Treatment of Hemorrhagic Vocal Polyps by Pulsed Dye Laser-Assisted Laryngomicrosurgery

Figure 1

Intraoperative view of pulsed dye laser- (PDL-) assisted enucleation laryngomicrosurgery. (a) After suspension laryngoscopy under general anesthesia, a hemorrhagic vocal polyp is noted on the right vocal fold. (b) The PDL is delivered by a 0.6 mm fiber (arrow), which is held directly over the surface of the hemorrhagic polyp. The treated portion of the vocal fold can be confirmed by the blanching change of the epithelium. (c) After the PDL application, a longitudinal incision is made at the overlying epithelium. (d) The epithelium is easily peeled off from the lesion and opened using a small cotton ball mounted on microforceps. (e) After careful dissection with appropriate microinstruments, the hemorrhagic polyp is easily enucleated out using microcurved alligator forceps. (f) The remaining epithelium is repositioned after removal of the lesion.

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