Office-based Awake Procedures



Awake Fiber Optic Laser Surgery for precancer (dysplasia) of the larynx and respiratory papillomatosis.
  • The photoangiolytic "green light" KTP laser is used to endoscopically treat select lesions on awake patients with minimal discomfort.
Injection medialization laryngoplasty for treatment of "The Aging Voice" and Vocal Cord Paralysis.
  • The procedure is generally well-tolerated and is done with the patient awake and breathing on their own. Done to address the same problem of weak or paralyzed vocal cords, injections are made into the tissues adjacent to the vocal cords. These injections “bulk up” the vocal tissues and bring the vocal cords closer together. Fat and collagen are the injection materials.
Botulinum toxin vocal cord injection for treatment of Spasmodic Dysphonia.
  • There is no lasting cure for spasmodic dysphonia, but surgeries and procedures reduce symptoms substantially. Botulinum toxin injection is a safe injection done with patient awake that temporarily reduces patients' symptoms. Injection can be titrated and safely repeated as needed.
Avastin® Injection of larynx for Recurrent Respiratory Papillomatosis.
  • Studies have shown that Avastin injection decreases the frequency of recurrence and disease burden of what is essentially a chronic disease process.
Office biopsies of growths on palate and larynx.
  • Biopsies done with topical anesthesia.
If you have any questions, or would like to schedule an appointment, please call Coastal Ear, Nose and Throat today at: 732-280-7855