gms | German Medical Science

81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

12.05. - 16.05.2010, Wiesbaden

Laser surgery of benign vocal fold lesions

Meeting Abstract

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Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 81. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Wiesbaden, 12.-16.05.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. Doc10hnod169

DOI: 10.3205/10hnod169, URN: urn:nbn:de:0183-10hnod1694

Published: April 22, 2010

© 2010 Karpischenko.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

Text

Approach which will be presented here is routine in our Clinic already during 10 years. Distant mode of laser application is the most popular technique in modern laryngological practice. In our Clinic contact mode of laser application becomes the routine method in different types of laryngeal pathology, among them benign lesions. For pre and post-operative examination of our phonosurgical patients we use routinely several methods: indirect laryngoscopy, fibrolaryngoscopy, videofibrolaryngoscopy with different modifications and functional tests (for example: measurement of rimma glottidis), the voice computer analisis, and in cases of stenosis suspicion - spirometry.In most cases we perform the surgical interventions under the conditions of direct laryngoscopy with general anesthesia with high frequency jet ventilation via tracheopuncture. Four hundred four patients were operated in our Clinic during last 5 years. Lesions were presented by: polyps –42,07%, papillomas –16,33%, Reinke edema –7,92%, granulomas –5,44%, cysts –15,84%, varix –1,98%, nodules –2,97%, leukoplakia –8,41%. To prevent scarification of rimma glottidis in patients with laryngeal papillomatosis we apply Laser Interstitial Thermo Therapy (LITT) technique. During experimental researches we traced morphologically that basal membrane of mucosa was not altered. Results of the laser surgical treatment of other benign vocal fold lesions also are discussing in the presentation.