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.
Irvine Location 250 E. Yale Loop, Suite 200 Irvine, CA 92604
Not sure why all those good reviews were posted. They were very misleading and I personally can say that my experience was absolutely negative. I was seen by Dr. Verma on 01/30/20 and there was no one in the waiting room which can be sometimes a bad sign. A nurse spray some lidocaine plus some other component inside my nostrils and told me that a test will be conducted later on by Dr. Verma. I saw Dr. Verma after a few minutes and I told him everything about my chronic cough and the throat infection that I went through a month ago...He did not conducted the test which i received the lidocaine for, he looked at inside my nostrils, my ears, my throat and his response was that I had enough medication, even though I am not taking anything for the last 10 days. He said to come back if the cough continues beyond February. Last night, my ear was popping and felt inflamed with a little bit of pain which usually happens due to my constant coughing; so, I decided to call the Dr.'s office. I was told that he doesn't work on Fridays and that his nurse will helped me out. His nurse which I did not get her name said that Dr. Verma is just a throat specialist that if I have ear problems I should see an ear specialist. I wonder why then he is called an ENT, didn't he go to school to be trained in ear, nose and throat conditions? My ear problem wasn not severed, just needed some basic ear drops for my inflation. The nurse insisted that he only sees throats! I told her that he looked at my ears and nostrils yesterday and that he probably know the basic issues related to ears...besides these three body parts are very well connected. My take is that this practice only cares about taking your money and that the nurse needs to retake her continuing education and get a broader education on the ENT field and about the Dr. what can I tell you his 5 minutes and were easily cover with my 50 dollars copay, I am sure my insurance will double or triple that charge. I hope I don't get charge for the unnecessary lidocaine spray since no test was conducted. I will never go back to this practice and my advice to you who is reading this honest review is that you look somewhere else too.
My wife had an office visit to Dr. Verma recently. The visit took no more than 15 minutes. During the visit, Dr. Verma performed Laryngoscopy on my wife. The procedure took no more than 2 minutes. Today I received the bill. Dr. Verma charged us more than $700 for the office visit, and more than $800 for the Laryngoscopy. With the insurance adjustments, we still have to pay about $1,300. I find it very hard to justify this price for the medical service provided.BTW, Dr. Verma did not cure my wife at all.
I made an appointment to see Dr. Verma for a second opinion and I am happy I did. His office staff is friendly and efficient. He is very knowledgeable and very personable. He carefully listened to my situation before the exam and clearly explained my condition and treatment. I feel very comfortable being treated by him and highly recommend him.
NOTE : The information presented on this site is for educational purposes only, and is not intended to replace consultation with a qualified physician. It may not be appropriate to your individual case, and should not be used in making treatment decisions, especially with regard to medication. Considerable effort is made to ensure that the information on this site is accurate, but medicine is a changing field, and this website is not responsible for errors or omissions. Use of this website acknowledges the above.