title: In-Office Excision En Masse of a Vocal Process Granuloma Using the Potassium-Titanyl-Phosphate Laser.
abstract: BACKGROUND
  In-office laryngeal surgery is taking on a more commonplace role in the treatment of laryngeal disorders. The potassium-titanyl-phosphate (KTP) laser has been a resourceful adjunct to the management of patients with mucosal lesions of the vocal cords. However, a paucity of data exists for its use in postintubation granulomas treated in-office.
  
  
  METHODS
  A 43-year-old female presented with voice hoarseness and found to have a large obstructing postintubation granuloma which was treated by in-office KTP laser and en masse excision.
  
  
  CONCLUSIONS
  We report the successful case of a patient receiving in-office treatment for a large vocal process granuloma using the KTP laser with en masse excision. The combined use of the KTP laser and forceps in-office can be valuable to the surgical management of vocal process granulomas, given their numerous recurrences. New avenues in office-based surgical management of laryngeal disorders can offer accessibility and decreased morbidity to patients.
authors: Department of Otolaryngology - Head & Neck Surgery, McGill University, Montreal, Quebec, Canada.
authors: Marco A
authors: MA
authors: Mascarella
authors: Department of Otolaryngology - Head & Neck Surgery, McGill University, Montreal, Quebec, Canada. Electronic address: mdjonyoung@gmail.com.
authors: Jonathan
authors: J
authors: Young
mesh_terms: D000328:Adult; D000556:Ambulatory Surgical Procedures; D005260:Female; D006102:Granuloma, Laryngeal / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006685:Hoarseness / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D007828:Laryngoscopy; D053685:Laser Therapy / Q000295:instrumentation*; D053844:Lasers, Solid-State / Q000627:therapeutic use*; D016896:Treatment Outcome; D014827:Vocal Cords / Q000473:pathology / Q000601:surgery*
keywords: Dysphonia; In-office surgery; KTP laser; Vocal process granuloma