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

Jamie A. Koufman, Catherine J. Rees, William D. Frazier, Lauren A. Kilpatrick, S. Carter Wright, Stacey L. Halum, Gregory N Postma

Research output: Contribution to journalArticle

70 Citations (Scopus)

Abstract

Background: 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. Objectives: To review our experience with 443 laryngotracheal cases treated by UOLS. Methods: 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. Results: 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. Conclusion: Unsedated, office-based, upper aerodigestive tract laser surgery appears to be a safe and effective treatment option for many patients with laryngotracheal pathology.

Original languageEnglish (US)
Pages (from-to)146-151
Number of pages6
JournalOtolaryngology - Head and Neck Surgery
Volume137
Issue number1
DOIs
StatePublished - Jul 1 2007

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Laser Therapy
Thulium
Voice Disorders
Pathology
Leukoplakia
Dye Lasers
Gas Lasers
Endoscopes
Solid-State Lasers
Papilloma
Deglutition Disorders
Larynx
Trachea
Granuloma
Ambulatory Surgical Procedures
Patient Selection
Lasers
Therapeutics
Morbidity
Costs and Cost Analysis

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

Cite this

Office-based laryngeal laser surgery : A review of 443 cases using three wavelengths. / Koufman, Jamie A.; Rees, Catherine J.; Frazier, William D.; Kilpatrick, Lauren A.; Wright, S. Carter; Halum, Stacey L.; Postma, Gregory N.

In: Otolaryngology - Head and Neck Surgery, Vol. 137, No. 1, 01.07.2007, p. 146-151.

Research output: Contribution to journalArticle

Koufman, Jamie A. ; Rees, Catherine J. ; Frazier, William D. ; Kilpatrick, Lauren A. ; Wright, S. Carter ; Halum, Stacey L. ; Postma, Gregory N. / Office-based laryngeal laser surgery : A review of 443 cases using three wavelengths. In: Otolaryngology - Head and Neck Surgery. 2007 ; Vol. 137, No. 1. pp. 146-151.
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