Abstract:
:Transoral laser microsurgery (TLM) is an emerging technique for the management of laryngeal and other head and neck malignancies. It is increasingly being used in place of traditional open surgery because of lower morbidity and improved organ preservation. Since the surgery is performed from the inside working outward as opposed to working from the outside in, there is less damage to the supporting structures that lie external to the tumor. Coupling the laser to a micromanipulator and a microscope allows precise tissue cutting and hemostasis; thereby improving visualization and precise ablation. The basic approach and principles of performing TLM, the devices currently in use, and the associated dosimetry parameters will be discussed. The benefits of using TLM over conventional surgery, common complications and the different settings used depending on the location of the tumor will also be discussed. Although the CO(2) laser is the most versatile and the best-suited laser for TLM applications, a variety of lasers and different parameters are used in the treatment of laryngeal cancer. Improved instrumentation has lead to an increased utilization of TLM by head and neck cancer surgeons and has resulted in improved outcomes. Laser energy levels and spot size are adjusted to vary the precision of cutting and amount of hemostasis obtained.
journal_name
Lasers Med Scijournal_title
Lasers in medical scienceauthors
Rubinstein M,Armstrong WBdoi
10.1007/s10103-010-0834-5subject
Has Abstractpub_date
2011-01-01 00:00:00pages
113-24issue
1eissn
0268-8921issn
1435-604Xjournal_volume
26pub_type
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journal_title:Lasers in medical science
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journal_title:Lasers in medical science
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journal_title:Lasers in medical science
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journal_title:Lasers in medical science
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journal_title:Lasers in medical science
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journal_title:Lasers in medical science
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journal_title:Lasers in medical science
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更新日期:2016-12-01 00:00:00
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journal_title:Lasers in medical science
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journal_title:Lasers in medical science
pub_type: 杂志文章
doi:10.1007/s10103-016-2016-6
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journal_title:Lasers in medical science
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journal_title:Lasers in medical science
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pub_type: 临床试验,杂志文章
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pub_type: 杂志文章,评审
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journal_title:Lasers in medical science
pub_type: 杂志文章
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更新日期:2014-03-01 00:00:00
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journal_title:Lasers in medical science
pub_type: 杂志文章
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