TY - JOUR
T1 - Office-based laryngeal laser surgery
T2 - A review of 443 cases using three wavelengths
AU - Koufman, Jamie A.
AU - Rees, Catherine J.
AU - Frazier, William D.
AU - Kilpatrick, Lauren A.
AU - Wright, S. Carter
AU - Halum, Stacey L.
AU - Postma, Gregory N.
PY - 2007/7
Y1 - 2007/7
N2 - Background: Unsedated office-based laser surgery (UOLS) of the larynx and trachea has significantly improved the treatment options for patients with laryngotracheal pathology including recurrent respiratory papillomas, granulomas, leukoplakia, and polypoid degeneration. UOLS delivered by flexible endoscopes has dramatically impacted office-based surgery by reducing the time, costs, and morbidity of surgery. Objectives: To review our experience with 443 laryngotracheal cases treated by UOLS. Methods: The laser logbooks at the Center for Voice and Swallowing Disorders were reviewed for UOLS, and the medical and laryngological histories were detailed, as were the treatment modalities, frequencies, and complications. Results: Of the 443 cases, 406 were performed with the pulsed-dye laser, 10 with the carbon-dioxide laser, and 27 with the thulium: yttrium-aluminum-garnet laser. There were no significant complications in this series. A review of indications and wavelength selection criteria is presented. Conclusion: Unsedated, office-based, upper aerodigestive tract laser surgery appears to be a safe and effective treatment option for many patients with laryngotracheal pathology.
AB - Background: Unsedated office-based laser surgery (UOLS) of the larynx and trachea has significantly improved the treatment options for patients with laryngotracheal pathology including recurrent respiratory papillomas, granulomas, leukoplakia, and polypoid degeneration. UOLS delivered by flexible endoscopes has dramatically impacted office-based surgery by reducing the time, costs, and morbidity of surgery. Objectives: To review our experience with 443 laryngotracheal cases treated by UOLS. Methods: The laser logbooks at the Center for Voice and Swallowing Disorders were reviewed for UOLS, and the medical and laryngological histories were detailed, as were the treatment modalities, frequencies, and complications. Results: Of the 443 cases, 406 were performed with the pulsed-dye laser, 10 with the carbon-dioxide laser, and 27 with the thulium: yttrium-aluminum-garnet laser. There were no significant complications in this series. A review of indications and wavelength selection criteria is presented. Conclusion: Unsedated, office-based, upper aerodigestive tract laser surgery appears to be a safe and effective treatment option for many patients with laryngotracheal pathology.
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U2 - 10.1016/j.otohns.2007.02.041
DO - 10.1016/j.otohns.2007.02.041
M3 - Article
C2 - 17599582
AN - SCOPUS:34250785111
SN - 0194-5998
VL - 137
SP - 146
EP - 151
JO - Otolaryngology - Head and Neck Surgery
JF - Otolaryngology - Head and Neck Surgery
IS - 1
ER -