Office-based laryngeal laser surgery with local anesthesia.

Area of Science:

• Otolaryngology
• Minimally Invasive Surgery
• Laser Technology

Background:

• Office-based laryngeal laser surgery is a novel and increasingly adopted treatment modality.
• This minimally invasive surgical approach is gaining popularity globally for laryngeal lesion management.

Purpose of the Study:

• To review the advancements and applications of office-based laryngeal laser surgery.
• To highlight the evolving technologies and their impact on laryngeal procedures.

Main Methods:

• Utilizes fiber-based lasers and distal-chip flexible endoscopy.
• Employs various laser wavelengths, including pulsed-dye, potassium-titanyl-phosphate, and Thulium lasers.
• Focuses on treating epithelial laryngeal diseases like dysplasia and papillomatosis.

Main Results:

• The 532-nm pulsed-potassium-titanyl-phosphate laser is more effective than the initial 585-nm pulsed-dye laser.
• The 2013-nm Thulium laser shows potential for office-based procedures, mimicking carbon dioxide laser properties.
• Epithelial diseases are well-suited for this surgical technique.

Conclusions:

• Technological advancements in laryngoscopy and lasers are enhancing office-based procedures.
• Socioeconomic factors are also contributing to the rise in outpatient laryngeal surgeries.
• Future trends indicate an increase in office-based laryngeal procedures performed under local anesthesia.