KTP (potassium-titanyl phosphate) laser is an advanced treatment for the management of vocal fold lesions such as papilloma, leukoplakia, dysplasia, and cancer.
In Office Treatment for Papilloma
Now laryngeal diseases such as recurrent respiratory papillomatosis, can be treated in the office without need for sedation or an IV using a laser. This procedure takes twenty minutes to perform. Patients are able to drive themselves to and from the appointment, and not rely on others to take care of them afterwards. In fact, patients can return to work immediately after the procedure. A flexible laryngoscope is passed through a patient’s nose. Energy from the KTP laser is delivered through a fiber. This unique quality allows the surgeon to thread the fiber through an endoscope and deliver energy. Five minutes prior to the procedure the patient is asked to inhale aerosolized lidocaine, a topical numbing agent. This numbs the throat and voice box.
Most commonly a KTP laser fiber is used. The KTP laser is a “green-light” laser which emits energy that looks green in color. Energy from the KTP laser is preferentially absorbed by hemoglobin. Since papilloma is extremely vascular, or contains many blood vessels, the energy is ‘targeted’ towards the papilloma tissue. The KTP laser is not used to “cut” the papilloma out. Rather, the KTP laser is used more like a spray paint. After spraying all of the papilloma with laser energy, the papilloma turns from pink to white. After the KTP energy is absorbed by the papilloma, the papilloma dies and sloughs off leaving the normal tissue behind in many cases. Because the KTP laser selectively targets the papilloma the normal vocal cord tissue is preserved, allowing patients to more quickly return to a normal speaking voice. This is a unique quality which differentiates it from the standard carbon dioxide laser.
The traditional method of treatment is performed in the operating room with a patient asleep.
The pulsed dye laser is similar to the KTP laser. Both lasers preferentially target hemoglobin and have energy transmitted by a fiber. Either laser may be used in the operating room for traditional surgery or in the office for awake, unsedated, surgery.
Other treatments, such as cidofivir, Avastin or bevacizumab, may be employed by some physicians to help manage the papilloma. These treatments are not FDA-approved and considered off-label use of the medication.
Throatdisorder.com is an online resource for patients and physicians to learn more about common voice, swallowing, breathing and throat disorders. Throat complaints, from cough to cancer, are a common reason for patients to seek medical treatment. This website developed as a result of Dr. Sunil Verma's passions: that of education, patient care, and interest in technology.
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Didn’t feel care for left the office feeling discouraged, dr didn’t seem interested in finding out why I’m having my symptoms. From his opinion I’m fine. When a doctor wants to really help they’ll try all test possible to find the problem, instead he said I need to see a pain specialist and I left.
I couldn’t ask for a better experience with a Doctor and staff. Dr. Verma put me at ease and walked me through the Vocal fold injection process. He made it an easy experience and he was always informative and willing to answer questions. I felt heard and never rushed.
Dr. Verma is awesome. He takes the time to answer any questions or concerns you may have without making you feel rushed. He’s very skilled at what he does, and his staff is very friendly. I highly recommend him!!
Dr. Verma was warm, kind, spent adequate time, seemed incredibly knowledgeable. Despite not knowing exactly what I'm experiencing, he was confident in a course of action. His staff was very nice as well.
All the Dr's, Nurse's & Staffs of the UCI are amazing!! They are very polite, loving, kind, and all around great Team!! Special thanks to Doctor Verma for all the work that you're done for my dad. Our family sincerely appreciate all of you very much!!
Dr. Verma and his staff were totally professional. I came in from Palm Springs and it truly was worth the ride. I have what’s called a ZINKER. He had to put a tube down my nose to examine me. I didn’t feel a thing.Forgot to mention I’m a big baby. All in all it was a very good experience. Thank you Dr. Verma