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Soft‐tissue complications of laser surgery for recurrent respiratory papillomatosis
Author(s) -
Ossoff Robert H.,
Werkhaven Jay A.,
Dere Huseyin
Publication year - 1991
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 - 10.1288/00005537-199111000-00004
Subject(s) - recurrent respiratory papillomatosis , medicine , carbon dioxide laser , soft tissue , complication , laser surgery , surgery , laser , larynx , physics , optics
Twenty‐two patients with recurrent respiratory papillomatosis underwent 105 carbon dioxide (CO 2 ) laser microlaryngoscopic and tracheobronchoscopic operations from July 1986 through February 1990. All soft‐tissue complications, whether intraoperative or delayed secondary to laser surgery, were retrospectively analyzed. The intraoperative laser‐related soft‐tissue complication rate was zero. Two of the 22 patients acquired slight unilateral true vocal cord scar tissue and 1 patient developed a small posterior laryngeal web. The delayed soft‐tissue complication rate was 13.6%, which compares favorably with published reports of 28.7% and 45%. This low complication rate has resulted from the selection of appropriate CO 2 laser emission parameters and the use of the microspot micromanipulator, which help minimize lateral and/or deep thermal damage at the site of laser impact.