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  • Title: Clinical applications of the holmium:YAG laser in disorders of the paediatric airway.
    Author: Fong M, Clarke K, Cron C.
    Journal: J Otolaryngol; 1999 Dec; 28(6):337-43. PubMed ID: 10604163.
    Abstract:
    OBJECTIVE: The aim of this study was to review the role of the holmium:YAG laser in the management of paediatric airway disorders. METHOD: Twenty-six paediatric patients underwent 42 airway procedures between June 1993 and August 1996 in a tertiary care centre. A case series design was used. OUTCOME MEASURES: Safety, precision, hemostasis, bone-cutting properties, and accessibility of the lesion to the equipment were compared to standard therapies. Postoperative outcomes were then compared to standard therapies. RESULTS: Eight patients underwent correction of choanal atresia or revision, 10 patients underwent functional endoscopic sinus surgery, 3 underwent excision of tracheal granuloma, 2 underwent excision of tracheal web or revisions, 1 underwent excision of subglottic stenosis and bronchial stenosis, 1 underwent excision hemangioma of the tongue, and 1 underwent excision papilloma of the oral cavity. One patient in 42 procedures suffered a surgical complication. Our early success rates are comparable to other series using the carbon dioxide laser or cold instruments. CONCLUSION: The holmium:YAG laser is a safe, effective tool in the treatment of paediatric airway disorders and offers the advantage of a flexible fibre-optic system, good hemostasis, and better bone-cutting characteristics compared to the carbon dioxide laser, which is in widespread clinical use.
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