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Carbon dioxide laser microsurgery of benign vocal fold lesions: indications, techniques, and results in 251 patients.
Ann Otol Rhinol Laryngol. 1999 Feb; 108(2):156-64.AO

Abstract

Two hundred fifty-one carbon dioxide laser-assisted cases of microphonosurgery are reported. Our series includes 167 women (66.5%) and 84 men (33.5%), with a mean age of 41 (+/-11) years. Single lesions represent 67.8% (n = 170) of the cases, with 20% (n = 50) being nodules, 18% (n = 44) Reinke's edema, 9% (n = 23) polyps, 8% (n = 19) sulci and related lesions, 6% (n = 16) mucosal cysts, 4% (n = 10) scars, 2% (n = 4) granulomas, and 2% (n = 4) vascular corditis. The cases with 2 or 3 lesions represented 32% (n = 81). Carbon dioxide laser-assisted microphonosurgery is efficient, provided the working parameters are strictly adhered to: micromanipulator micropoint providing a 250-microm laser beam for a 400-mm working distance; 0.1-second single pulses; and maximum power of 3 W with the superpulse wave. Glutaraldehyde-cross-linked collagen remains our filling material of choice in cases of vocal fold atrophy. Fibrin glue is useful for covering the resection area and for setting the microflaps. Microphonosurgery cannot be dissociated from speech therapy, the planning and duration of which, in relation to the procedure, depend on the nature of the initial lesion. Twenty to 30 sessions are usually adequate, but 6 months may be necessary in the case of sulcus vergetures. Our operating technique is derived from the microphonosurgery procedures with cold instruments. In addition to the classic advantage with regard to hemostasis, the carbon dioxide laser micropoint seems to make the dissection of microflaps easier.

Authors+Show Affiliations

Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital of Louvain at Mont-Godinne, Yvoir, Belgium.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10030234

Citation

Remacle, M, et al. "Carbon Dioxide Laser Microsurgery of Benign Vocal Fold Lesions: Indications, Techniques, and Results in 251 Patients." The Annals of Otology, Rhinology, and Laryngology, vol. 108, no. 2, 1999, pp. 156-64.
Remacle M, Lawson G, Watelet JB. Carbon dioxide laser microsurgery of benign vocal fold lesions: indications, techniques, and results in 251 patients. Ann Otol Rhinol Laryngol. 1999;108(2):156-64.
Remacle, M., Lawson, G., & Watelet, J. B. (1999). Carbon dioxide laser microsurgery of benign vocal fold lesions: indications, techniques, and results in 251 patients. The Annals of Otology, Rhinology, and Laryngology, 108(2), 156-64.
Remacle M, Lawson G, Watelet JB. Carbon Dioxide Laser Microsurgery of Benign Vocal Fold Lesions: Indications, Techniques, and Results in 251 Patients. Ann Otol Rhinol Laryngol. 1999;108(2):156-64. PubMed PMID: 10030234.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Carbon dioxide laser microsurgery of benign vocal fold lesions: indications, techniques, and results in 251 patients. AU - Remacle,M, AU - Lawson,G, AU - Watelet,J B, PY - 1999/2/25/pubmed PY - 1999/2/25/medline PY - 1999/2/25/entrez SP - 156 EP - 64 JF - The Annals of otology, rhinology, and laryngology JO - Ann. Otol. Rhinol. Laryngol. VL - 108 IS - 2 N2 - Two hundred fifty-one carbon dioxide laser-assisted cases of microphonosurgery are reported. Our series includes 167 women (66.5%) and 84 men (33.5%), with a mean age of 41 (+/-11) years. Single lesions represent 67.8% (n = 170) of the cases, with 20% (n = 50) being nodules, 18% (n = 44) Reinke's edema, 9% (n = 23) polyps, 8% (n = 19) sulci and related lesions, 6% (n = 16) mucosal cysts, 4% (n = 10) scars, 2% (n = 4) granulomas, and 2% (n = 4) vascular corditis. The cases with 2 or 3 lesions represented 32% (n = 81). Carbon dioxide laser-assisted microphonosurgery is efficient, provided the working parameters are strictly adhered to: micromanipulator micropoint providing a 250-microm laser beam for a 400-mm working distance; 0.1-second single pulses; and maximum power of 3 W with the superpulse wave. Glutaraldehyde-cross-linked collagen remains our filling material of choice in cases of vocal fold atrophy. Fibrin glue is useful for covering the resection area and for setting the microflaps. Microphonosurgery cannot be dissociated from speech therapy, the planning and duration of which, in relation to the procedure, depend on the nature of the initial lesion. Twenty to 30 sessions are usually adequate, but 6 months may be necessary in the case of sulcus vergetures. Our operating technique is derived from the microphonosurgery procedures with cold instruments. In addition to the classic advantage with regard to hemostasis, the carbon dioxide laser micropoint seems to make the dissection of microflaps easier. SN - 0003-4894 UR - https://www.unboundmedicine.com/medline/citation/10030234/Carbon_dioxide_laser_microsurgery_of_benign_vocal_fold_lesions:_indications,_techniques,_and_results_in_251_patients L2 - http://journals.sagepub.com/doi/full/10.1177/000348949910800210?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -