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The efficacy and safety of the flexible fiber CO2 laser delivery system in the endoscopic management of pediatric airway problems: Our long term experience.
Int J Pediatr Otorhinolaryngol. 2017 Jun; 97:218-222.IJ

Abstract

OBJECTIVE

To report the use of flexible fiber CO2 laser in the endoscopic management of pediatric airway cases.

METHODS

A retrospective review was conducted of patients who underwent CO2 laser-assisted airway procedures between September 2007 and January 2014 at a tertiary pediatric hospital.

RESULTS

Sixty-eight patients underwent 80 procedures utilizing flexible fiber CO2 laser. Procedures included supraglottoplasty (n = 32), laryngeal cleft repair (type I [n = 10], type II [n = 7], type III [n = 6]), suprastomal granuloma excision (n = 6), cordotomy (n = 4), laryngeal neurofibroma excision (n = 4), laryngeal granulomatous mass excision (n = 1), subglottic stenosis excision (n = 6), division of glottic web (n = 2), subglottic cyst excision (n = 1), and supraglottic biopsy (n = 1). Ages ranged from 8 days to 21 years (median 11 months). No intraoperative or postoperative complications related to the use of laser were noted.

CONCLUSIONS

The flexible fiber CO2 laser can be safely and effectively used to address a variety of pediatric airway lesions. Previously, the use of CO2 laser in minimally invasive airway surgery has been limited due to the articulating arm carrier, absence of a hand piece, and the direct line-of sight view required. The fiber allows the cutting beam to be directed at the site of the lesion and bypasses limitations posed by other laser systems.

Authors+Show Affiliations

Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA; Department of Otolaryngology, Harvard Medical School, 25 Shattuck St., Boston, MA 02115, USA. Electronic address: gi.lee@childrens.harvard.edu.Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA.Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA; Department of Otolaryngology, Harvard Medical School, 25 Shattuck St., Boston, MA 02115, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28483239

Citation

Lee, Gi Soo, et al. "The Efficacy and Safety of the Flexible Fiber CO2 Laser Delivery System in the Endoscopic Management of Pediatric Airway Problems: Our Long Term Experience." International Journal of Pediatric Otorhinolaryngology, vol. 97, 2017, pp. 218-222.
Lee GS, Irace A, Rahbar R. The efficacy and safety of the flexible fiber CO2 laser delivery system in the endoscopic management of pediatric airway problems: Our long term experience. Int J Pediatr Otorhinolaryngol. 2017;97:218-222.
Lee, G. S., Irace, A., & Rahbar, R. (2017). The efficacy and safety of the flexible fiber CO2 laser delivery system in the endoscopic management of pediatric airway problems: Our long term experience. International Journal of Pediatric Otorhinolaryngology, 97, 218-222. https://doi.org/10.1016/j.ijporl.2017.04.005
Lee GS, Irace A, Rahbar R. The Efficacy and Safety of the Flexible Fiber CO2 Laser Delivery System in the Endoscopic Management of Pediatric Airway Problems: Our Long Term Experience. Int J Pediatr Otorhinolaryngol. 2017;97:218-222. PubMed PMID: 28483239.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The efficacy and safety of the flexible fiber CO2 laser delivery system in the endoscopic management of pediatric airway problems: Our long term experience. AU - Lee,Gi Soo, AU - Irace,Alexandra, AU - Rahbar,Reza, Y1 - 2017/04/06/ PY - 2017/03/02/received PY - 2017/04/02/accepted PY - 2017/5/10/entrez PY - 2017/5/10/pubmed PY - 2017/7/19/medline KW - CO2 laser KW - Flexible fiber KW - Minimally invasive airway surgery KW - Pediatric airway SP - 218 EP - 222 JF - International journal of pediatric otorhinolaryngology JO - Int. J. Pediatr. Otorhinolaryngol. VL - 97 N2 - OBJECTIVE: To report the use of flexible fiber CO2 laser in the endoscopic management of pediatric airway cases. METHODS: A retrospective review was conducted of patients who underwent CO2 laser-assisted airway procedures between September 2007 and January 2014 at a tertiary pediatric hospital. RESULTS: Sixty-eight patients underwent 80 procedures utilizing flexible fiber CO2 laser. Procedures included supraglottoplasty (n = 32), laryngeal cleft repair (type I [n = 10], type II [n = 7], type III [n = 6]), suprastomal granuloma excision (n = 6), cordotomy (n = 4), laryngeal neurofibroma excision (n = 4), laryngeal granulomatous mass excision (n = 1), subglottic stenosis excision (n = 6), division of glottic web (n = 2), subglottic cyst excision (n = 1), and supraglottic biopsy (n = 1). Ages ranged from 8 days to 21 years (median 11 months). No intraoperative or postoperative complications related to the use of laser were noted. CONCLUSIONS: The flexible fiber CO2 laser can be safely and effectively used to address a variety of pediatric airway lesions. Previously, the use of CO2 laser in minimally invasive airway surgery has been limited due to the articulating arm carrier, absence of a hand piece, and the direct line-of sight view required. The fiber allows the cutting beam to be directed at the site of the lesion and bypasses limitations posed by other laser systems. SN - 1872-8464 UR - https://www.unboundmedicine.com/medline/citation/28483239/The_efficacy_and_safety_of_the_flexible_fiber_CO2_laser_delivery_system_in_the_endoscopic_management_of_pediatric_airway_problems:_Our_long_term_experience_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(17)30146-5 DB - PRIME DP - Unbound Medicine ER -