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Using low level laser therapy to reduce early postoperative airway obstruction following modified Hogan's flap

Abdelrahman E Ezzat1, Hanna M El-Shenawy2, Marwa M El-Begermy3

  • 1ENT Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

Acta Otorrinolaringologica Espanola
|April 18, 2016
PubMed

Insights

Low level laser therapy (LLLT) can reduce airway obstruction after pharyngeal flap surgery in children. This study found LLLT improved oxygen saturation and decreased obstructive sleep apnea incidence in the early postoperative period.

Area of Science:

  • Pediatric surgery
  • Otolaryngology
  • Laser therapy

Background:

  • Velopharyngeal insufficiency surgery, specifically superiorly based pharyngeal flap (SBF) operations, commonly leads to postoperative complications like bleeding and airway obstruction.
  • Obstructive sleep apnea (OSA) is a significant concern following SBF surgery.

Purpose of the Study:

  • To evaluate the efficacy of low level laser therapy (LLLT) in mitigating early postoperative airway obstruction.
  • To assess the impact of LLLT on edema, oxygen saturation, OSA incidence, and steroid administration after SBF surgery in children.

Main Methods:

  • A randomized, double-blind clinical study involving 30 pediatric patients undergoing SBF surgery.
  • Patients were divided into two groups: one receiving LLLT and a control group.
  • Data collected included edema degree, oxygen saturation, OSA occurrence, and steroid use over the first three postoperative days.

Main Results:

  • The LLLT group exhibited significantly higher oxygen saturation on postoperative days 1 and 2 compared to the control group.
  • The incidence of OSA and the need for oxygen were significantly lower in the LLLT group within the first three days.
  • While edema showed no significant difference on day 1, it was significantly higher in the control group on days 2 and 3, leading to increased steroid use.

Conclusions:

  • Low level laser therapy demonstrates effectiveness in reducing early postoperative airway obstruction following SBF surgery.
  • LLLT may be a beneficial adjunct therapy to improve recovery and reduce complications in children undergoing pharyngeal flap procedures.
Abstract

Keywords:
Apnea obstructiva del sueñoBiostimulation laserLow level laser therapyLáser bioestimulaciónObstructive sleep apnoeaSuperiores faríngea FlapSuperiorly based (pharyngeal) flapTerapia láser de bajo nivel

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