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激光鼻腔手术(综述)

Laser nasal surgery (Review).

作者信息

Tănase Mihai Ionuț, Bulmaci Mara, Stan Constantin, Doinel Rădeanu Gheorghe, Cosgarea Marcel, Pop Septimiu Sever, Maniu Alma Aurelia

机构信息

Department of Otorhinolaryngology, Iuliu Haţieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.

Department of Clinical Surgery, Dunărea de Jos University, Faculty of Medicine and Pharmacy, 800008 Galați, Romania.

出版信息

Exp Ther Med. 2023 Jan 24;25(3):108. doi: 10.3892/etm.2023.11807. eCollection 2023 Mar.

Abstract

Laser nasal surgery has been an elusive subject in the last 10 to 15 years It was considered as a potential surgical staple for nasal surgery in the 1980s; however, it did not become one due to technical difficulties. Laser therapy has reemerged as an alternative to classical endoscopic surgery, and otorhinolaryngology surgeons are considering the benefits that it can offer. The advantages of this procedure are shorter hospitalization time, lack of nasal packing, high procedural precision with tissue sparing, and the unique capability of reducing both bacterial and fungal colonization at the level of the paranasal sinus. Therefore, laser therapy appears to be an invaluable tool for clinical practice. Due to the absence of a guaranteed cure for reoccurring nasal polyposis, laser therapy is worth investigating. For this therapy to evolve, an improved understanding of laser types and the effects that they produce is required. By investing in further developments of the equipment, the technique may become more widely used. With the current accelerated rate of technological evolution and robotic capabilities, laser nasal surgery may become a gold standard in future years. The aim of the present review is to evaluate whether it is worth investing in nasal laser surgery as a future alternative to current treatment standards.

摘要

在过去10到15年里,激光鼻腔手术一直是个难以捉摸的课题。在20世纪80年代,它被视为鼻腔手术的一种潜在主要手术方式;然而,由于技术难题,它并未成为主要方式。激光治疗已再度兴起,成为传统内窥镜手术的替代方法,耳鼻喉科医生正在考虑其所能带来的益处。该手术的优点包括住院时间更短、无需鼻腔填塞、手术精度高且能保护组织,以及在鼻窦层面具有减少细菌和真菌定植的独特能力。因此,激光治疗似乎是临床实践中一项非常有价值的工具。由于复发性鼻息肉尚无有保证的治愈方法,激光治疗值得研究。为使这种治疗方法不断发展,需要更好地了解激光类型及其产生的效果。通过对设备进行进一步研发,该技术可能会得到更广泛的应用。随着当前技术发展速度的加快和机器人技术的能力提升,激光鼻腔手术在未来几年可能会成为金标准。本综述的目的是评估投资鼻腔激光手术作为未来现有治疗标准的替代方法是否值得。

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