Endoscopic Diode Laser Polypectomy and High-Dose Intranasal Steroids in Recurrent Nasal Polyposis

Caffier, Philipp P.; Neumann, Konrad; Enzmann, Harald; Paschen, Christian; Scherer, Hans; Göktas, Önder

doi:10.2500/ajra.2010.24.3450

Cited by 4 publications

(4 citation statements)

References 33 publications

(43 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Problematisch sind die fehlende haptische Rückkopplung und die ausgeprägte Schleimhautschädigung mit frei liegendem Knochen [1203,1205]. Fallserien beschreiben Anwendungen bei Rezidiven einer Siebbeinpolyposis (KTP-Laser [1206], Diodenlaser mit intensivierter topischer Kortisonbehandlung (1 000 ug/Tag) [1207]) oder in Ergänzung zur Chirurgie mit konventionellen Instrumenten (KTP-Laser, [1208]; Holmium:YAG-Laser [1205]. Der Holmium:YAG-Laser eignet sich nicht für Nasenpolypen [1208].…”

Section: Laserunclassified

Aktueller Stand der endonasalen Nasennebenhöhlenchirurgie

Weber

2015

Laryngo-Rhino-Otol

View full text Add to dashboard Cite

Endonasal endoscopic sinus surgery is the standard procedure for surgery of most paranasal sinus diseases.Appropriate frame conditions provided, the respective procedures are safe and successful.These prerequisites encompass appropriate technical equipment, anatomical oriented surgical technique, proper patient selection, and individually adapted extent of surgery.The range of endonasal sinus operations has dramatically increased during the last 20 years and reaches from partial uncinectomy to pansinusoperation with extended surgery of the frontal (Draf type III), maxillary (grade 3-4, medial maxillectomy, prelacrimal approach) and sphenoid sinus.In addition there are operations outside and beyond the paranasal sinuses. The development of surgical technique is still constantly evolving.This article gives a comprehensive review on the most recent state of the art in endoscopic sinus surgery according to the literature with the following aspects: principles and fundamentals, surgical techniques, indications, outcome, postoperative care, nasal packing and stents, technical equipment.

show abstract

Section: Laserunclassified

Aktueller Stand der endonasalen Nasennebenhöhlenchirurgie

Weber

2015

Laryngo-Rhino-Otol

View full text Add to dashboard Cite

show abstract

“…Diode laser surgery has been demonstrated to improve subjective symptoms such as nasal obstruction, rhinorrhea, sneezing, itching and overall satisfaction. Notably, improvements were higher in cases of perennial allergic rhinitis at the beginning of the treatment, but they were more sustained in seasonal allergic cases ( 43 ).…”

Section: Current Use Of Lasersmentioning

confidence: 99%

“…The major shortcomings of laser surgery in rhinology are primarily associated with high costs and technical ineffectiveness due to poor guiding technology ( 43 ). Due to past failures, doctors can be reserved in re-adapting technologies that did not pass the Gartner hype cycle ( 43 ). The costs of purchase can be relatively high, which can be a challenge for numerous hospitals.…”

Section: Advantages and Disadvantages Of Laser Treatmentmentioning

confidence: 99%

Laser nasal surgery (Review)

et al. 2023

View full text Add to dashboard Cite

Laser nasal surgery has been an elusive subject in the last 10 to 15 years It was considered as a potential surgical staple for nasal surgery in the 1980s; however, it did not become one due to technical difficulties. Laser therapy has reemerged as an alternative to classical endoscopic surgery, and otorhinolaryngology surgeons are considering the benefits that it can offer. The advantages of this procedure are shorter hospitalization time, lack of nasal packing, high procedural precision with tissue sparing, and the unique capability of reducing both bacterial and fungal colonization at the level of the paranasal sinus. Therefore, laser therapy appears to be an invaluable tool for clinical practice. Due to the absence of a guaranteed cure for reoccurring nasal polyposis, laser therapy is worth investigating. For this therapy to evolve, an improved understanding of laser types and the effects that they produce is required. By investing in further developments of the equipment, the technique may become more widely used. With the current accelerated rate of technological evolution and robotic capabilities, laser nasal surgery may become a gold standard in future years. The aim of the present review is to evaluate whether it is worth investing in nasal laser surgery as a future alternative to current treatment standards.

show abstract

“…Case series describe the application for recurrences of ethmoid sinus polyposis (KTP laser [ 1203 ], diode laser with intensified topical cortisone treatment (1,000 µg/day) [ 1204 ]), or in addition to surgery with conventional instruments (KTP laser, [ 1205 ]; Holmium:YAG laser [ 1202 ]). The Holmium:YAG laser is not suitable for nasal polyps [ 1205 ].…”

Section: Technical Equipmentmentioning

confidence: 99%