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Volume 7, Issue 3 (Suppl) Otolaryngol (Sunnyvale), an open access journal
ISSN:2161-119X Head, Neck and Plastic Surgery 2017
June 19-20, 2017
Page 28
Notes:
conferenceseries.com
June 19-20, 2017 Philadelphia, USA
5th Global Summit and Expo on
Head, Neck and Plastic Surgery
Lee M Akst, Otolaryngol (Sunnyvale) 2017, 7:3 (Suppl)
DOI: 10.4172/2161-119X-C1-015
Vocal cord leukoplakia: Management in the OR and Office
This presentation will comprehensively review evaluation and management of laryngeal leukoplakia. Though white
vocal fold lesions are common, management remains challenging; doing too little may allow precancerous lesions to
progress, while doing too much may create unnecessary dysphonia through scar. I will present a framework for management
of leukoplakia which balances oncologic with functional outcomes with the goal of achieving disease control without creating
scar. State-of-the-art advances in care of leukoplakia will be emphasized and surgical techniques discussed will include
role of infusion, use of the KTP laser and microflap resection of diseased epithelium. Advanced use of the KTP laser for
office treatment of laryngeal dysplasia, an important part of my own practice and something which is only available in
a limited number of centers worldwide will be discussed as well, to include appropriate anesthesia techniques for office-
based procedures. Epidemiology of leukoplakia, rates of progression to malignancy and role of office-based biopsy will be
reviewed. Though focus will be on KTP laser strategies as these represent cutting edge approached to management of this
disease, I will also discuss cold instrument and CO2 laser techniques so that the audience, regardless of the tools available
to them in their own practices, will be able to transition techniques learned in this presentation to care of their own patients.
Approaches to anterior commissure involvement, bilateral disease and multiply recurrent dysplasia will be discussed through
case presentations which should increase audience interest.
Biography
Lee M Akst is the Head of the Johns Hopkins Voice Center and is the Director of the Division of Laryngology at the Johns Hopkins University, Department of Oto-
laryngology-Head and Neck Surgery. The focus of his clinical practice is on management of voice disorders with focus on office-based treatments and operative
management of epithelial diseases such as vocal cord leukoplakia, papilloma and early glottis cancer. He has lectured extensively on phonosurgical techniques,
treatment of laryngeal leukoplakia, laryngopharyngeal reflux and globus pharyngeus. He has been working with engineers at Johns Hopkins on novel robotic plat-
forms to bringing robotic surgery into the endolarynx to aid microlaryngeal operative precision. He has received his undergraduate and medical degrees from Yale
University, did his Otolaryngology Residency at the Cleveland Clinic and completed his Laryngology Fellowship at Massachusetts General Hospital.
Lee M Akst
Johns Hopkins University, USA
Johns Hopkins Voice Center, USA