성대구증에서 KTP Laser를 사용한 수술적 치료 1례

Surgical Treatment of Sulcus Vocalis Using KTP Laser

  • 정찬민 (연세대학교 의과대학 강남세브란스병원 이비인후과학교실) ;
  • 김지형 (연세대학교 의과대학 강남세브란스병원 이비인후과학교실) ;
  • 임재열 (연세대학교 의과대학 강남세브란스병원 이비인후과학교실) ;
  • 최홍식 (연세대학교 의과대학 강남세브란스병원 이비인후과학교실)
  • Jung, Chan Min (Department of Otorhinolaryngology, Gangnam Sevrance Hospital, Yonsei University College of Medicine) ;
  • Kim, Jihyung (Department of Otorhinolaryngology, Gangnam Sevrance Hospital, Yonsei University College of Medicine) ;
  • Lim, Jae-Yol (Department of Otorhinolaryngology, Gangnam Sevrance Hospital, Yonsei University College of Medicine) ;
  • Choi, Hong-Shik (Department of Otorhinolaryngology, Gangnam Sevrance Hospital, Yonsei University College of Medicine)
  • 투고 : 2016.05.10
  • 심사 : 2017.06.21
  • 발행 : 2017.12.30

초록

Sulcus vocalis remains a surgical challenge despite many recent advances in laryngomicrosurgeries. We previously reported that 585-nm Pulsed dye laser (PDL) exerts favorable outcome in treatment of sulcus vocalis due to its therapeutic effects of collagen rearrangement and improved wound remodeling. In spite of the usefulness of PDL glottoplasty for treating sulcus vocalis, the device is no more available in the country. It prompted us to focus another angiolytic laser ; 532-nm KTP laser which has similar mechanisms of action and has been used for treatment of other laryngeal lesions elsewhere. Herein, we present a case of sulcus vocalis successfully treated with KTP laser. A patient underwent laryngomicrosurgery with angiolytic KTP laser (KTP glottoplasty) by the same surgical procedure with PDL glottoplasty. After the surgery, the patient presented improved voice outcome in time without complications.

키워드

참고문헌

  1. Bouchayer M, Cornut G. Microsurgery for benign lesions of the vocal folds. Ear Nose Throat J 1988;67(6):446-9, 452-4, 456-64 passim.
  2. Ford CN, Inagi K, Khidr A, Bless DM, Gilchrist KW. Sulcus vocalis: a rational analytical approach to diagnosis and management. Ann Otol Rhinol Laryngol 1996;105(3):189-200. https://doi.org/10.1177/000348949610500304
  3. Su CY, Tsai SS, Chiu JF, Cheng CA. Medialization laryngoplasty with strap muscle transposition for vocal fold atrophy with or without sulcus vocalis. Laryngoscope 2004;114(6):1106-12. https://doi.org/10.1097/00005537-200406000-00028
  4. Hwang CS, Lee HJ, Ha JG, Cho CI, Kim NH, Hong HJ, et al. Use of pulsed dye laser in the treatment of sulcus vocalis. Otolaryngol Head Neck Surg 2013;148(5):804-9. https://doi.org/10.1177/0194599813479909
  5. Kim JH, Choi HS. The Principle and Clinical Application of Pulsed Dye Laser in Laryngology. J Clinical Otolaryngol 2016;27:224-30. https://doi.org/10.35420/jcohns.2016.27.2.224
  6. Hirano M. Phonosurgery: basic and clinical investigation. Otologia (Fukuoka) 1975;21:239-442.
  7. Pontes P, Behlau M. Treatment of sulcus vocalis: auditory perceptual and acoustical analysis of the slicing mucosa surgical technique. J Voice 1993;7:365-76. https://doi.org/10.1016/S0892-1997(05)80260-7
  8. Kim H, Kang MS, Lee EJ, Choi HS. Two cases of secondary sublesional laryngeal cyst after pulsed dye laser glottoplasty. Korean J Otolaryngol-Head Neck Surg 2016;59(6):466-70.
  9. Hirano S, Yamashita M, Kitamura M, Takagita SI. Photocoagulation of microvascular and hemorrhagic lesions of the vocal fold with the KTP laser. Ann Otol Rhinol Laryngol 2006;115:253-9. https://doi.org/10.1177/000348940611500402
  10. Zeitels SM, Akst LM, Burns JA, Hillman RE, Broadhurst MS, Anderson RR. Office-based 532-nm pulsed KTP laser treatment of glottal papillomatosis and dysplasia. Ann Otol Rhinol Laryngol 2006;115:679-85. https://doi.org/10.1177/000348940611500905