Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery Transoral Laser Microsurgery (tlm) of Cancers & Other Pathology of the Upper Aerodigestive Tract
نویسندگان
چکیده
CO2 laser is used to resect or vaporise benign and malignant lesions of the upper aerodigestive tract. This chapter focuses on transoral CO2 laser technique using a micromanipulator attached to an operating microscope. The advantages of using CO2 laser with an operating microscope are microsurgical precision, excellent intraoperative detail, and a dry surgical field; the functional outcomes in terms of swallowing and speech exceed that of traditional external surgical approaches.
منابع مشابه
Assessment of Margins in Transoral Laser and Robotic Surgery
The growing practice of endoscopic surgery has changed the therapeutic management of selected head and neck cancers. Although a negative surgical margin in resection of neoplasm is the most important surgical principle in oncologic surgery, controversies exist regarding assessment and interpretation of the status of margin resection. The aim of this review was to summarize the literature consid...
متن کاملReliability of Frozen Section Analysis in Transoral Laser Microsurgery of Upper Aerodigestive Tract Advanced Malignant Tumors
Objective: Transoral laser microsurgery (TLM) for endoscopic excision of head and neck cancers of the upper aerodigestive tract has become an accepted treatment modality. As in any excision of head and neck tumors, the persistance of tumor at the surgical margins influences the outcome. One of the frequent criticisms of endoscopic resection is that the laser use makes interpretation of the surg...
متن کاملTransoral laser microsurgery in carcinomas of the oral cavity, pharynx, and larynx.
BACKGROUND Since the introduction of laser technology in the 1960s, use of the technique in treating laryngeal diseases has demonstrated several advantages over conventional resections in selected cases. METHODS The authors review the published data on oncologic laser surgery for the treatment of head and neck carcinomas, and they also describe their own clinical experience with transoral las...
متن کاملLaser surgery for early to moderately advanced glottic, supraglottic, and hypopharyngeal cancers.
Current practice standards for the treatment of early to moderately advanced laryngeal and hypopharyngeal cancer demand both achievement of cure and preservation of laryngeal structure and function to the greatest extent possible. The oncologic and functional results of transoral laser microsurgery (TLM) for early glottic cancer appear to be comparable to those of radiotherapy, with a higher ra...
متن کاملCO2 laser transoral laser microsurgery of head and neck cancer: lessons learned over ten years
Background CO2 transoral laser microsurgery (TLM) is an emerging technique for the management of laryngeal cancer and other head and neck malignancies. This technique has become more widely used by head and neck surgeons progressively replacing traditional open surgical procedures because it is better at preserving organ function with lower overall morbidity. The CO2 laser is coupled to a micro...
متن کامل