Published in:
01-08-2007 | Letter to the Editor
CO2 laser treatment of laryngeal stenoses after supracricoid laryngectomies
Comment on: Lucioni M, Marioni G, Mangialaio M, Rizzotto G (2007) CO2 laser treatment of laryngeal stenoses after reconstructive laryngectomies with cricohyoidopexy, cricohyoidoepiglottopexy or tracheohyoidoepiglottopexy. Eur Arch Otorhinolaryngol 264: 175–180
Authors:
Maciej Misiolek, Boguslawa Orecka, Eugeniusz Czecior, Grzegorz Namyslowski
Published in:
European Archives of Oto-Rhino-Laryngology
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Issue 8/2007
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Excerpt
We have read a very interesting paper “CO
2 laser treatment of laryngeal stenoses after reconstructive laryngectomies with cricohyoidopexy, cricohyoidoepiglottopexy or tracheohyoidoepiglottopexy”. Our experience with reconstructive laryngectomies dates back to 1990. We have performed 82 reconstructive laryngectomies with CHP and CHEP. We have not had any experience with THEP [
1]. In our series post-operative stenosis occurred in ten patients (12%). In majority of stenoses the neo-laryngeal mucosal flap was recognized in six cases, semi-circumferential stenosis in three cases and one patient had synechia between epiglottis and arytenoid. They were treated with 23 laser CO
2 procedures (mean 2,3 procedures, range 1–4 procedures). All operations were performed under general anesthesia with typical Kleinsasser set, together with a surgical microscope Zeiss S 21 with a focal lens of 400 mm connected to a micromanipulator. The continuous mode of 5–12 W was used. …
