Zeitels Steven M, Burns James A
Department of Surgery, Harvard Medical School, Center for Laryngeal Surgery and Voice Rehabilitation, Massachusetts General Hospital, Boston, Massachusetts 02114, USA.
Curr Opin Otolaryngol Head Neck Surg. 2007 Jun;15(3):141-7. doi: 10.1097/MOO.0b013e3281574582.
Office-based laryngeal laser surgery was created recently and is emerging as a reliable and practical method of treating a number of laryngeal lesions. This style of minimally invasive surgery is becoming increasingly popular in the United States and abroad.
Fiber-based lasers and distal-chip flexible endoscopy have facilitated a new style of surgery. Epithelial diseases such as dysplasia and papillomatosis are well suited for treatment. Although the initial angiolytic laser used was a 585-nm pulsed-dye laser, the 532-nm pulsed-potassium-titanyl-phosphate laser has been demonstrated to be more effective. The 2013-nm Thulium laser shows promise as an office-based laser that simulates the properties of the carbon dioxide laser.
Evolving technologies to enhance laryngoscopic imaging and lasers along with socioeconomic forces should lead to increasing numbers of laryngeal procedures being performed in the office with local anesthesia.
基于门诊的喉部激光手术是最近才出现的，正在成为治疗多种喉部病变的一种可靠且实用的方法。这种微创手术方式在美国和国外正越来越受欢迎。
基于光纤的激光和远端芯片柔性内窥镜促成了一种新的手术方式。发育异常和乳头瘤病等上皮疾病非常适合这种治疗方法。虽然最初使用的血管溶解激光是585纳米脉冲染料激光，但已证明532纳米脉冲磷酸钛钾激光更有效。2013纳米铥激光有望成为一种能模拟二氧化碳激光特性的门诊用激光。
不断发展的增强喉镜成像和激光的技术，以及社会经济因素，应会导致越来越多的喉部手术在门诊采用局部麻醉进行。
