Hostname: page-component-78c5997874-ndw9j Total loading time: 0 Render date: 2024-11-09T09:32:13.309Z Has data issue: false hasContentIssue false
  • English
  • Français

Out-patient flexible carbon dioxide laser surgery for benign laryngopharyngeal pathologies via transnasal flexible laryngo-oesophagoscopy

Published online by Cambridge University Press:  20 April 2017

H Mohammed ,
L Masterson  and
R Nassif
H Mohammed*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Norfolk and Norwich University Hospital, Norwich, UK
L Masterson
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Norfolk and Norwich University Hospital, Norwich, UK
R Nassif
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Norfolk and Norwich University Hospital, Norwich, UK
*
Address for correspondence: Mr Hassan Mohammed, Department of Otolaryngology – Head and Neck Surgery, Norfolk and Norwich University Hospital, Norwich NR4 7UY, UK Fax: +44 (0)1603 288946 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To assess the feasibility and outcomes of flexible carbon dioxide laser surgery in a clinic-based setting.

Methods:

A prospective study was conducted in a tertiary centre. Clinical indications, clinical outcomes and patient satisfaction were assessed in patients treated with flexible carbon dioxide laser surgery via transnasal endoscopy and followed up over a period of up to nine months. Patients who were not fit for general anaesthesia or those with lesions that cannot be accessed by micro-laryngoscopy were included.

Results:

A total of 13 patients (14 procedures) were included. Clinical indications for surgery were small-to-medium sized benign pathologies in the upper aero-digestive tract. Patient satisfaction was assessed using a validated questionnaire.

Conclusion:

Early data suggest that flexible carbon dioxide laser is a versatile and feasible instrument with potential applications for a range of benign pathologies in the upper aero-digestive tract.

Keywords

Laser TherapyCO2LarynxOutpatients
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 7 , July 2017 , pp. 650 - 654
Copyright
Copyright © JLO (1984) Limited 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Zeitels, SM, Franco, RA Jr, Dailey, SH, Burns, JA, Hillman, RE, Anderson, RR. Office-based treatment of glottal dysplasia and papillomatosis with the 585-nm pulsed dye laser and local anesthesia. Ann Otol Rhinol Laryngol 2004;113:265–76Google Scholar
2 Halum, SL, Moberly, AC. Patient tolerance of the flexible CO2 laser for office-based laryngeal surgery. J Voice 2010;24:750–4Google Scholar
3 Reinisch, L, Ossoff, RH. Laser surgery in the head and neck. In: Snow, JB Jr, Ballenger, JJ, ed. Ballenger's Otorhinolaryngology Head and Neck Surgery, 16th edn. Hamilton, Ontario: BC Decker, 2003;1484–511Google Scholar
4 Anastassiou, C, Weisberg, O, Dellemann, GF, Shurgalin, M, Jacobs, SA, Farinelli, WA et al. Photonic bandgap fibers exploiting omnidirectional reflectivity enable flexible delivery of infrared lasers for tissue cutting. Proc SPIE 2004;5317:29–38 CrossRefGoogle Scholar
5 Koufman, JA, Rees, CJ, Frazier, WD, Kilpatrick, LA, Wright, SC, Halum, SL et al. Office-based laryngeal laser surgery: a review of 443 cases using three wavelengths. Otolaryngol Head Neck Surg 2007;137:146–51Google Scholar
6 McCarthy, JR, Trigg, R, John, C, Gough, MJ, Horrocks, M. Patient satisfaction for carotid endarterectomy performed under local anaesthesia. Eur J Vasc Endovasc Surg 2004;27:654–9Google Scholar
7 Mohammed, H, Masterson, L, Gendy, S, Nassif, R. Outpatient-based injection laryngoplasty for the management of unilateral vocal fold paralysis - clinical outcomes from a UK centre. Clin Otolaryngol 2016;41:341–6CrossRefGoogle ScholarPubMed
8 Kodashima, S, Fujishiro, M. Novel image-enhanced endoscopy with i-scan technology. World J Gastroenterol 2010;16:1043–9Google Scholar
9 Verma, SP, Dailey, SH. Overcoming nasal discomfort--a novel method for office-based laser surgery. Laryngoscope 2011;121:2396–8Google Scholar