FIBERTOM Nd:YAG laser in treatment of post-inflammatory structures of lower airways

Michal Pirozynski; Malgorzata Polubiec-Kownacka; Krzysztof Strojecki; Antoni Blachnio; Wieslaw Pawlak; Jan Krusiewicz

doi:10.1117/12.236819

27 March 1996 FIBERTOM Nd:YAG laser in treatment of post-inflammatory structures of lower airways

Michal Pirozynski, Malgorzata Polubiec-Kownacka, Krzysztof Strojecki, Antoni Blachnio, Wieslaw Pawlak, Jan Krusiewicz

Proceedings Volume 2781, Lasers in Medicine; (1996) https://doi.org/10.1117/12.236819
Event: Lasers in Medicine, 1995, Warsaw-Zegrze, Poland

Abstract

Introduction of the first laser by Maiman in 1960 led to a rapid increase in the biological application of this device. The first application of laser energy in the treatment of airway pathology was by Strong et al. In 1981 Toty et al described the first use of a neodymium:yttrium-aluminum garnet (Nd:YAG) laser for resection of a bronchial tumor. Subglottic and tracheal stenosis have been treated endoscopically for many years with electrocautery, cryosurgery, by mechanical dilatation, and more recently since the mid 1970s with the carbon-dioxide laser. Early series demonstrated a moderate success rate in about 60% of the cases. Recently a new modification of the Nd:YAG laser was made available by Dornier (formerly MBB - Germany). The FIBERTOM^TM is a unique method of controlling the temperature at the tip of the light guide allowing precise, direct contact cutting. Eleven patients (age 35.1 plus or minus 20.7 years) with post inflammatory airway stenoses were treated. Thirty-six procedures were carried out. An immediate dilatation of the narrowed airway was produced in 86%. Endoscopic control carried out 52 weeks after the initial procedure confirmed restoration of the airway lumen in 82%. Clinical improvement was seen in all.

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Michal Pirozynski, Malgorzata Polubiec-Kownacka, Krzysztof Strojecki, Antoni Blachnio, Wieslaw Pawlak, and Jan Krusiewicz "FIBERTOM Nd:YAG laser in treatment of post-inflammatory structures of lower airways", Proc. SPIE 2781, Lasers in Medicine, (27 March 1996); https://doi.org/10.1117/12.236819

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KEYWORDS

Nd:YAG lasers

Laser cutting

Laser therapeutics

Endoscopy

Tissues

Carbon dioxide lasers

Fiber lasers

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