Blue laser ablation is a highly precise, in-office procedure used to treat a wide variety of vocal fold and airway lesions — including benign growths (like polyps or nodules), fluid swellings (Reinke’s edema), fragile blood vessels (varices), inflammatory tissue (granulomas or granulation), scars, papillomas, and mild narrowing (stenosis). The laser’s wavelength targets blood-rich tissue while minimizing injury to the surrounding healthy structures, which helps preserve voice quality.
The procedure is performed through a flexible scope inserted via the nose, usually with local anesthesia to numb the throat and nose. It takes about 15–30 minutes, and while patients may feel some pressure or warmth, it’s generally well tolerated. You may be asked to limit speaking for 1–3 days afterward, and some throat irritation or mild hoarseness is normal for a few days. Most people can return to work the next day. Multiple treatments may be required for conditions like papilloma or scar tissue, but many patients experience noticeable improvement after just one session. Risks are low and include temporary voice changes, swelling, or rare minor bleeding. The biggest benefits are improved voice clarity and less invasive treatment — all done right in the office.