October 2025

OTOLARYNGOLOGY

INNOVATIVE TECHNIQUE IN VOCAL FOLD SURGERY: SUBEPITHELIAL INFUSION AND PHOTOANGIOLYSIS

A recent study co-led by James A. Burns, MD, highlights a groundbreaking technique in laryngeal microsurgery that combines subepithelial saline infusion with photoangiolysis to enhance patient outcomes during vocal fold surgeries. This approach is designed to coagulate vocal fold vessels safely while significantly reducing thermal damage.

The method involves expanding the superficial lamina propria with saline, allowing for more precise targeting of blood vessels with less energy, thereby preserving the delicate microstructure of the vocal folds. This comprehensive hemostatic technique provides access to a greater number of vessels for treatment, ultimately leading to reduced intraoperative bleeding and fewer postoperative complications.
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The researchers emphasize the importance of this innovative technique, which can improve the effectiveness of surgical interventions on the vocal folds, a critical aspect of preserving vocal quality and functionality.
James A. Burns, MD. Professor of Otolaryngology - Head and Neck Surgery

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