Multiple laser puncture for Reinke’s edema: surgical outcome and voice assessment


  • Jameel N. Alswaiheb Department of Otorhinolaryngology, Head and Neck Surgery, King Saud Medical City (KSMC), Riyadh, Saudi Arabia
  • Mohammed Ali Motiwala Department of Otorhinolaryngology, Head and Neck Surgery, King Saud Medical City (KSMC), Riyadh, Saudi Arabia
  • Chih-Ying Su Department of Otorhinolaryngology, Chang Gung Memorial Hospital, Kaohsiung Medical Centre, Taiwan



Reinke’s edema, Polypoid corditis, Polypoid laryngitis, Polypoid degeneration. Co2 laser puncture


Background: The two important principles in Reinke’s edema treatment are minimal intervention and superficial resection with evacuation the edema and preservation the medial edge of the vocal fold to improve the voice quality. The aim of this study was to evaluate a novel surgical technique in treatment of Reinke’s edema and its effect on subjective and quantitative voice characteristics. The study design was a prospective clinical series.

Methods: We evaluated 67 patients from 19 to 73 years (mean, 47.7 years) with Reinke’s edema. The patients were divided into 3 types, mild, moderate and sever. Clinical voice assessment was composed of stroboscopy, subjective voice evaluation (GRBAS hoarseness scale) and quantitative voice evaluation were evaluated pre- and postoperatively. All patients underwent endolaryngeal CO2 laser puncturing for treatment of Reinke’s edema.

Results: 67 patients diagnosed as Reinke’s edema were classified by H. Yonekawa classification into three types. Type I 25 (37.3%) patients, type II 30 (44.8%), type III 12 (17.9%). Out of 67 patients, fifty two (77.6%) were smoker. In all the patients, the laryngostrobscopic findings showed an improvement of mucosal wave patterns with little vocal fold scaring. Significant vocal improvement was also noted in subjective and objective voice assessments.

Conclusions: The laser puncture technique is safe, effective and less invasive to treat Reinke’s edema with significant improvement in vocal performance after surgery.

Author Biography

Jameel N. Alswaiheb, Department of Otorhinolaryngology, Head and Neck Surgery, King Saud Medical City (KSMC), Riyadh, Saudi Arabia

Dr. Mohammed Ali Motiwala,

ENT Specialist,
Department of Otorhinolaryngology,
Head and Neck Surgery,
King Saud Medical City (KSMC),
Riyadh, Saudi Arabia


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Original Research Articles