Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Laser versus cold instruments for microlaryngoscopic surgery

S M Zeitels1

  • 1Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, MA 02114, USA.

The Laryngoscope
|May 1, 1996
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Vocal fold submucosal infusion technique in phonomicrosurgery.

Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India·2012
Same author

Submucosal neoplasms of the laryngeal introitus.

The Journal of laryngology and otology·2012
Same author

Value and utility of 532 nanometre pulsed potassium-titanyl-phosphate laser in endoscopic laryngeal surgery.

The Journal of laryngology and otology·2009
Same author

Phonosurgical reconstruction of early glottic cancer.

The Laryngoscope·2002
Same author

Tonsillectomy and adenoidectomy in singers.

Journal of voice : official journal of the Voice Foundation·2002
Same author

Stroboscopic assessment of vocal fold keratosis and glottic cancer.

The Annals of otology, rhinology, and laryngology·2001
Same journal

Association Between the Modified Frailty Index and Short-Term Total Thyroidectomy Complications.

The Laryngoscope·2026
Same journal

Discrimination of Pairs of Chemosensory Stimuli in Relation to Respiration.

The Laryngoscope·2026
Same journal

What Safety Precautions Are Recommended When Lasering in the Airway?

The Laryngoscope·2026
Same journal

Success of Anterior Ethmoidal Artery Flaps for Nasal Septal Perforation Repair: A Systematic Review.

The Laryngoscope·2026
Same journal

Laryngeal IgG4-Related Disease: A Systematic Review of Clinical Features and Management.

The Laryngoscope·2026
Same journal

Elevated BMI Is Not Associated With Adverse Outcomes in Open Airway Reconstruction.

The Laryngoscope·2026
See all related articles

The CO2 laser is effective for supraglottal lesions and some glottal lesions, while cold instruments best preserve vocal fold microstructure for limited glottal conditions.

Area of Science:

  • Otolaryngology
  • Microlaryngeal Surgery
  • Laser Surgery

Background:

  • Debate exists regarding CO2 laser use in microlaryngeal surgery due to potential voice production harm.
  • Instrument selection for microlaryngeal procedures requires careful consideration of lesion type and location.

Purpose of the Study:

  • To evaluate the efficacy of cold instruments versus CO2 laser in microlaryngeal surgery for various lesions.
  • To establish a logical approach for selecting surgical instruments based on procedural outcomes.

Main Methods:

  • Retrospective review of 307 microlaryngeal procedures over 3 years.
  • Procedures stratified by lesion location (glottal vs. supraglottal), pathology, size, and surgical approach.
  • Analysis of instrument use: cold instruments alone vs. CO2 laser with cold instruments.

Related Experiment Videos

Main Results:

  • 66% of procedures used cold instruments alone; 34% involved the CO2 laser.
  • Cold instruments were preferred for limited glottal lesions to preserve vocal fold microstructure.
  • CO2 laser facilitated hemostasis for supraglottal lesions and selected larger glottal lesions.

Conclusions:

  • Cold instruments are optimal for preserving vocal fold microstructure in limited glottal lesions.
  • The CO2 laser is valuable for supraglottal lesions and complex glottal cases requiring hemostasis.
  • A tailored approach to instrument selection optimizes outcomes in microlaryngeal surgery.