Office-based laryngeal laser surgery: a review of 443 cases using three wavelengths

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...

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Published inOtolaryngology-head and neck surgery Vol. 137; no. 1; p. 146
Main Authors Koufman, Jamie A, Rees, Catherine J, Frazier, William D, Kilpatrick, Lauren A, Wright, S Carter, Halum, Stacey L, Postma, Gregory N
Format Journal Article
LanguageEnglish
Published England 01.07.2007
Subjects
Adult
Aged
Aged, 80 and over
Ambulatory Surgical Procedures
Female
Follow-Up Studies
Glottis - surgery
Granuloma - surgery
Humans
Laryngeal Diseases - surgery
Laryngeal Edema - surgery
Laryngeal Neoplasms - surgery
Laryngoscopes
Laser Therapy - methods
Lasers - classification
Leukoplakia - surgery
Male
Middle Aged
Office Visits
Papilloma - surgery
Retrospective Studies
Safety
Tracheal Diseases - surgery
Tracheal Neoplasms - surgery
Treatment Outcome
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Summary: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. To review our experience with 443 laryngotracheal cases treated by UOLS. 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. 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. Unsedated, office-based, upper aerodigestive tract laser surgery appears to be a safe and effective treatment option for many patients with laryngotracheal pathology.
ISSN:0194-5998
DOI:10.1016/j.otohns.2007.02.041