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.

RRP Fig 3

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.


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.



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