Scanning Super/Ultrapulsed CO₂ Laser Efficacy in Laryngeal Malignant Lesions

Introduction: The authors review their experience in transoral laryngeal microsurgery (TLM) that they performed with two different CO₂ laser devices from the same company, which were both equipped with a micromanipulator and digital scanner. Material and Methods: A total of 91 glottic and glotto-supraglottic cancers were treated during the years 2009-2016 and then analyzed in relation to the laser performances and the long-term oncologic results. Results: Laser devices proved to be very efficient and the UP mode was confirmed to be the best in terms of cutting precision and lowest thermal damage. Conclusions: CO₂ laser TLM is the preferred option for the majority of small-medium size glottic and supraglottic cancers and may also be used for bigger tumors, especially in older patients.