Research Original Investigation Office-Based Laryngeal Surgery Using Carbon Dioxide Lasers Invited Commentary Use of the Carbon Dioxide Laser as an Office-Based Surgical Tool An Old Dog Can Do a New(ish) Trick Noah P. Parker, MD In the mid-19th century, the first transoral laryngeal proce- laser has transitioned to the potassium titanyl phosphate dures were performed in awake patients without sedation. laser as the workhorse for such procedures owing to advan- tages such as bleeding reduction, fiber size reduction, and As topical and general anesthesia techniques advanced toward the turn of the 20th the solid state of the laser apparatus. Meanwhile, the CO century, laryngeal surgeons laser has a much longer history of use in the larynx since Related article page 485 transitioned such care to early reports in the 1970s. Developments in CO laser tech- the operating room, where nology have included the flexible fiber delivery systems that improved visualization and precision were achieved under allow for use through the working channel of an office endo- anesthesia. During this period of endoscopic laryngeal sur- scope and pulsed modes that allow the degree of delicacy gery, the armamentarium of surgeons expanded greatly, and and safety important for use on glottic
JAMA Otolaryngology - Head & Neck Surgery – American Medical Association
Published: May 16, 2017
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