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Nd:YAG‐laser in the microsurgery of frontobasal meningiomas
Author(s) -
Waidhauser Erich,
Beck Oskar J.,
Oeckler Reinhardt C. T.
Publication year - 1990
Publication title -
lasers in surgery and medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.888
H-Index - 112
eISSN - 1096-9101
pISSN - 0196-8092
DOI - 10.1002/lsm.1900100606
Subject(s) - microsurgery , medicine , meningioma , surgery , shrinkage , dissection (medical) , laser , materials science , optics , physics , composite material
Forty‐three patients with big frontobasal meningiomas underwent a microsurgical removal of the tumor. The 1.32μm Nd: YAG‐laser has proved useful in this prospective series particularly with the contactless shrinkage of the tumors and the necrotization of the dural and bony attachments. Tumor shrinkage was achieved by radiating the tumor surface with the Nd: YAG‐loaser. This technique facilitated the microsurgical dissection and reduced the blood loos by half. The Nd: YAG‐laser necrotization of the dural and bony attachments reduced the recurrence rate following grade two resections from 20% to zero. The postoperative quality of life was excellent with a complete rehabilitation in 76% of the patients. The use of the 1.32 μm Nd:YAG‐laser improved significantly the results of microsurgery for frontobasal meningioma.