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CO2 Laser

CO2 Laser for Vocal Cord Lesions

N/A
Waitlist Available
Led By Milan Amin, MD
Research Sponsored by NYU Langone Health
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Presence of laryngeal papillomatosis, hemorrhagic polyps, or leukoplakia/dysplasia of the vocal folds requiring in-office treatment
Be older than 18 years old
Must not have
Accutane (Isotretinoin) within the past 6-12 months
Timeline
Screening 3 weeks
Treatment Varies
Follow Up treatment visit (day 0), follow up visit (6-12 weeks)
Awards & highlights
No Placebo-Only Group

Summary

This trial compares a CO2 laser device (AcuPulse Duo) with a commonly used KTP laser for treating vocal lesions. The CO2 laser is precise and causes less deep tissue damage, leading to faster recovery. The KTP laser targets blood vessels but can cause more scarring. The KTP laser has been increasingly used over the past decade for office-based management of vocal fold lesions.

Who is the study for?
This trial is for individuals who can consent and have specific vocal cord issues like laryngeal papillomatosis, hemorrhagic polyps, or leukoplakia/dysplasia needing in-office treatment. It's not suitable for those with prolonged redness of the skin, a history of keloid scars, or recent Accutane use.
What is being tested?
The study compares two lasers used to treat vocal cord lesions: the CO2 laser (AcuPulse Duo) and the commonly used Aura KTP laser. The goal is to see which device offers better results for treating these conditions.
What are the potential side effects?
Potential side effects from using these lasers could include discomfort at the site of treatment, swelling, changes in voice quality temporarily after the procedure, and rare chances of scarring.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I have growths or changes in my vocal cords that need treatment in a doctor's office.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
Select...
I have not taken Accutane in the last 6-12 months.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~treatment visit (day 0), follow up visit (6-12 weeks)
This trial's timeline: 3 weeks for screening, Varies for treatment, and treatment visit (day 0), follow up visit (6-12 weeks) for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Absolute and percentage change from baseline
Absolute change from baseline in mucosal wave grade
Change in Lesion regression
+2 more

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups
Experimental Treatment
Group I: CO2 laser device groupExperimental Treatment1 Intervention
Participants who will be undergoing laser treatment for their vocal nodes with a specific laser device. AcuPulse Duo, a CO2 laser is absorbed by water found in soft tissues and is independent of tissue color. It is very precise and causes less damage of the deep tissues, which results in less swelling and faster recovery. The absence of a long healing process means that most patients can resume their normal activities even on the same day The CO2 laser is the preferred laser for use in the operating room.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
CO2 laser
2016
Completed Phase 3
~160

Research Highlights

Information in this section is not a recommendation. We encourage patients to speak with their healthcare team when evaluating any treatment decision.
Mechanism Of Action
Side Effect Profile
Prior Approvals
Other Research
Common treatments for laryngitis include voice rest, hydration, humidification, and medications such as corticosteroids and antibiotics. Voice rest helps reduce strain on the vocal cords, allowing inflammation to subside. Hydration and humidification keep the vocal cords moist, which is essential for healing. Corticosteroids reduce inflammation and swelling of the vocal cords, while antibiotics are used if a bacterial infection is present. Laser treatments like the AcuPulse Duo CO2 Laser work by vaporizing abnormal tissue, which can help remove lesions and promote healing. These treatments are crucial for laryngitis patients as they address the underlying inflammation and infection, facilitating quicker recovery and preventing chronic issues.
Pre- and post-operative voice therapy (PaPOV): Development of an intervention for patients with benign vocal fold lesions.A summary of the Clinical Practice Guideline for the Diagnosis and Management of Voice Disorders, 2018 in Japan.Combination of voice therapy and antireflux therapy rapidly recovers voice-related symptoms in laryngopharyngeal reflux patients.

Find a Location

Who is running the clinical trial?

NYU Langone HealthLead Sponsor
1,408 Previous Clinical Trials
855,775 Total Patients Enrolled
Milan Amin, MDPrincipal InvestigatorNYU Langone Health
2 Previous Clinical Trials
50 Total Patients Enrolled
~2 spots leftby Nov 2025