Laser treatment of hemangiomas of the larynx and trachea

Cholewa, D.; Waldschmidt, J.

doi:10.1002/(sici)1096-9101(1998)23:4<221::aid-lsm5>3.0.co;2-a

Cited by 42 publications

(26 citation statements)

References 34 publications

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“…The Nd:YAG laser (1,064 nm) has been recommended for subglottic hemangioma in adults and infants as its wavelength is preferably taken by hemoglobulin resulting in better power of coagulation then CO 2 laser. 6,7 For its selective absorption of blood, the heat produced during laser surgery can be conducted into the surroundings prevents damage to the adjacent structures. 7 Its excess energy would be transmitted well beyond the contact point of the Nd:YAG laser because of its tissue scatter characteristics.…”

Section: Discussionmentioning

confidence: 99%

“…6,7 For its selective absorption of blood, the heat produced during laser surgery can be conducted into the surroundings prevents damage to the adjacent structures. 7 Its excess energy would be transmitted well beyond the contact point of the Nd:YAG laser because of its tissue scatter characteristics. 6 High success rate (91%) and low complications (1 subglottic stenosis of 23 patients; 4.3%) of Nd:YAG laser have also been reviewed in previous literature.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, Nd:YAG laser has better power of hemostasis. 6,7 This character is particularly helpful in treating vascular tumor from subglottis or tracheobronchus to have a clear operation field during endoscopic surgery and prevent hypoxemia resulted from blood pooling in the lower airway. The ability of hemostasis in Nd:YAG laser was also reported to be better than Argon or KTP laser.…”

Section: Discussionmentioning

confidence: 99%

“…7,23 A single laser operation probably produced a wider thermal injury resulting in a severer postoperative stenosis than a staged operation. However, the percentage of airway obstruction produced by the tumor was not necessarily equal to the percentage of tumor base covering the airway lumen.…”

Section: Discussionmentioning

confidence: 99%

“…6 A staged operation was also recommended for giant airway lesion for preventing postoperative subglottic stenosis. 7 We present two ISH patients with their airways severely obstructed, managed with a one-stage endoscopic excision via Nd:YAG laser. The surgical tips and therapeutic outcomes are also represented in this report.…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic Nd:YAG laser therapy of infantile subglottic hemangioma

Lee

Fang

et al. 2006

Pediatric Pulmonology

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Summary. Of the many therapeutic modalities that have been developed for infantile subglottic hemangioma (ISH), the most common technique is endoscopic excision with carbon dioxide laser, used alone or combined with other therapeutic techniques. A staged procedure has been proposed as the preferred choice for patients with severe airway obstruction. Nevertheless, ever since the neodymium: yttrium-aluminum-garnet (Nd:YAG) laser was developed, this modality has been considered feasible to treat vascular tumor in the airway due to good hemostasis power. We present two cases of ISH with severe airway obstruction that underwent endoscopic surgery using an one-stage Nd:YAG laser approach. Details of the laser characteristics and surgery techniques are described in this article.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Endoscopic Nd:YAG laser therapy of infantile subglottic hemangioma

Lee

Fang

et al. 2006

Pediatric Pulmonology

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Clinical Effects of Radiofrequency Coblation for Adult Laryngopharyngeal Vascular Lesions

2020

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Objective To explore the feasibility and efficacy of transoral radiofrequency coblation surgery (TRS) in the treatment of adult laryngopharyngeal vascular lesion (LVL). Methods A total of 15 patients with LVL were retrospectively studied, including 11 capillary lesions and five cavernous lesions (there was one case with two separate lesions). All of the lesions were treated with TRS alone (capillary lesion) or with a combination of TRS and sclerotherapy (cavernous lesion). The treatment efficacy was evaluated according to the modified Achauer criteria: grade 1, no change in size; grade 2, a decrease of < 50% in size; grade 3, a decrease of ≥ 50% but < 100%; and grade 4, the disappearance of the lesion with no recurrence for at least 6 months. Results The surgical procedures were successfully completed in all patients. According to the modified Achauer criteria, the treatment outcomes were grade 4 for 10 capillary lesions and one cavernous lesion; grade 3 for one capillary lesion and one cavernous lesion; grade 2 for one cavernous lesion; and grade 1 for two cavernous lesions, respectively. No complications related to the surgery, including bleeding, dysphagia, and infections, occurred after treatment. Conclusion The TRS is an effective treatment option for LVL, especially for patients with laryngopharyngeal capillary lesions. Level of Evidence 4 Laryngoscope, 131:566–570, 2021

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Combined CO₂ Laser Vaporization and Bleomycin Injection to Treat Huge Adult Laryngeal Vascular Anomalies: Innovative Application of CO₂ Laser in Otolaryngology

Wu,

Zhang,

Fang

et al. 2024

Lasers Surg Med

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ObjectivesThe aim of this study was to assess the value of CO2 laser vaporization in treating huge adult laryngeal vascular anomalies (HALVAs) by combining it with bleomycin injection.Materials and MethodsThis study retrospectively reviewed the records of 13 adult patients who underwent 18 different procedures. Methods to treat HALVAs include traditional bleomycin injection and CO2 laser vaporization combined with bleomycin injection between September 2009 and January 2023. Treatment results were evaluated by the grade of lumen constriction.ResultsA total of five males and eight females, with an average age of 46.3 years (range, 22–66 years), were included in the study. The huge adult laryngeal vascular anomalies in our study were greater than 1633.71 mm3, and the long diameters of the bases were longer than 15 mm. Compared with the bleomycin injection‐only group, the results with the CO2 laser vaporization and bleomycin injection combined were better.ConclusionsBoth bleomycin injection and CO2 laser vaporization are safe treatment methods. Their combination may produce better results for huge adult laryngeal vascular anomalies.

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Laser treatment of hemangiomas of the larynx and trachea

Cited by 42 publications

References 34 publications

Endoscopic Nd:YAG laser therapy of infantile subglottic hemangioma

Endoscopic Nd:YAG laser therapy of infantile subglottic hemangioma

Clinical Effects of Radiofrequency Coblation for Adult Laryngopharyngeal Vascular Lesions

Combined CO₂ Laser Vaporization and Bleomycin Injection to Treat Huge Adult Laryngeal Vascular Anomalies: Innovative Application of CO₂ Laser in Otolaryngology

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Laser treatment of hemangiomas of the larynx and trachea

Cited by 42 publications

References 34 publications

Endoscopic Nd:YAG laser therapy of infantile subglottic hemangioma

Endoscopic Nd:YAG laser therapy of infantile subglottic hemangioma

Clinical Effects of Radiofrequency Coblation for Adult Laryngopharyngeal Vascular Lesions

Combined CO2 Laser Vaporization and Bleomycin Injection to Treat Huge Adult Laryngeal Vascular Anomalies: Innovative Application of CO2 Laser in Otolaryngology

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Combined CO₂ Laser Vaporization and Bleomycin Injection to Treat Huge Adult Laryngeal Vascular Anomalies: Innovative Application of CO₂ Laser in Otolaryngology