title: Treatment of Hemorrhagic Vocal Polyps by Pulsed Dye Laser-Assisted Laryngomicrosurgery.
abstract: OBJECTIVE
  Conventional surgical techniques of laryngomicrosurgery (LMS) on hemorrhagic vocal polyps are often difficult due to obscuration of the surgical field by inadvertent bleeding from the lesion, and there are often significant amounts of mucosal epithelium loss. Here, we introduce our surgical technique using pulsed dye laser (PDL), which can effectively resect the polyp with vocal fold mucosa preservation.
  
  
  METHODS
  Patients who were diagnosed with hemorrhagic vocal polyp and who were surgically managed using PDL from March 2013 to October 2014 were retrospectively reviewed. Preoperative and postoperative clinical outcomes and surgical findings were evaluated.
  
  
  RESULTS
  A total of 39 patients were treated with PDL-assisted enucleation LMS. The average age was 43.7 years (range 20-73), and there were 20 males and 19 females (17 professional voice users). In all cases, the hemorrhagic polyp was successfully enucleated after application of PDL, thereby preserving the overlying epithelium. Postoperative voice outcomes were favorable with clear preservation of the vocal fold mucosal wave.
  
  
  CONCLUSIONS
  PDL-assisted enucleation LMS for the treatment of hemorrhagic vocal polyps can be a safe and effective surgical technique. It can be considered a promising treatment option for hemorrhagic vocal polyps.
authors.affiliation: Department of Otorhinolaryngology, Yonsei University College of Medicine, Gangnam Severance Hospital, 211 Eonju-ro, Gangnam-gu, Seoul 135-720, Republic of Korea ; Institute of Logopedics and Phoniatrics, Yonsei University College of Medicine, Seoul, Republic of Korea.
authors.forename: Hyung Kwon
authors.initials: HK
authors.lastname: Byeon
authors.affiliation: Department of Otorhinolaryngology, Yonsei University College of Medicine, Gangnam Severance Hospital, 211 Eonju-ro, Gangnam-gu, Seoul 135-720, Republic of Korea ; Institute of Logopedics and Phoniatrics, Yonsei University College of Medicine, Seoul, Republic of Korea.
authors.forename: Ji Hyuk
authors.initials: JH
authors.lastname: Han
authors.affiliation: Department of Otorhinolaryngology, Yonsei University College of Medicine, Gangnam Severance Hospital, 211 Eonju-ro, Gangnam-gu, Seoul 135-720, Republic of Korea ; Institute of Logopedics and Phoniatrics, Yonsei University College of Medicine, Seoul, Republic of Korea.
authors.forename: Byeong Il
authors.initials: BI
authors.lastname: Choi
authors.affiliation: Department of Otorhinolaryngology, Yonsei University College of Medicine, Gangnam Severance Hospital, 211 Eonju-ro, Gangnam-gu, Seoul 135-720, Republic of Korea ; Institute of Logopedics and Phoniatrics, Yonsei University College of Medicine, Seoul, Republic of Korea.
authors.forename: Hye Jin
authors.initials: HJ
authors.lastname: Hwang
authors.affiliation: Department of Otorhinolaryngology, Yonsei University College of Medicine, Gangnam Severance Hospital, 211 Eonju-ro, Gangnam-gu, Seoul 135-720, Republic of Korea ; Institute of Logopedics and Phoniatrics, Yonsei University College of Medicine, Seoul, Republic of Korea.
authors.forename: Ji-Hoon
authors.initials: JH
authors.lastname: Kim
authors.affiliation: Department of Otorhinolaryngology, Yonsei University College of Medicine, Gangnam Severance Hospital, 211 Eonju-ro, Gangnam-gu, Seoul 135-720, Republic of Korea ; Institute of Logopedics and Phoniatrics, Yonsei University College of Medicine, Seoul, Republic of Korea.
authors.forename: Hong-Shik
authors.initials: HS
authors.lastname: Choi
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007818:Laryngeal Diseases / Q000601:surgery*; D007828:Laryngoscopy / Q000379:methods*; D054025:Lasers, Dye / Q000627:therapeutic use*; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D014827:Vocal Cords / Q000503:physiopathology / Q000601:surgery*; D014831:Voice / Q000502:physiology; D055815:Young Adult