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굴곡내시경과 레이저를 이용한 후두수술

Fiberoptic Laryngeal Laser SurgeryFiberoptic Laryngeal Laser Surgery

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초록

With recent developments in medical technology and the introduction of various types of lasers, the role of fiberoptic laryngeal laser surgery (FLS) in laryngology has been significantly expanded. FLS are typically performed under local anesthesia, and patients may return to normal activities immediately after the procedure. This corresponds to the current trend of minimally invasive surgery and may limit unnecessary general anesthesia, reduce medical costs, and increase patient compliances. Main indications of FLS procedure were vocal polyp, recurrent respiratory papillomatosis, vocal fold granuloma and vocal fold dysplasia. In this review, we discuss practical tips and unique value of FLS.

Abstract

With recent developments in medical technology and the introduction of various types of lasers, the role of fiberoptic laryngeal laser surgery (FLS) in laryngology has been significantly expanded. FLS are typically performed under local anesthesia, and patients may return to normal activities immediately after the procedure. This corresponds to the current trend of minimally invasive surgery and may limit unnecessary general anesthesia, reduce medical costs, and increase patient compliances. Main indications of FLS procedure were vocal polyp, recurrent respiratory papillomatosis, vocal fold granuloma and vocal fold dysplasia. In this review, we discuss practical tips and unique value of FLS.

참고문헌 (10)

  1. Simpson CB, "Office-based procedures for the voice", Ear Nose Throat J, 83(7 Suppl 2), pp.6~9 (2004)
  2. Zeitels SM, "Office-based laryngeal laser surgery with the 532-nm pulsed-potassium-titanyl-phosphate laser", Curr Opin Otolaryngol Head Neck Surg, 15(6), pp.394~400 (2007)
  3. Ohno S, "Management of vocal fold lesions in difficult laryngeal exposure patients in phonomicrosurgery", Auris Nasus Larynx, 38(3), pp.373~380 (2011)
  4. Simpson CB, "Topical anesthesia of the airway and esophagus", Ear Nose Throat J, 83(7 Suppl 2), pp.2~5 (2004)
  5. Hirano S, "Photocoagulation of microvascular and hemorrhagic lesions of the vocal fold with the KTP laser", Ann Otol Rhinol Laryngol, 115(4), pp.253~259 (2006)
  6. Xie X, "KTP 532 nm laser for laryngeal lesions. a systematic review", J Voice, 27(2), pp.245~249 (2013)
  7. Broadhurst MS, "Effects of 532 nm pulsed-KTP laser parameters on vessel ablation in the avian chorioallantoic membrane: implications for vocal fold mucosa", Laryngoscope, 117(2), pp.220~225 (2007)
  8. Zeitels SM, "Oncologic efficacy of angiolytic KTP laser treatment of early glottic cancer", Ann Otol Rhinol Laryngol, 123(12), pp.840~846 (2014)
  9. Shah MD, "Office-based laryngeal procedures", Otolaryngol Clin North Am, 46(1), pp.75~84 (2013)
  10. Shalom A, "Complications of minor skin surgery performed under local anesthesia", Dermatol Surg, 34(8), pp.1077~1079 (2008)

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