KTP-532 laser-assisted endoscopic nasal sinus surgery

Area of Science:

• Otolaryngology
• Minimally Invasive Surgery
• Laser Applications in Medicine

Background:

• Chronic maxillary sinusitis affects numerous patients, necessitating effective surgical interventions.
• Traditional functional endoscopic sinus surgery (FESS) is a common treatment, but advancements are continually explored.
• KTP laser technology presents a novel approach for sinus surgery.

Purpose of the Study:

• To evaluate the application and outcomes of KTP laser-assisted FESS.
• To compare KTP laser-assisted FESS with traditional FESS in treating chronic maxillary sinusitis.
• To document surgical experience and patient-reported outcomes.

Main Methods:

• A comparative study involving 24 patients with chronic maxillary sinusitis.
• KTP laser-assisted FESS performed on one side, traditional FESS on the contralateral side under local anesthesia.
• Symptom assessment using questionnaires preoperatively and postoperatively at 1, 4, 12, and 24 weeks.

Main Results:

• Both techniques showed significant symptom improvement (P < 0.05) within 4 weeks.
• KTP laser-assisted FESS demonstrated minimal blood loss and superior postoperative week 1 symptom scores.
• Postoperative healing showed more edema on the laser side and crusting on the traditional side; no complications were observed.

Conclusions:

• KTP laser-assisted FESS is a viable and effective alternative to traditional FESS for chronic maxillary sinusitis.
• Key advantages include excellent hemostasis and precise bone ablation with the KTP laser.
• Disadvantages include higher instrument cost and longer procedure time.