Summary
Objectives
To report on the outcomes of unsedated blue laser therapy in female patients with
Reinke's edema.
Study Design
Retrospective chart review.
Methods
A retrospective chart review of female patients undergoing unsedated office-based
blue laser treatment of Reinke's edema between February 2020 and March 2022 at the
Hamdan Voice and Swallowing Unit at the American University of Beirut Medical Center
in Beirut, was conducted. Patients were assessed before and after the procedure with
a follow-up interval of 3–6 weeks. Demographic data included age, history of smoking
and grade of Reinke's edema. Voice outcome measures included the Voice Handicap Index-10
questionnaire, perceptual evaluation (GRBAS scale), acoustic analysis and maximum
phonation time. Vocal fold lesions were evaluated using indirect laryngeal endoscopy.
Results
A total of eight patients were reviewed. The mean age was 59.63 ± 7.98 years. One
patient was lost to follow-up. We report on a total of 10 Reinke's edema lesions treated
with the blue laser. There was a significant decrease in the mean VHI-10 score (14.86
± 5.84–6.71 ± 7.32; P < 0.01) as well as in the means of three perceptual evaluation parameters (G, R,
B; P < 0.05). There was also a nonstatistically significant increase in the mean fundamental
frequency and habitual pitch. Laryngeal examination showed complete regression in
50% of the lesions, and partial regression in the remaining 50%.
Conclusions
Office-based blue laser treatment of Reinke's edema under local anesthesia can be
considered an effective treatment modality as evidenced by improvement in post-procedure
voice outcome measures.
Key Words
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Article info
Publication history
Published online: October 08, 2022
Accepted:
August 22,
2022
Publication stage
In Press Corrected ProofFootnotes
Funding: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Identification
Copyright
© 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
