Laryngeal Papilloma


Respiratory Papillomatosis

Recurrent respiratory papillomatosis (RRP) is a chronic viral disease, caused by human papillomavirus (HPV). It causes wart-like tumors to grow within the upper respiratory tract including larynx and vocal cords. Currently, there is no cure for this disease and even if resected aggressively, it may grow back after months or years. 


Papillomatosis can remain asymptomatic for quite some time, however, they grow on the vocal folds they become manifest much earlier. Typical symptoms include:

  • Hoarseness
  • Noisy breathing
  • Shortness of breath


Laryngeal papillomatosis is a recurrent disease and patients may have to undergo multiple surgeries throughout their lifetime.  If not performed carefully, repeated surgeries to remove papilloma may lead to vocal cord scarring over time with permanent hoarseness. It is therefore crucial to consider not only treatment choices but also surveillance exams to detect early regrowth. Dr. Weidenbecher uses high-definition endoscopes with state-of-the-art diagnostic features (Narrow Band Imaging) to identify papilloma before it even causes symptoms. That way, any necessary intervention to remove papilloma has minimal impact on patients. 

Dr. Weidenbecher is a vocal cord specialist who understands how delicate vocal cords are and how to preserve their structure during surgery.   Multiple treatment options are available to remove laryngeal papilloma.  Dr. Weidenbecher uses a KTP laser which is highly effective against papilloma.  This new laser technique reduces damage to the normal layered structure of the vocal fold and preserves the normal voice. Recurring papilloma can be treated safely with the KTP laser again. For frequently recurring laryngeal papilloma,  bevacizumab (Avastin) can be injected into the vocal cord to block laryngeal papilloma growth on a molecular level.

The vast majority of RRP treatments can be done in the office and patients are usually able to go back to work the same or next day (see Office based procedures).

RRP Fig 1

Papilloma is growing along both vocal cords (arrow pointing to papilloma). The vocal cord edge is irregular, which results in a hoarse voice.

RRP Fig 2

A specialized light technology called narrow-band imaging (NBI) can be used to detect papilloma more easily. Papilloma has abnormal blood vessels which look like a "strawberry".


Such a good Dr. He finds the problem and gives details on correcting the problem and suggests the routine to get rid of the problem. He will not recommend a surgeon if you don’t need it.

Call the best.  He tweaked my vocal cords and my voice is now exactly where I want it.

Dr. Mark is the best.

He has taken the time to diagnose and understand my husband's health problem. We are grateful for his help.

He is very compassionate, caring, and thorough.

Very knowledgeable, very professional, and always asked if I had any questions. Willing to go the extra mile. I have been seeing him for 7 years and I would recommend him to anyone who needed an ENT.

Excellent Doctor

My doctor is very compassionate to all his patients. I witness this every time I come. I hear how he talks to his staff and interns. A Great mentor. I look for these things in knowing whose hands my care is in. Dr. Mark Shows empathy and he LISTENS, whereas some don't take the time to understand let alone touch the abnormal lumps and nodules, they rush you out to get a pay check. I look for these things. Dr. Mark is excellent in his profession and very knowledgeable in his practice. I trust his medical decisions, and plan of care for treatments. Thank you Dr. Mark Weidenbecher

Very caring Provider. He is the best sleep surgeon in Ohio.

I have had a good experience with Dr. Weidenbecher since he previously did surgery on me. He is very knowledgeable and I would recommend him.

Very knowledgeable Dr. Great with patients and knows his field well

Very nice experience. He answered questions and explained things. Set up a plan of care to address health issues and worked out perfect.

Dr. Weidenbecher was very professional. He explained everything thoroughly. I did not feel rushed with my appointment. I would recommend him to my family and friends.

Very helpful and easy to work with

He takes great care and concern for his patients. Very professional and has a great personality.

This provider is very sincere, dedicated & caring. He wants to help resolve whatever health issue you might have and listens well.

Thorough, compassionate.

He is very thorough. I trust him. I did my surgery and I was so happy with the results.

Dr. Weidenbecher is very thoughtful, informative, and personable

The physician personally called me to discuss the findings on my latest CT Scan and recommended holding off on surgery until further testing.

Always treats me with so much respect and is on time.

Just excellent. No other words.

Don’t look anywhere else. Highly skilled surgeon. I felt so comfortable.



  • Untitled design(588)
  • Untitled design(587)
  • way(2)
  • way
  • way(1)
Skip to content