The primary lesion may then be excised via a microflap approach or photocoagulated depending upon its size. The goal of surgical excision is preservation of the mucosal cover with minimal disruption of the underlying tissue. Direct surgical excision of the vascular abnormalities is another treatment option. Place patient on strict voice rest for 2 weeks after microflap surgery. Patients with more extensive dissections may be placed on a short course of corticosteroids.
All patients receive antibiotics and a mild narcotic for pain relief.
Patients with symptoms or findings of laryngopharyngeal reflux are medically treated. Encourage patients to avoid aspirin and nonsteroidal anti-inflammatory agents in the first 2 weeks postoperatively. Perform videostroboscopy at the 2-week postoperative visit. The patient resumes therapy with a speech pathologist at this point. There is a gradual return to voice use over the first few weeks.