Verret D J, Jategaonkar Ameya, Helman Samuel, Kadakia Sameep, Bahrami Arash, Gordin Eli, Ducic Yadranko
Department of Facial Plastic Surgery, Innovations Facial Plastic Surgery, Plano, Texas, United States.
Department of Otolaryngology, New York Eye and Ear Infirmary, New York, New York, United States.
Int Arch Otorhinolaryngol. 2018 Jul;22(3):203-207. doi: 10.1055/s-0037-1604201. Epub 2017 Jul 14.
Laryngotracheal stenosis is a difficult problem with varied etiology and various treatment options. The holmium laser represents another tool for the treatment of benign tracheal stenosis. To determine the utility of holmium laser treatment for benign tracheal stenosis with regards to safety and efficacy. This was a retrospective case study examining patients with benign tracheal stenosis from 1998-2016 who underwent holmium laser treatment. Determining the safety of this procedure was the primary goal, and complications were monitored as a surrogate of safety. A total of 123 patients who underwent holmium laser treatment for benign tracheal stenosis were identified. In total, 123 patients underwent 476 procedures, with follow-up ranging from 1 month to 14 years. No intraoperative or post-operative complications were identified as a direct result of the use of this particular laser. The holmium laser is an effective and safe laser to use for tracheal stenosis treatment. It is a contact laser with a short acting distance, which reduces the risk of injury to distal airway structures. Given the favorable experience reported here, the holmium laser should be considered when tracheal surgery is attempted.
喉气管狭窄是一个病因多样且治疗选择各异的难题。钬激光是治疗良性气管狭窄的另一种工具。
为了确定钬激光治疗良性气管狭窄在安全性和有效性方面的效用。
这是一项回顾性病例研究，研究对象为1998年至2016年接受钬激光治疗的良性气管狭窄患者。确定该手术的安全性是主要目标，并发症作为安全性的替代指标进行监测。
共确定了123例接受钬激光治疗良性气管狭窄的患者。总共123例患者接受了476次手术，随访时间从1个月到14年不等。未发现因使用这种特定激光而直接导致的术中或术后并发症。
钬激光是一种用于气管狭窄治疗的有效且安全的激光。它是一种作用距离短的接触式激光，可降低对远端气道结构造成损伤的风险。鉴于此处报告的良好经验，在尝试进行气管手术时应考虑使用钬激光。
