Vascular Nasal Polyps or other highly vascular lesions
Epic-S Diode Laser 940 nm
400 um bare fiber tip, white tip, 100mm (or 60mm tip) according to the site of the lesion
6 Watt CW start with non-contact mode and blanch the lesion then proceed with contact (interstitial / intralesional) mode
Authored by Physician
Yosef Krespi, MD
Professor of Otolaryngology, Hofstra School of Medicine, New York
Can range from recurrent nose bleeds or severe epistaxis. Nasal obstruction may present depending on the size and location of the vascular lesion.
Endoscopic exam will demonstrate the lesion its size and location. Usually reddish purple color. CT scan with contrast will confirm the diagnosis.
The management is surgical, depending on the size and location of the lesion. If the office is not equipped to handle severe nosebleed cases, one may consider general anesthesia and ASU approach.
Anesthesia is achieved with local injection of 2% lidocaine with epinephrine 1:100,000.