return to: KTP Laser for the Larynx; KTP Laser for RRP local anesthesia case example; Laryngeal papilloma (RRP) treatment in clinic with KTP laser video

see also: Transnasal Flexible Laryngoscopy Office Procedures with Two Nostril Steerable Sheath Technique; Two Nostril Technique to Biopsy Laryngeal Leukoplakia (Steering Sheath)

Note: last updated before 2020

Modified Operative Note

Preop and Postoperative Dx:

Procedure: Flexible Transnasal KTP lasing (KTP V,1) of glottic larynx (total 66 J, 30 watts, 15 msed pulses, 2 pps)

Anesthesia: Premedication with 1 mg glycopyrrolate orally 1 1/2 hours before the procedure 

Bilateral superior laryngeal blocks (dental carpules 2% with 1:100,000, 1cc to each side) done in preholding area (see: Superior Laryngeal Nerve Blocks Instruction Video), IV 3 mg midazolam, topical 4% lidocaine with 1% phenyephrine spray x 2 to left nostril then packed with 2 neurosurgical cottonoids

KTP V,1

26 joules to left vocal cord

40 joules to right vocal cord

Plan targetted in clinic KTP laser transnasal laryngoscopy in 3 months preop with glycopyrrolate 1 mg po 1 1/2 hour before