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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: hm37@doctors.org.uk
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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 

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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