Surgical Management of Broad-based Sessile Vocal Cord Polyps: Transnasal
Vocal Fold Polypectomy Versus Microlaryngoscopic Surgery- Our Experience
in 159 Cases
Objectives: In this study, we retrospectively reviewed and intended to
further compare the treatment outcomes and complications of office
transnasal vocal fold polypectomy (TVFP) with those of
microplarygoscopic surgery (MLS) for different clinical and
histopathological features of broad-based sessile vocal fold polyps.
Methods: We retrospectively reviewed the records of 159 consecutive
patients with broad-based sessile vocal fold polyps treated by TVFP or
MLS. The differences in efficacy and complication between these two
surgical techniques were compared according to the different types of
vocal fold polyps. Results: Satisfactory outcomes of both TVFP and MLS
treatments were reported in patients with edematous, gelatinous and
vascular types of vocal fold polyps (p > 0.05). The
efficacy of TVFP was slightly worse than MLS in fibrous polys group (p
< 0.05). The TVFP-treated patients did not exhibit obvious
complications, whereas several MLS-treated patients had suffered
different complications. Conclusion: The therapeutic effects of both
TVFP and MLS on the treatment of broad-based sessile vocal cord polyps
are related to their clinical characteristics and histological types.
Satisfactory outcomes are achieved in edematous, gelatinous, and
vascular types of polyps after either surgical procedure. TVFP has fewer
surgical complications than MLS which can be a preferred option for the
treatment of broad-based sessile vocal cord polys at outpatient setting.
TVFP also can be an alternative surgery option for patients who could
not tolerate general anesthesia or laryngeal suspension. In contrast,
MLS has proven to be particularly advantageous in patients who have
fibrous type of polyps.