The possibility of clinical application of the solid state lasers: Nd:YAG, Ho:YAG, and Er:YAG in otolaryngology - head and neck surgery

M. Tomaszewska; A. Kukwa M.D.; M. Tulibacki; P. Wójtowicz; I. Olędzka; E. Jeżewska

doi:10.1117/12.726520

23 January 2007 The possibility of clinical application of the solid state lasers: Nd:YAG, Ho:YAG, and Er:YAG in otolaryngology - head and neck surgery

M. Tomaszewska, A. Kukwa M.D., M. Tulibacki, P. Wójtowicz, I. Olędzka, E. Jeżewska

Author Affiliations +

Proceedings Volume 6598, Laser Technology VIII: Applications of Lasers; 659802 (2007) https://doi.org/10.1117/12.726520
Event: Laser Technology VIII, 2006, Szczecin, Poland

Abstract

The purpose of this study was to summarize our experiences in clinical application of Nd:YAG, Ho:YAG and Er:YAG in otolaryngology- head and neck surgery. Choosing the laser type and parameters for the particular procedures was based on our previous research on tissue effects of those lasers. During the period of 1993-2006 we performed 3988 surgical procedures with the Nd:YAG laser. Over 87% of those were made for the nasal cavity pathologies as polyps, hyperplasia of inferior nasal turbinate, granulation tissue, postoperative adhesions, vascular malformations, under the local anesthesia conditions. In our experience Nd:YAG laser gives the possibility of good clinical control and low risk of side effects for disorders of high recurrence and frequent interventions necessity, as nasal polyps or respiratory papillomatosis. Nd:YAG assisted uvulopalatoplasty gives an interesting alternative for surgical procedures for snoring and slight/mild OSA-recognized patients. Due to its good hemostatic properties, it is a perfect tool for removal of the chemodectoma from meddle ear. During the period of 1995-2006 we performed 229 surgical procedures with the Ho:YAG laser, mostly for larynx pathologies (adhesion and scar tissue removal). In our experience Ho:YAG laser can serve as a precise laser knife for both soft and bony tissue. The ER:YAG laser still remain under clinical trial. Since 2001 year we performed 24 procedures of removing stone deposits from salivary glands. We believe it may become a promising method to cope with sialolithiasis which allows for glandule function preservation. All of the laser types mentioned above, can be easily coupled with endoscopes, what makes them available for all of the head and necklocalized disorders.

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M. Tomaszewska, A. Kukwa M.D., M. Tulibacki, P. Wójtowicz, I. Olędzka, and E. Jeżewska "The possibility of clinical application of the solid state lasers: Nd:YAG, Ho:YAG, and Er:YAG in otolaryngology - head and neck surgery", Proc. SPIE 6598, Laser Technology VIII: Applications of Lasers, 659802 (23 January 2007); https://doi.org/10.1117/12.726520

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KEYWORDS

Nd:YAG lasers

Laser tissue interaction

Er:YAG lasers

Head

Laser therapeutics

Surgery

Neck

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