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Phonosurgery: A review of current methodologies.

Christopher Ulmschneider¹, Jeffrey Baker¹, Ian Vize¹

¹University of Wisconsin Madison School of Medicine and Public Health, United States.

World Journal of Otorhinolaryngology - Head and Neck Surgery

|October 11, 2021

Summary

This review compares cold steel, surgical lasers, phototherapy, and cryotherapy for phonosurgery. It details their mechanisms, tissue effects, and uses, offering a guide to modern voice surgery techniques.

Keywords:

Blue light laser CO2 laser Cold steel Cryotherapy KTP laser LASER Phonosurgery Photodynamic therapy Picosecond infrared laser Surgery Vocal fold

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Area of Science:

Otolaryngology
Phonosurgery
Surgical Technology

Background:

Cold steel instruments have historically been the primary tool for phonosurgery.
Advancements in surgical laser technology have introduced new applications and improved outcomes.
Emerging modalities like photodynamic therapy and cryotherapy offer alternative treatment options.

Purpose of the Study:

To compare cold steel, surgical lasers, phototherapy, and cryotherapy as phonosurgical modalities.
To elucidate the mechanism of action for each treatment modality.
To describe the tissue effects and typical clinical applications of each modality.

Main Methods:

Comparative review of existing literature.
Analysis of phonosurgical techniques and technologies.
Synthesis of data on mechanisms, tissue effects, and uses.

Main Results:

Cold steel offers precise cutting but can cause mechanical trauma.
Surgical lasers provide precise ablation and coagulation with varying tissue effects.
Photodynamic therapy and cryotherapy present non-thermal or minimally invasive approaches.

Conclusions:

Each phonosurgical modality offers distinct advantages and disadvantages.
The choice of modality depends on the specific laryngeal condition and desired outcome.
Understanding these diverse techniques is crucial for optimizing voice surgery.