Koufman Jamie A, Rees Catherine J, Frazier William D, Kilpatrick Lauren A, Wright S Carter, Halum Stacey L, Postma Gregory N
Voice Institute of New York, New York, NY 10023, USA.
Otolaryngol Head Neck Surg. 2007 Jul;137(1):146-51. doi: 10.1016/j.otohns.2007.02.041.
Unsedated office-based laser surgery (UOLS) of the larynx and trachea has significantly improved the treatment options for patients with laryngotracheal pathology including recurrent respiratory papillomas, granulomas, leukoplakia, and polypoid degeneration. UOLS delivered by flexible endoscopes has dramatically impacted office-based surgery by reducing the time, costs, and morbidity of surgery.
To review our experience with 443 laryngotracheal cases treated by UOLS.
The laser logbooks at the Center for Voice and Swallowing Disorders were reviewed for UOLS, and the medical and laryngological histories were detailed, as were the treatment modalities, frequencies, and complications.
Of the 443 cases, 406 were performed with the pulsed-dye laser, 10 with the carbon-dioxide laser, and 27 with the thulium: yttrium-aluminum-garnet laser. There were no significant complications in this series. A review of indications and wavelength selection criteria is presented.
Unsedated, office-based, upper aerodigestive tract laser surgery appears to be a safe and effective treatment option for many patients with laryngotracheal pathology.
基于门诊的非镇静喉气管激光手术（UOLS）显著改善了喉气管病变患者的治疗选择，这些病变包括复发性呼吸道乳头状瘤、肉芽肿、白斑病和息肉样变性。柔性内窥镜进行的UOLS通过减少手术时间、成本和发病率，对门诊手术产生了巨大影响。
回顾我们对443例接受UOLS治疗的喉气管病例的经验。
查阅嗓音与吞咽障碍中心的激光手术记录，了解UOLS情况，并详细记录病史、喉科病史、治疗方式、频率和并发症。
443例病例中，406例使用脉冲染料激光，10例使用二氧化碳激光，27例使用铥：钇铝石榴石激光。本系列无明显并发症。本文介绍了适应证和波长选择标准。
对于许多喉气管病变患者，基于门诊的非镇静上消化道激光手术似乎是一种安全有效的治疗选择。
