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.
Keywords : polyps, vocal
cords, endoscopy, laryngoscopy, clinical pathology