Use of a flexible hollow-core carbon dioxide laser for microsurgical resection of vestibular schwannomas

Neurosurgical Focus
Marc S Schwartz, Gregory P Lekovic

Abstract

OBJECTIVE The CO2 laser has been used on an intermittent basis in the microsurgical resection of brain tumors for decades. These lasers were typically cumbersome to use due to the need for a large, bulky design since infrared light cannot be transmitted via fiber-optic cables. Development of the OmniGuide cable, which is hollow and lined with an omnidirectional dielectric mirror, has facilitated the reintroduction of the CO2 laser in surgical use in a number of fields. This device allows for handheld use of the CO2 laser in a much more ergonomically favorable configuration, holding promise for microneurosurgical applications. This device was introduced into the authors' practice for use in the microsurgical resection of skull base tumors, including vestibular schwannomas. METHODS The authors reviewed the initial 41 vestibular schwannomas that were treated using the OmniGuide CO2 laser during an 8-month period from March 2010 to October 2010. The laser was used for all large tumors, and select medium-sized tumors were treated via both the translabyrinthine and retrosigmoid approaches. The estimated time of tumor resection and estimated blood loss were obtained from operating room records. Data regarding complications, facial ner...Continue Reading

References

Jun 1, 1990·Neurosurgery·F W Gamache, R H Patterson
Apr 1, 1985·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J W House, D E Brackmann
Nov 1, 1970·Medical & Biological Engineering·S StellarH C Bredemeier
Jan 1, 1983·Lasers in Surgery and Medicine·K K Jain
Oct 1, 1984·The Surgical Clinics of North America·L J Cerullo, L P Burke
Mar 1, 1984·Journal of Neurosurgery·S K PowersC B Wilson
Jan 1, 1984·Neurosurgical Review·O J Beck
Jan 1, 1984·Neurosurgical Review·H HandaT Yamagami
Mar 1, 1983·Neurosurgery·J H RobertsonM C Shea
Nov 30, 1998·Science·Y FinkE L Thomas
Apr 7, 2007·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Jose N FayadDerald E Brackmann
May 3, 2007·The Laryngoscope·C Arturo Solares, Marshall Strome
Aug 12, 2009·Journal of Neurosurgery·Robert W RyanMark C Preul
Sep 3, 2009·Neurosurgical Focus·Robert W RyanMark C Preul
Sep 24, 2009·Journal of Neurosurgery. Pediatrics·Samuel R BrowdRichard G Ellenbogen
Jan 20, 2010·Journal of Voice : Official Journal of the Voice Foundation·Stacey L Halum, Aaron C Moberly
Sep 8, 2011·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Rick A FriedmanDerald E Brackmann
Aug 14, 2012·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Sohum Kiran DesaiAaron Mohanty
Oct 16, 2012·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·G MarinielloF Maiuri
Aug 10, 2013·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Marc S SchwartzRick A Friedman
Aug 31, 2013·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Marisa Ryan, David Kaylie
Dec 20, 2014·Journal of Neurosurgery. Pediatrics·Omar ChoudhriMichael S B Edwards
Jun 1, 2013·Journal of Robotic Surgery·Sara E Barton, Antonio R Gargiulo
Nov 14, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Carlito LagmanIsaac Yang

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Citations

Jun 28, 2021·World Neurosurgery·Roberto ColasantiMaurizio Iacoangeli

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