Comparative Study Between Conventional Microlaryngeal Surgery and Carbon Dioxide Laser in Management of Minimal Associated Pathological Lesions of Vocal Folds

Fahim, Ramez; Ghita, Alaa El Din Fathi; Abdelmonem, Ahmed Ali; Youssef, Rabie

doi:10.1016/j.jvoice.2020.02.012

Cited by 3 publications

(9 citation statements)

References 11 publications

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“…To our information, this study is the 1st study differentiating the impacts of both methods on vocal cysts with no other MAPLs involved. Benninger [8] and Fahim et al [9] did not specify a lesion, and their patients suffered from different types of MAPLs, while Zhang et al include patients with vocal fold polyps only in their study conducted in 2015 [10].…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, in Fahim et al (2021) study on 80 patients with different MAPLs of vocal folds and divided into two equal groups, each group is treated surgically by either CO 2 laser excision or conventional microdissection, and they concluded that the enhancement of quality of voice following operation in two methods had insignificant difference [9].…”

Section: Discussionmentioning

confidence: 99%

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Which is a better management for vocal fold cyst: cold knife or laser resection?

Khafagy

Askoura

Kassamy

et al. 2022

Egypt J Otolaryngol

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Background The objective of the study is to compare the conventional microlaryngeal surgery and the CO2 laser in the treatment of cysts of vocal folds, regarding the postoperative quality of voice. This study was conducted on 53 cases with vocal fold cysts. The cases were randomly allocated into two groups: group 1 (27 cases) was operated by the conventional technique, and group 2 (26 cases) was operated with CO2 laser microlaryngeal operation. At 3-month postoperative, evaluation was done by stroboscopic evaluation of vocal folds, grade of hoarseness, roughness, breathiness, asthenia, and strain (GRBAS) scale and Arabic version of Voice Handicap Index (VHI). Results The stroboscope assessment revealed that glottic closure was complete, symmetrical motion, the reappearance of the mucosal wave, normal amplitude, and periodicity in all patients. There is insignificantly different between either group as regards the postoperative scores on VHI and GRBAS scale. Conclusion There is insignificantly different when comparing laser to conventional microlaryngeal surgery for excision of vocal fold cysts regarding the quality of voice.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Which is a better management for vocal fold cyst: cold knife or laser resection?

Khafagy

Askoura

Kassamy

et al. 2022

Egypt J Otolaryngol

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“…The principal advantages of the CO2 laser excision are instant hemostasis, a bloodless and less crowded operative field, with only one instrument used for retraction. Several studies reported similar voice outcomes after CO2 laser surgery for VFPs and other benign lesions to those of cold-steel excision (15,16). The major disadvantage of CO2 laser surgery is the increased cost of laser equipment installation and maintenance than the classic cold instruments.…”

Section: Microlaryngoscopy and Co2 Lasermentioning

confidence: 92%

Current surgical treatment modalities for vocal fold polyps: A mini-review

Čukić,

Jovanović,

Arsović

2023

Medicinski podmladak

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Vocal fold polyps represent one of the most common benign organic disorders affecting the larynx in the general population, and a relatively frequent cause of long-standing hoarseness. The exact etiology is unclear, but poor vocal behavior has been suggested as the principal etiologic factor. Histopathologically they are characterized by various structural alterations in the vocal fold superficial lamina propria, and typical clinical finding is of a solitary, unilateral and well-defined vocal fold lesion. Vocal fold polyps usually require surgical removal using microlaryngoscopy with cold steel excision in general anesthesia, which has been the practice standard for the last 60 years. Microlaryngoscopy offers the surgeon an unparalleled magnified view of the vocal folds and very precise work on a still operative field without a specific time limit. The introduction and technological development of ambulatory endoscopy and various laser systems provided the surgeon with ample therapeutic opportunities, including operating some of the patients in the office setting in local anesthesia. These outpatient procedures are technically simple and cost-effective, require fewer medical personnel, exclude general anesthesia-related risks, and are less time-consuming both for the patient and the physician. Nevertheless, the contemporary laryngologist should be able to perform both conventional microlaryngoscopy and office-based surgery for vocal fold polyps, depending on the clinical situation.

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“…A total of 11 studies addressed TOLMS for the excision of benign lesions (Supplemental Table S6, available online). [70][71][72][73][74][75][76][77][78][79][80] The nature of these benign lesions varied across included studies, including respiratory papillomatosis (n = 2), laryngeal cysts (n = 3), laryngoceles (n = 1), hemangiomas (n = 1), and others (n = 4). [70][71][72][73][74][75][76][77][78][79][80] These studies were conducted in 7 different countries, with the UK (n = 3), the United States (n = 2), and Italy (n = 2) being the most common.…”

Section: Tolms For Benign Lesionsmentioning

confidence: 99%

“…73,79,80 Intraoperatively, studies described using wet gauze in the subglottis (n = 3), and the use of topical amines for tissue cleaning and hemostasis (n = 3). 71,72,75,79,80 In terms of postoperative management, most authors favored same-day surgeries (n = 5), or short hospital stays (n = 3). [70][71][72][76][77][78][79]…”

Section: Tolms For Benign Lesionsmentioning

confidence: 99%

Strategies for CO₂ Laser Use in Laryngeal Microsurgery: A Systematic Review

Landry,

Sedillot‐Daniel,

Ayad

et al. 2024

Otolaryngol.--head neck surg.

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ObjectiveWe aim to systematically review the literature addressing perioperative practices for optimal use of the CO2 laser in laryngeal transoral laser microsurgery (TOLMS), with a focus on safety.Data SourcesA systematic review of publications indexed in Medline, Embase, and EBM reviews‐Cochrane Central Register of Controlled Trials which evaluated perioperative strategies for the use of CO2 laser in laryngeal TOLMS was conducted.Review MethodsRecords obtained from the search strategy were assessed for eligibility in a 2‐step process by 2 independent researchers using the Covidence software.ResultsAmong 2143 identified records, 103 were included in this study. The majority of studies (n = 25) focused on the use of the CO2 laser in oncologic resection, while 20 addressed the treatment of vocal cord paralysis, 16 discussed the treatment of pediatric or congenital pathologies, 11 detailed the management of benign lesions, and 31 studies tackled other surgical indications. Strategies for safe CO2 TOLMS were highly heterogeneous across studies and included preoperative measures (ie, related to the environment, staff preparation, patient protection, and ventilation), intraoperative precautions (ie, protection of nontarget structures, technical considerations, topical and systemic medications), and postoperative strategies (ie, related to airway protection, oral intake, vocal rest, hospitalization duration, drug regimen, and consultant follow‐up).ConclusionThe results provided in this study can be used as a framework to guide the creation of laser safety protocols across institutions, guide quality improvement initiatives, the development of simulation training activities, and as a tool to facilitate resident teaching and skill assessment.

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Comparative Study Between Conventional Microlaryngeal Surgery and Carbon Dioxide Laser in Management of Minimal Associated Pathological Lesions of Vocal Folds

Cited by 3 publications

References 11 publications

Which is a better management for vocal fold cyst: cold knife or laser resection?

Which is a better management for vocal fold cyst: cold knife or laser resection?

Current surgical treatment modalities for vocal fold polyps: A mini-review

Strategies for CO₂ Laser Use in Laryngeal Microsurgery: A Systematic Review

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Comparative Study Between Conventional Microlaryngeal Surgery and Carbon Dioxide Laser in Management of Minimal Associated Pathological Lesions of Vocal Folds

Cited by 3 publications

References 11 publications

Which is a better management for vocal fold cyst: cold knife or laser resection?

Which is a better management for vocal fold cyst: cold knife or laser resection?

Current surgical treatment modalities for vocal fold polyps: A mini-review

Strategies for CO2 Laser Use in Laryngeal Microsurgery: A Systematic Review

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Product

Resources

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Strategies for CO₂ Laser Use in Laryngeal Microsurgery: A Systematic Review