Factors Associated With Tolerance for In-Office Laryngeal Laser Procedures.
A variety of laryngeal pathologies are increasingly being managed with in-office KTP laser (IOKTP) endoscopic procedures. The primary goal of this study was to identify patient characteristics and disease-related features that correlated with tolerance for IOKTP.Retrospective chart review.The study was a retrospective review of adult patients undergoing office-based laryngeal laser procedures between November 2016 and December 2019 at a tertiary care center. Two blinded otolaryngologist reviewers scored videotaped recordings of IOKTP procedures and assessed severity and distribution of disease using a modified Derkay score, and evaluated procedure tolerance using a visual analog scale.A total of 56 patients who received IOKTP procedures for laryngeal pathology were reviewed, 42 male and 14 female, with a mean age of 61 years. Gender, age, and BMI were not correlated with tolerance. There was a moderate, negative correlation between tolerance and total number of pathological anatomic laryngeal subsites (rs(56) = -0.35, P = .01). There was a weak, negative correlation between tolerance and total modified Derkay score (rs(56) = -0.29, P = .03). The median tolerance score was lower for patients with posterior lesions (Mdn = 6.4) compared with patients with non-posterior lesions (Mdn = 7.4), P = .04, and lower for current or former smokers (Mdn = 6.5) compared with never smokers (Mdn = 7.3), P = .04.Patients with large disease burden or posterior lesions and patients with smoking history may exhibit poorer tolerance of IOKTP procedures, factors which can help guide pre-procedural counseling and management decisions.IV. Laryngoscope, 2021.
This is an abstract of the clinical research article “Factors Associated With Tolerance for In-Office Laryngeal Laser Procedures.” This clinical research article was published in the medical journal The Laryngoscope on 2021-01-06 and has been categorised as belonging to the clinical specialty of ENT. To read the full clinical research article or obtain a PDF (if available) use the links directly above. To discover more of the latest ENT clinical research articles from the medical journal The Laryngoscope please click the link below. For more of the latest ENT research articles from other leading medical journals click the link that says ENT next to the stethoscope icon at the top of the page. You can further filter clinical research articles by sub-specialties within ENT using the navigation menu at the top of the page.