A New Device for Treating Laryngeal Carcinoma Using Microdissection Electrodes

Basterra, J; Frías, Soledad; Alba, J.R.; Zapater, Enrique

doi:10.1097/01.mlg.0000246184.55876.11

Cited by 19 publications

(20 citation statements)

References 4 publications

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“…We successfully removed the ductal cyst in our patient with a microdissection electrode under direct laryngoscopy. Microelectrodes are useful for resecting larygopharyngeal masses with excellent hemostasis [6]. The tissue damage is no greater than with CO2 laser injury [7].…”

Section: Discussionmentioning

confidence: 99%

A Hypopharyngeal Ductal Cyst Masquerading as a Laryngopharyngeal Reflux Disease

Choi

Cho

Joo

et al. 2014

Clin Exp Otorhinolaryngol

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The ductal cyst of the hypopharynx is a very rare tumor. We report a case of hypopharyngeal ductal cyst in a 63-year-old man presenting with globus sensation. It was removed by a laryngomicrosurgical technique, using a microdissection electrode. Masses of the hypopharynx may not always be easily visible on routine examination of the hypopharynx with flexible fiberoptic laryngoscopes. Particularly in cases of benign tumors, the diagnosis may be delayed due to a prolonged history of mild and subtle symptoms. We missed the hypopharyngeal mass at the initial presentation, but could detect the mass in the pyriform sinus with a double contrast barium swallow study. We describe the diagnostic method to detect hypopharyngeal tumors and the treatment of benign hypopharyngeal masses.

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Section: Discussionmentioning

confidence: 99%

A Hypopharyngeal Ductal Cyst Masquerading as a Laryngopharyngeal Reflux Disease

Choi

Cho

Joo

et al. 2014

Clin Exp Otorhinolaryngol

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“…The surgeries are performed transorally and resection can be performed with electrocautery, radiofrequency or CO 2 laser. Experimental studies in animals, show similar damage in tissues using cautery or CO 2 laser super pulse mode [1][2][3]. The use of CO 2 laser can reduce bleeding in the surgical field, but cannot coagulate vessels larger than 0.5mm, so it should always be available an electrocautery.…”

Section: Discussionmentioning

confidence: 99%

“…This technique allows the use of different types of surgical dispositives, including radiofrequency, electrocautery and laser [1][2][3]. The advantage is that it has the same oncologic results that open surgery but with less morbidity [1].…”

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confidence: 99%

Transoral Surgery for Laryngeal Cancer: Bleeding Complications

José¹

2016

JOENTR

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Submit Manuscript | http://medcraveonline.com IntroductionTransoral surgery is nowadays, the first therapeutic option in many centers around the world to treat laryngeal cancer with early T (Tis-T1-T2), and it is a possibility for the treatment of T3 tumors. This technique allows the use of different types of surgical dispositives, including radiofrequency, electrocautery and laser [1][2][3]. The advantage is that it has the same oncologic results that open surgery but with less morbidity [1]. Like any surgical technique, transoral surgery has possible complications, which are rare but should be taken into account; one of them is postoperative bleeding, which is the topic of discussion of this article. ObjectivesTo determine the incidence of postoperative bleeding in patients treated for laryngeal cancer by transoral surgery. DesignDescriptive and retrospective study. Materials and MethodsThe bleeding complications were registered in a Microsoft Office Excel table; also it was registered postoperative time of bleeding, location of the tumor in the larynx and stage, type of treatment of the complication, and sequelae/mortality, in all patients who were treated with transoral surgery for laryngeal cancer. Mild postoperative bleeding (bloody spittle) that occurred 24/48hours after surgery and did not require treatment were excluded.Transoral surgery was performed with electrocautery, radiofrequency or CO 2 laser in continuous mode with super pulse. A Newton microscope, MEC 5 LED OT s/XXI model, was used. Suspension laryngoscopes of different diameters, scalpel and monopolar protected of 24cm length, straight and angled forceps, micro scissors and dissectors straight and angled for laryngeal microsurgery were used. A Lumenis Acupulse CO 2 Laser was used. Patients were operated under general anesthesia. ResultsThere were treated 128 patients for laryngeal cancer with transoral surgery at the ENT department of Hospital Italiano de Buenos Aires between March of 2004 and April of 2016. One hundred and sixteen were men (91%), and twelve were women (9%), the average age was 62 years. 128 transoral surgeries (128 were primary surgeries and 20 reoperations for ampliation of the margins or persistence of the tumor) were performed. Three patients of 128 suffered postoperative bleeding and they required treatment. A patient operated of a glottic laryngeal cancer staged T1N0M0 using radiofrequency presented a bleeding 15 days after AbstractIntroduction: Transoral laser surgery is the treatment of choice in many centers for patients with laryngeal tumors with an early T (Tis-T1-T2) and in selected patients with T3 tumors. Outcomes are comparable to those of other therapeutic approaches that preserve laryngeal function. The aim of this study is to determine the postoperative incidence of hemorrhagic complications in patients treated for larynx tumors using a transoral approach.

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“…The web flap was positioned ipsilateral to the de‐epithelized vocal cord and held in place with fibrin glue (TISSEEL; Baxter Healthcare, Deerfield, IL). De‐epithelization was performed using microelectrodes and spray coagulation (Sutter Medical, Freiburg, Germany), a procedure that was introduced into laryngeal surgery 12 years previously by Basterra et al…”

Section: Methodsmentioning

confidence: 99%

“…The web flap was positioned ipsilateral to the de-epithelized vocal cord and held in place with fibrin glue (TISSEEL; Baxter Healthcare, Deerfield, IL). De-epithelization was performed using microelectrodes and spray coagulation (Sutter Medical, Freiburg, Germany), a procedure that was introduced into laryngeal surgery 12 years previously by Basterra et al 2 A 2 × 2 quadrilateral fragment was cut from a sheet of BP (Vascu-Guard; Synovis, Birmingham, AL) and was used to stent the anterior commissure by placing it in the laryngeal lumen and suturing it to the external surface of the neck as follows: 1) Two 22-gauge needles were passed through the skin into the larynx. The lower needle was inserted through the cricoid-thyroid membrane and exited in a subglottic location.…”

Section: Methodsmentioning

confidence: 99%