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Clinical applications of the holmium:YAG laser in disorders of the paediatric airway.
J Otolaryngol. 1999 Dec; 28(6):337-43.JO

Abstract

OBJECTIVE

The aim of this study was to review the role of the holmium:YAG laser in the management of paediatric airway disorders.

METHOD

Twenty-six paediatric patients underwent 42 airway procedures between June 1993 and August 1996 in a tertiary care centre. A case series design was used.

OUTCOME MEASURES

Safety, precision, hemostasis, bone-cutting properties, and accessibility of the lesion to the equipment were compared to standard therapies. Postoperative outcomes were then compared to standard therapies.

RESULTS

Eight patients underwent correction of choanal atresia or revision, 10 patients underwent functional endoscopic sinus surgery, 3 underwent excision of tracheal granuloma, 2 underwent excision of tracheal web or revisions, 1 underwent excision of subglottic stenosis and bronchial stenosis, 1 underwent excision hemangioma of the tongue, and 1 underwent excision papilloma of the oral cavity. One patient in 42 procedures suffered a surgical complication. Our early success rates are comparable to other series using the carbon dioxide laser or cold instruments.

CONCLUSION

The holmium:YAG laser is a safe, effective tool in the treatment of paediatric airway disorders and offers the advantage of a flexible fibre-optic system, good hemostasis, and better bone-cutting characteristics compared to the carbon dioxide laser, which is in widespread clinical use.

Authors+Show Affiliations

Department of Pediatric Otolaryngology, Izaak Walton Killam-Grace Health Center, Dalhousie University, Halifax, Nova Scotia.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10604163

Citation

Fong, M, et al. "Clinical Applications of the holmium:YAG Laser in Disorders of the Paediatric Airway." The Journal of Otolaryngology, vol. 28, no. 6, 1999, pp. 337-43.
Fong M, Clarke K, Cron C. Clinical applications of the holmium:YAG laser in disorders of the paediatric airway. J Otolaryngol. 1999;28(6):337-43.
Fong, M., Clarke, K., & Cron, C. (1999). Clinical applications of the holmium:YAG laser in disorders of the paediatric airway. The Journal of Otolaryngology, 28(6), 337-43.
Fong M, Clarke K, Cron C. Clinical Applications of the holmium:YAG Laser in Disorders of the Paediatric Airway. J Otolaryngol. 1999;28(6):337-43. PubMed PMID: 10604163.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinical applications of the holmium:YAG laser in disorders of the paediatric airway. AU - Fong,M, AU - Clarke,K, AU - Cron,C, PY - 1999/12/22/pubmed PY - 1999/12/22/medline PY - 1999/12/22/entrez SP - 337 EP - 43 JF - The Journal of otolaryngology JO - J Otolaryngol VL - 28 IS - 6 N2 - OBJECTIVE: The aim of this study was to review the role of the holmium:YAG laser in the management of paediatric airway disorders. METHOD: Twenty-six paediatric patients underwent 42 airway procedures between June 1993 and August 1996 in a tertiary care centre. A case series design was used. OUTCOME MEASURES: Safety, precision, hemostasis, bone-cutting properties, and accessibility of the lesion to the equipment were compared to standard therapies. Postoperative outcomes were then compared to standard therapies. RESULTS: Eight patients underwent correction of choanal atresia or revision, 10 patients underwent functional endoscopic sinus surgery, 3 underwent excision of tracheal granuloma, 2 underwent excision of tracheal web or revisions, 1 underwent excision of subglottic stenosis and bronchial stenosis, 1 underwent excision hemangioma of the tongue, and 1 underwent excision papilloma of the oral cavity. One patient in 42 procedures suffered a surgical complication. Our early success rates are comparable to other series using the carbon dioxide laser or cold instruments. CONCLUSION: The holmium:YAG laser is a safe, effective tool in the treatment of paediatric airway disorders and offers the advantage of a flexible fibre-optic system, good hemostasis, and better bone-cutting characteristics compared to the carbon dioxide laser, which is in widespread clinical use. SN - 0381-6605 UR - https://www.unboundmedicine.com/medline/citation/10604163/Clinical_applications_of_the_holmium:YAG_laser_in_disorders_of_the_paediatric_airway_ DB - PRIME DP - Unbound Medicine ER -