Vascular Lesions

Clinical Case

Vascular Nasal Polyps or other highly vascular lesions

Laser Used

Epic-S Diode Laser 940 nm

Accessory Used

400 um bare fiber tip, white tip, 100mm (or 60mm tip) according to the site of the lesion
Surgery handpiece

Treatment Parameters

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

Patient Symptoms

Can range from recurrent nose bleeds or severe epistaxis. Nasal obstruction may present depending on the size and location of the vascular lesion.

Diagnosis

Endoscopic exam will demonstrate the lesion its size and location. Usually reddish purple color. CT scan with contrast will confirm the diagnosis.

Management

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.

Laser Surgery, Pre-Op

Anesthesia is achieved with local injection of 2% lidocaine with epinephrine 1:100,000.