Mouadeb Debbie Aviva, Belafsky Peter C
The Center for Voice and Swallowing, University of California at Davis Medical Center, Department of Otolaryngology-Head and Neck Surgery, Sacramento, CA, USA.
Otolaryngol Head Neck Surg. 2007 Sep;137(3):477-81. doi: 10.1016/j.otohns.2007.02.003.
The 585nm pulsed dye laser (PDL) is a promising tool for in-office laryngeal surgery. Data with respect to the safety and efficacy of the PDL for office laryngeal use is sparse. The purpose of this study is to review our experience with unsedated office PDL surgery.
Records of individuals undergoing in-office PDL between September 1, 2004, and September 1, 2006 were abstracted from a clinical database.
Forty-seven patients underwent 117 treatments. The most common indications were recurrent respiratory papillomatosis (RRP), Reinke's edema, and vocal fold polyps. One hundred and four of 117 procedures were felt to be a success ablating all disease. Thirteen treatments required early termination. The most common factor responsible for termination was an inability to achieve a comfortable level of anesthesia. One patient with Reinke's edema developed postprocedure stridor that required a 3-day hospital admission for observation and corticosteroids. There was no incidence of any vocal fold scarring, web formation, or other complications.
The 585nm PDL is a promising tool for in-office treatment of various laryngeal disorders. Complications are rare.
585nm脉冲染料激光（PDL）是一种有前景的门诊喉部手术工具。关于PDL用于门诊喉部手术的安全性和有效性的数据较少。本研究的目的是回顾我们在未使用镇静剂的门诊PDL手术中的经验。
从临床数据库中提取2004年9月1日至2006年9月1日期间接受门诊PDL治疗的患者记录。
47例患者接受了117次治疗。最常见的适应证是复发性呼吸道乳头状瘤病（RRP）、任克氏水肿和声带息肉。117例手术中有104例被认为成功切除了所有病变。13次治疗需要提前终止。导致终止的最常见因素是无法达到舒适的麻醉水平。1例任克氏水肿患者术后出现喘鸣，需要住院3天进行观察并使用皮质类固醇。未发生任何声带瘢痕形成、粘连或其他并发症。
585nm PDL是一种有前景的门诊治疗各种喉部疾病的工具。并发症罕见。
