The role of the carbon dioxide laser in treatment of carcinoma of the tongue

Williams, Stuart; Carruth, J. A. S.

doi:10.1017/s0022215100107492

Cited by 15 publications

(6 citation statements)

References 5 publications

(6 reference statements)

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“…Different authors agree that the postoperative course is very comfortable for patients, since it is the result of a reduced swelling and a minimal inflammatory response. This can be explained by the scant laser damage caused to adjacent tissues, the sealing of lymphatics, and the formation of a fibrin clot over the surgical wound that protects the wound from external irritation (17-19). …”

Section: Discussionmentioning

confidence: 99%

Comparative study of upper lip frenectomy with the CO2 laser versus the Er, Cr:YSGG laser

Pié-Sánchez

España-Tost²,

Arnabat-Domínguez³

et al. 2012

Med Oral

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Objectives: To compare upper lip frenulum reinsertion, bleeding, surgical time and surgical wound healing in frenectomies performed with the CO2 laser versus the Er, Cr:YSGG laser. Study design: A prospective study was carried out on 50 randomized pediatric patients who underwent rhomboidal resection of the upper lip frenulum with either the CO2 laser or the Er,Cr:YSGG laser. Twenty-five patients were assigned to each laser system. All patients were examined at 7, 14, 21 days and 4 months after the operation in order to assess the surgical wound healing. Results: Insertion of the frenulum, which was preoperatively located between the upper central incisors, migrated to the mucogingival junction as a result of using both laser systems in all patients. Only two patients required a single dose of 650 mg of paracetamol, one of either study group. CO2 laser registered improved intraoperative bleeding control results and shorter surgical times. On the other hand, the Er,Cr:YSGG laser achieved faster healing. Conclusions: Upper lip laser frenectomy is a simple technique that results in minimum or no postoperative swelling or pain, and which involves upper lip frenulum reinsertion at the mucogingival junction. The CO2 laser offers a bloodless field and shorter surgical times compared with the Er,Cr:YSGG laser. On the other hand, the Er,Cr:YSGG laser achieved faster wound healing. Key words:Frenectomy, upper lip frenulum, CO2 laser, Er,Cr:YSGG laser, laser.

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Section: Discussionmentioning

confidence: 99%

Comparative study of upper lip frenectomy with the CO2 laser versus the Er, Cr:YSGG laser

Pié-Sánchez

España-Tost²,

Arnabat-Domínguez³

et al. 2012

Med Oral

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“…Ben–Bassat et al and Strong et alwere the first authors to describe laser resection of tongue cancer. The first long‐term results of enoral laser microsurgery were published by Carruth, Hirano et al, and Williams and Carruth . However, there is limited evidence showing superiority of one modality over the other because the literature is dominated by case series with unequal inclusion and outcome criteria.…”

Section: Discussionmentioning

confidence: 99%

Enoral laser microsurgery for squamous cell carcinoma of the oral cavity

Canis

Ihler

Martin³

et al. 2013

Head Neck

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“…The hand‐held Nd:YAG fiber, with its inherent tactile feedback to the surgeon, provides almost bloodless knife‐like excisions in the mouth. 69–79 Several of the lesions were hemangiomas, for which the Nd:YAG laser proves to be especially effective. 80–83 …”

Section: Discussionmentioning

confidence: 99%

The Versatile Contact Nd:YAG Laser in Head and Neck Surgery: An in Vivo and Clinical Analysis

Brown¹

2000

The Laryngoscope

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Objective: Lasers have been used in otolaryngology as a surgical instrument for more than 25 years, and the CO 2 laser has emerged as the most widely employed surgical laser in use today. However, recent technological advances have made the Nd:YAG laser a challenger as an effective photothermal surgical tool. Study Design and Methods: This is a two-part study. Tissue injury and healing profiles after application of both the CO 2 and Nd:YAG lasers are compared using an in vivo rat tongue model. A prospective clinical review based on the experience of 327 operative cases spanning a 7-year interval using the Nd:YAG laser, highlighting its various applications and associated complications, is detailed. Results: Comparable tissue and healing effects were noted with both lasers in the in vivo rat tongue model with no statistical differences. The clinical application of the laser showed wide versatility in the head and neck with a complication rate of 3%. Conclusion: The Nd:YAG laser has proved equivalent in tissue damage and healing to the CO 2 laser. The Nd:YAG laser has proved itself to be an excellent and perhaps superior laser for use in head and neck surgery. Key Words: Nd:YAG laser, in vivo model, prospective review, head and neck.

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The role of the carbon dioxide laser in treatment of carcinoma of the tongue

Cited by 15 publications

References 5 publications

Comparative study of upper lip frenectomy with the CO2 laser versus the Er, Cr:YSGG laser

Comparative study of upper lip frenectomy with the CO2 laser versus the Er, Cr:YSGG laser

Enoral laser microsurgery for squamous cell carcinoma of the oral cavity

The Versatile Contact Nd:YAG Laser in Head and Neck Surgery: An in Vivo and Clinical Analysis

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