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Office-Based Blue Laser Therapy for Epiglottic Cysts: Case Series and Review of the Literature
Abdul-Latif Hamdan1, Zeina Maria Semaan1, Ibana Carapiperis1
1Department of Otolaryngology-Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
Objective:
This study aims to report a series of four epiglottic cysts treated with office-based blue laser.
Methods:
Case series and review of the literature.
Results:
Four patients, two males and two females diagnosed with epiglottic cyst on laryngeal examination underwent office-based blue laser therapy. The main presenting symptoms included globus sensation, throat clearing and change in voice quality. The laser was used in contact and noncontact mode and a total of 40 to 155 joules was delivered. The tip of the glass fiber was used to open the cyst wall and the mucoid content of the cyst were drained. All patients tolerated the procedure well and the mean tolerance score using the Iowa Satisfaction with Anesthesia Scale was 1.63 ± 0.92. On follow-up, three of four patients had complete disease regression with resolution of their symptoms. One patient was lost for follow-up.
Conclusion:
Office-based blue laser therapy is a safe and well tolerated treatment alternative to patients who are at risk or refuse general anesthesia. A larger case series with longer follow up periods are needed to establish the recurrence rate following therapy.
