Premium
Indications of the carbon dioxide laser in tracheobronchial pathology of the infant and young child: 14 cases
Author(s) -
Garabedian EriaN,
Denoyelle Francoise,
Grimfeld Alain,
Lacombe Hervé
Publication year - 1990
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-199011000-00018
Subject(s) - medicine , carbon dioxide laser , bronchoscopy , stenosis , tracheotomy , foreign body , surgery , foreign body aspiration , ventilation (architecture) , pediatrics , radiology , laser surgery , mechanical engineering , laser , physics , optics , engineering
Fourteen children aged between 6 months and 7 years (mean age = 3.5 years) were treated by CO 2 broncholaser in the ENT Department of Trousseau Hospital. Three groups of diagnostic indication were identified: 1. Granulomas treated after mucosal trauma (tracheotomy, foreign body). 2. Granulomas due to pulmonary and/or lymph node tuberculosis. 3. Adhesions and stenosis secondary to neonatal ventilation. The operative and anesthetic technique is described in detail, together with any possible adverse events. The CO 2 broncholaser appears to be a technique of choice in this age group, in which the narrowness of the airways makes any endoscopic procedure difficult. The broncholaser allows the early treatment of obstructive tracheobronchial pathology with its risks of severe ventilatory sequelae.