Reinke's Edema - Smoker's Polyps treated in the office with PDL and KTP laser

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Bilateral large smoker's polyps, Bilateral large smoker's polyps during inspiration, The left polyp shrunk after PDL laser treatment in the office, Right smoker's polyp enlarging over time, Right smoker's polyp , Right smoker's polyp during KTP laser treatment, Right smoker's polyp after KTP laser treatment, Right smoker's polyp after KTP laser treatment

She has a 25 pack year history of smoking. She has bilateral, very large, smoker's polyps which are interfering with her breathing and her voice. She is almost always called "sir" on the telephone.

Bilateral large smoker's polypsBilateral large smoker's polyps during inspiration

On the left she is breathing out, and on the right she is breathing in. 

The left vocal cord smokers polyp was treated with a pulsed dye laser (PDL) in the office and three months later has shrunken down. This improved her airway enough that she did not want the right polyp treated. She was also no longer called "Sir" on the phone.

The left polyp shrunk after PDL laser treatment in the office

She quit smoking after the procedure. However, three years later she returned with her voice still somewhat hoarse and she still had gasping if she was breathing fast.

Right smoker's polyp enlarging over timeRight smoker's polyp

The right polyp has enlarged some over time. On the right is a false color image. This emphasizes the blood vessels within the polyp.

She underwent a KTP laser reduction of the polyp.

Right smoker's polyp during KTP laser treatment

Two months after the first treatment the polyp the smaller

Right smoker's polyp after KTP laser treatment

Three months after the second treatment the polyp was again smaller. The polyp was also biopsied and found to be benign on pathologic exam.

Right smoker's polyp after KTP laser treatment

After this third treatment, she was happy with her voice and elected not to undergo any further treatments and unless her voice deteriorated again.