Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics (대한후두음성언어의학회지)

The Korean Society of Laryngology, Phoniatrics and Logopedics. (대한후두음성언어의학회)
권호 표지

Fiberoptic Laryngeal Laser Surgery

굴곡내시경과 레이저를 이용한 후두수술

  • Lee, SeungWon (Department of Otolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine)
  • 이승원 (순천향대학교 의과대학 이비인후-두경부외과학교실)
  • Received : 2018.04.01
  • Accepted : 2018.06.09
  • Published : 2018.12.30
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Abstract

With recent developments in medical technology and the introduction of various types of lasers, the role of fiberoptic laryngeal laser surgery (FLS) in laryngology has been significantly expanded. FLS are typically performed under local anesthesia, and patients may return to normal activities immediately after the procedure. This corresponds to the current trend of minimally invasive surgery and may limit unnecessary general anesthesia, reduce medical costs, and increase patient compliances. Main indications of FLS procedure were vocal polyp, recurrent respiratory papillomatosis, vocal fold granuloma and vocal fold dysplasia. In this review, we discuss practical tips and unique value of FLS.

Keywords

References

  1. Simpson CB, Amin MR. Office-based procedures for the voice. Ear Nose Throat J 2004;83(7 Suppl 2):6-9. https://doi.org/10.1177/014556130408300101
  2. Zeitels SM, Burns JA. Office-based laryngeal laser surgery with the 532-nm pulsed-potassium-titanyl-phosphate laser. Curr Opin Otolaryngol Head Neck Surg 2007;15(6):394-400. https://doi.org/10.1097/MOO.0b013e3282f1fbb2
  3. Ohno S, Hirano S, Tateya I, Kojima T, Ito J. Management of vocal fold lesions in difficult laryngeal exposure patients in phonomicrosurgery. Auris Nasus Larynx 2011;38(3):373-80. https://doi.org/10.1016/j.anl.2010.10.006
  4. Simpson CB, Amin MR, Postma GN. Topical anesthesia of the airway and esophagus. Ear Nose Throat J 2004;83(7 Suppl 2):2-5.
  5. Hirano S, Yamashita M, Kitamura M, Takagita S. Photocoagulation of microvascular and hemorrhagic lesions of the vocal fold with the KTP laser. Ann Otol Rhinol Laryngol 2006;115(4):253-9. https://doi.org/10.1177/000348940611500402
  6. Xie X, Young J, Kost K, McGregor M. KTP 532 nm laser for laryngeal lesions. a systematic review. J Voice 2013;27(2):245-9. https://doi.org/10.1016/j.jvoice.2012.11.006
  7. Broadhurst MS, Akst LM, Burns JA, Kobler JB, Heaton JT, Anderson RR, et al. Effects of 532 nm pulsed-KTP laser parameters on vessel ablation in the avian chorioallantoic membrane: implications for vocal fold mucosa. Laryngoscope 2007;117(2):220-5. https://doi.org/10.1097/mlg.0b013e31802b5c1c
  8. Zeitels SM, Burns JA. Oncologic efficacy of angiolytic KTP laser treatment of early glottic cancer. Ann Otol Rhinol Laryngol 2014;123(12):840-6. https://doi.org/10.1177/0003489414538936
  9. Shah MD, Johns MM 3rd. Office-based laryngeal procedures. Otolaryngol Clin North Am 2013;46(1):75-84. https://doi.org/10.1016/j.otc.2012.08.019
  10. Shalom A, Westreich M, Hadad E, Friedman T. Complications of minor skin surgery performed under local anesthesia. Dermatol Surg 2008;34(8):1077-9. https://doi.org/10.1097/00042728-200808000-00015