Reinke's Edema - Smoker's Polyps treated in the office with PDL and KTP laser
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.
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.
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.
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.
Two months after the first treatment the polyp the smaller
Three months after the second treatment the polyp was again smaller. The polyp was also biopsied and found to be benign on pathologic exam.
After this third treatment, she was happy with her voice and elected not to undergo any further treatments and unless her voice deteriorated again.