The holmium:YAG laser-assisted otolaryngologic procedures

Archives of Otolaryngology--head & Neck Surgery
L L GleichS M Shapshay

Abstract

To determine the effectiveness of the holmium: YAG (Ho:YAG) laser in otolaryngologic procedures that necessitate the ablation of osseous and soft tissue. Case series. Lahey Clinic, Burlington, Mass. Consecutive series of 37 patients; 29 with chronic sinusitis, five with chronic dacryocystitis, one with recurrent choanal stenosis, one with tracheopathia osteoplastica, and one with a sphenoid sinus mucocele. The Ho:YAG laser was used to assist in 37 procedures, including endoscopic sinus surgery, dacryocystorhinostomy, treatment of choanal stenosis, ablation of obstructive tracheopathia osteoplastica, and removal of a sphenoid sinus mucocele. Postsurgical success and complications, satisfaction of the patients, and the ability of the laser to remove tissue. Complications occurred in eight patients: intranasal or ethmoid scarring (four), persistent polyps (one), bleeding (one), stent dislodgment (one), and tracheitis (one). Three patients required revision surgery. None of the complications were related to use of the laser, although the laser may produce increased scarring. The laser was effective for osseous and soft-tissue ablation, but its usefulness was limited for hemostasis. The Ho:YAG laser can be used in otolaryngologic pr...Continue Reading

Citations

Jun 3, 2005·Clinical Medicine & Research·Kashif Hussain, Steven Gilbert
Sep 13, 2008·Lung·Muhanned Abu-HijlehSidney S Braman
Jun 20, 2001·Lasers in Surgery and Medicine·P JandaA Leunig
Feb 19, 2000·The Laryngoscope·R SrokaA Leunig
Oct 16, 1999·The Laryngoscope·A LeunigG Grevers
Aug 2, 2002·The Laryngoscope·Antonio Carlos CedinAngela Suemi Shimuta
Apr 13, 2010·International Journal of Pediatric Otorhinolaryngology·Hosam Ebrahim Romeh, Osama Amin Albirmawy
Jun 8, 2006·Otolaryngologic Clinics of North America·Howard L Levine
Sep 20, 2006·Otolaryngologic Clinics of North America·Angelo Tsirbas, Peter John Wormald
Aug 13, 2003·Lasers in Surgery and Medicine·Philip JandaAndreas Leunig
Jan 19, 2000·Otolaryngologic Clinics of North America·A H ParkJ Stankiewicz
Jan 31, 2004·Ophthalmic Plastic and Reconstructive Surgery·Angelo TsirbasPeter J Wormald
Sep 5, 1998·Journal of Clinical Laser Medicine & Surgery·T A Wollin, J D Denstedt
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