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Updated: May 14, 2026

CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
Endoscopic CO2 laser laryngofissure in pediatric laryngotracheal reconstruction
Derek J Rogers1, Christopher J Hartnick
1Department of Otology and Laryngology, Massachusetts Eye & Ear Infirmary, Harvard Medical School, Boston, MA, United States.
Abstract:
Anterior laryngofissure is often needed to provide excellent visualization of the posterior cricoid lamina during pediatric laryngotracheal reconstruction. Focus has shifted from survival and decannulation outcomes to postoperative voice outcomes as surgical techniques continue to improve. Surgeons must perform the laryngofissure extremely precisely to avoid damage to the true vocal folds and ensure proper reapproximation of the anterior commissure. Endoscopic CO2 laser laryngofissure represents a novel technique to divide the anterior commissure and facilitate its accurate reapproximation.
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