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Lee M Akst Author
Subjects of specialization
Affiliation
Vocal Cord Leukoplakia
Johns Hopkins Department of Otolaryngology-Head and Neck Surgery, Director, Johns Hopkins Voice Center
Biography
Dr. Lee Akst is head of the Johns Hopkins Voice Center and is Director of the Division of Laryngology at the Johns Hopkins University Department of Otolaryngology-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
Publications
Short Communication Open Access
Excellence in Care of Vocal Cord Leukoplakia
Author(s): Lee M Akst
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 dys... view more»
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