Holmium:YAG laser: 12-year study of indications for use and outcomes in benign and malignant otolaryngological conditions
| Autor: | Joseph J, Jaberoo Mc, Dilkes M |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Laser surgery
medicine.medical_specialty Cutaneous Fistula Fistula medicine.medical_treatment chemistry.chemical_element law.invention Holmium law medicine Humans Yttrium Retrospective Studies business.industry Retrospective cohort study Neck dissection General Medicine medicine.disease Laser Delivery mode United Kingdom Otorhinolaryngologic Surgical Procedures Surgery Treatment Outcome Otorhinolaryngology chemistry Head and Neck Neoplasms Laser Therapy business Aluminum |
| Zdroj: | The Journal of Laryngology & Otology. 124:896-898 |
| ISSN: | 1748-5460 0022-2151 |
| DOI: | 10.1017/s0022215110000654 |
| Popis: | Background:We present the largest recorded case series of holmium:YAG laser use in otolaryngology. This laser's hand-held delivery device is easier to manipulate compared with other ENT lasers, and its pulsed delivery mode gives it enhanced cutting and coagulation properties.Methods and results:We conducted a 12-year, retrospective study of holmium:YAG laser use in a tertiary referral centre. Sixty-eight patients were included. Nineteen received primary laser treatment of squamous cell carcinoma of the upper aerodigestive tract (nine with simultaneous neck dissection), and 49 underwent either palatine or lingual tonsillectomy for benign disease. One cancer patient developed a pharyngo-cutaneous fistula, and a second suffered a secondary haemorrhage. No other complications were recorded. There were no local recurrences.Conclusions:The holmium:YAG laser is safe and effective for benign and malignant otolaryngological conditions. In cancer treatment, it may be best to delay neck dissection until the primary site has healed, in order to avoid fistula formation. |
| Databáze: | OpenAIRE |
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