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Endoscopic CO2 Laser Resection Using the Inversion Technique in 22 Combined Laryngoceles
Derrek A Heuveling1, Hans F Mahieu1,2
1Dept. of Otolaryngology, Meander Medical Center, Amersfoort, The Netherlands.
The Laryngoscope
|April 5, 2023
Summary
Transoral endoscopic CO2 laser resection using the inversion technique effectively treats combined laryngoceles, even large ones. This method offers a low recurrence rate and short hospital stays.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Laser Surgery
Background:
- Combined laryngoceles are rare air sacs in the larynx.
- Surgical management can be challenging, especially for large or combined types.
Purpose of the Study:
- To assess the feasibility and efficacy of transoral endoscopic CO2 laser resection with the inversion technique for combined laryngoceles.
- To evaluate outcomes including complications, recurrence rates, and hospital stay.
Main Methods:
- Retrospective study of 20 patients with 22 combined laryngoceles over 25 years.
- All patients underwent CO2 laser inversion technique resection.
- Pre- and postoperative CT or MRI imaging was utilized.
Main Results:
- No intraoperative complications occurred.
- Postoperative complications included one hemorrhage and one granuloma.
- The recurrence rate was 9.1% (2/22), with one requiring reoperation.
- Most patients (15/20) were discharged the day after surgery.
Conclusions:
- CO2 laser inversion technique provides excellent control of combined laryngoceles.
- The procedure is associated with a short hospital stay and low complication/recurrence rates.
- This technique is a viable option for managing even large combined laryngoceles.
