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Curved adjustable fibre-optic diode laser in microscopic cholesteatoma surgery: description of use and review of the relevant literature

Published online by Cambridge University Press:  08 March 2018

C J McCaffer ,
L Pabla  and
C Watson
C J McCaffer*
Affiliation:
Department of Otolaryngology Head and Neck Surgery, James Cook University Hospital, Middlesbrough, UK
L Pabla
Affiliation:
Department of Otolaryngology Head and Neck Surgery, James Cook University Hospital, Middlesbrough, UK
C Watson
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Darlington Memorial Hospital, UK
*
Address for correspondence: Mr Craig J McCaffer, C/O ENT Secretaries, Department of Otolaryngology Head and Neck Surgery, James Cook University Hospital, Middlesbrough, UK E-mail: cmccaffer@nhs.net
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Abstract

Objective:

The use of lasers in cholesteatoma surgery is common and well accepted. The most commonly used laser fibres are straight and non-adjustable; these have several limitations. This paper describes the use of an alternative laser fibre.

Method:

This ‘How I Do It’ paper describes and illustrates the use of an alternative curved adjustable fibre-optic diode laser in microscopic cholesteatoma surgery.

Results:

The curved, adjustable laser fibre allows accurate and atraumatic disease removal when the use of a straight laser fibre may be less effective or accurate. It reduces potential damage to delicate structures without the need for extra drilling or bone removal.

Conclusion:

It is suggested that the curved adjustable laser fibre is superior to the traditional straight fibre for cholesteatoma surgery.

Keywords

CholesteatomaLasersCurved Laser
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 4 , April 2018 , pp. 360 - 363
Copyright
Copyright © JLO (1984) Limited 2018 

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References

1Hamilton, JW. Systematic preservation of the ossicular chain in cholesteatoma surgery using a fiber-guided laser. Otol Neurotol 2010;31:1104–8.Google Scholar
2Caffier, PP, Marzahn, U, Franke, A, Sudhoff, H, Jovanovic, S, Haisch, A et al. Laser-assisted cholesteatoma surgery: technical aspects, in vitro implementation and challenge of selective cell destruction. Eur Arch Otorhinolaryngol 2008;265:1179–88.CrossRefGoogle ScholarPubMed
3Eskander, A, Holler, T, Papsin, BC. Delayed facial nerve paresis after using the KTP laser in the treatment of cholesteatoma despite inter-operative facial nerve monitoring. Int J Pediatr Otorhinolaryngol 2010;74:823–4.Google Scholar