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Surgical Management of Broad-based Sessile Vocal Cord Polyps: Transnasal Vocal Fold Polypectomy Versus Microlaryngoscopic Surgery- Our Experience in 159 Cases
  • +2
  • Shuchun Lin,
  • Qin Lin,
  • Xiaoting Huang,
  • Qian Yu,
  • Desheng Wang
Shuchun Lin
Fujian Medical University Union Hospital
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Qin Lin
Fujian Medical University Union Hospital
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Xiaoting Huang
Fujian Medical University Union Hospital
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Qian Yu
Fujian Medical University Union Hospital
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Desheng Wang
Fujian Medical University Union Hospital

Corresponding Author:[email protected]

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Abstract

Objectives: In this study, we retrospectively reviewed and intended to further compare the treatment outcomes and complications of office transnasal vocal fold polypectomy (TVFP) with those of microplarygoscopic surgery (MLS) for different clinical and histopathological features of broad-based sessile vocal fold polyps. Methods: We retrospectively reviewed the records of 159 consecutive patients with broad-based sessile vocal fold polyps treated by TVFP or MLS. The differences in efficacy and complication between these two surgical techniques were compared according to the different types of vocal fold polyps. Results: Satisfactory outcomes of both TVFP and MLS treatments were reported in patients with edematous, gelatinous and vascular types of vocal fold polyps (p > 0.05). The efficacy of TVFP was slightly worse than MLS in fibrous polys group (p < 0.05). The TVFP-treated patients did not exhibit obvious complications, whereas several MLS-treated patients had suffered different complications. Conclusion: The therapeutic effects of both TVFP and MLS on the treatment of broad-based sessile vocal cord polyps are related to their clinical characteristics and histological types. Satisfactory outcomes are achieved in edematous, gelatinous, and vascular types of polyps after either surgical procedure. TVFP has fewer surgical complications than MLS which can be a preferred option for the treatment of broad-based sessile vocal cord polys at outpatient setting. TVFP also can be an alternative surgery option for patients who could not tolerate general anesthesia or laryngeal suspension. In contrast, MLS has proven to be particularly advantageous in patients who have fibrous type of polyps.
12 Dec 2022Submitted to Clinical Otolaryngology
26 Dec 2022Submission Checks Completed
26 Dec 2022Assigned to Editor
18 Jan 2023Reviewer(s) Assigned
05 Feb 2023Review(s) Completed, Editorial Evaluation Pending
24 Mar 2023Editorial Decision: Revise Major
21 May 20231st Revision Received
24 May 2023Submission Checks Completed
24 May 2023Assigned to Editor
19 Jun 2023Reviewer(s) Assigned
27 Jun 2023Review(s) Completed, Editorial Evaluation Pending
02 Jul 2023Editorial Decision: Revise Minor
07 Jul 20232nd Revision Received
08 Jul 2023Submission Checks Completed
08 Jul 2023Assigned to Editor
11 Jul 2023Review(s) Completed, Editorial Evaluation Pending
15 Jul 2023Editorial Decision: Accept