investigation suggest that this new and novel cancer treatment strategy is effective; however, larger patient cohorts, longer follow-up, and multi-institutional confirmation will be necessary to establish incontrovertible oncological efficacy.

In-Office Laryngeal Surgery with the 585nm Pulsed Dye Laser (PDL)

  • D. MouadebP. Belafsky
  • Medicine
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 2007

Quantification of benign lesion regression as a function of 532‐nm pulsed potassium titanyl phosphate laser parameter selection

TLDR
A novel method for the quantification of the effects of the KTP laser on vocal fold (VF) lesions and preliminary data regarding these parameters for benign lesion regression are provided.

Office-Based 532-nm Pulsed KTP Laser Treatment of Glottal Papillomatosis and Dysplasia

TLDR
The observations revealed that the 532-nm pulsed KTP laser provided enhanced performance over the PDL laser in a number of ways, and the ability to use smaller glass fibers precluded mechanical trauma to the channels of the flexible laryngoscopes and allowed for improved suctioning of secretions.

Office-Based Laryngeal Laser Surgery: A Review of 443 Cases Using Three Wavelengths

  • J. KoufmanC. Rees G. Postma
  • Medicine
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 2007