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Office Based Laryngeal Procedures

Office Procedures for the

Voice Box

Many laryngeal procedures can safely be done in the office rather than in the operating room, which benefits patients by saving time, money, and eliminating the need for general anesthesia.

Common laryngeal procedures that are often done in the office include biopsies (from the throat and voice box) or KTP laser ablation of polyps, pre-cancerous lesions, and papillomas of the vocal cords. Prior to these procedures, the throat and voice box are topically numbed. A small laser fiber is then brought through the nose down towards the vocal cords. Treatment time is usually only a few minutes and is tolerated very well by most patients.

Other procedures that can be done in the office include injections for weak (vocal cord paralysis) or atrophic vocal folds (presbylarynx) to improve the voice. Patients with aging vocal cords typically complain about vocal fatigue (especially at the end of the day) or difficulty projecting their voice loudly.

Dr. Weidenbecher performs KTP laser removal of vocal cord polyps in the office

Those symptoms can be addressed via a vocal cord injection which improves vocal cord vibration. Patients typically report that they have an easier time speaking, especially in places like restaurants or at social events. Vocal cord injections are done in the office under local anesthesia, and most patients report very minimal discomfort. Patients typically benefit from a vocal cord injection every few months up to 1-2 years.

Other conditions that Dr. Weidenbecher treats in the office setting include subglottic and tracheal stenosis. These patients can benefit from trans-tracheal steroid injections to reduce scarring which is often times done as repeated injections spaced out by a few months. This relatively new office treatment approach has allowed many patients with so-called idiopathic subglottic stenosis to be fully managed in the office with no further need to go to the operating room.

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Large vocal cord polyps are lasered. This procedure is not painful and extremely well tolerated.

This patient has multifocal growth of papilloma (RRP). Most of the papilloma have no impact on the patient's voice, except the papilloma indicated by the green arrow. This is an ideal case for laser treatment in the office under local anesthesia. Treatment usually takes less than 10 minutes with very minimal to no discomfort for the patient.

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