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The use of the KTP laser in the management of hypertrophic tracheal mucosa and granulation tissue around Provox® valve protheses

Published online by Cambridge University Press:  08 March 2006

W. K. Smith  and
A. G. Pfleiderer
W. K. Smith
Affiliation:
Department of Otolaryngology, Edith Cavell Hospital, Peterborough, UK.
A. G. Pfleiderer
Affiliation:
Department of Otolaryngology, Edith Cavell Hospital, Peterborough, UK.
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Abstract

The development of hypertrophic mucosa and granulation tissue around a tracheo-oesophageal fistula voice prosthesis is a commonly encountered problem occurring in 15–20 per cent of patients. Upsizing of the voice prosthesis as well as cautery (silver nitrate and electocautery) are used to counteract this problem to a varying degree of success. The use of the CO2 laser has been mentioned by some authors but details of the method and results have not been published. We report the successful use of the KTP laser for removing such granulations whilst retaining the valve and discuss the reasons why this method should be considered.

Keywords

Laser SurgeryGranulation TissueLarynxArtificial
Type
Other
Information
The Journal of Laryngology & Otology , Volume 117 , Issue 1 , January 2003 , pp. 60 - 62
Copyright
© Royal Society of Medicine Press Limited 2003

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