Blue Laser Surgery In Laryngology

This book reviews the emerging role of blue laser as a new treatment modality. Laser surgery has revolutionized the treatment of patients with voice disorders. The choice of laser is based primarily on the characteristics of the laser such as wavelength, mode of delivery and spot size, and on the type of pathology that is being treated. Recently, a new laser with hybrid characteristics, namely cutting and hemostatic, has been introduced as the new generation of photoangiolytic lasers. This new laser—the blue laser with a wavelength of 445 nm—is gaining popularity as an alternative to the traditional KTP laser. The book begins with a review of lasers in laryngology, which is followed by a discussion of anesthesia considerations in office-based and OR-based laryngeal surgery. Subsequent chapters detail the surgical steps needed to be able to perform office-based blue laser procedures safely, including the mode of application and the use of adjunctive surgical procedures. These chapters present colored illustrations of various cases of laryngeal pathology before and after treatment. Video-recordings of surgeries performed in-office and in the operating room using the blue laser are included. Finally, the authors cover rare applications of blue laser therapy in laryngology. This is an ideal guide for otolaryngologists and laryngologists, as well as speech-language pathologists, phoniatricians and other voice therapists and trainers.

This atlas provides more than 400 images and video-recordings that describe in detail the step-by-step of the surgical techniques in-office blue laser surgery for benign and pre-malignant diseases of the larynx. It is the first atlas that compiles such a large number of cases, more than 50, and displays pre, intra, and post-operative images. The last two decades witnessed marked advances in technology including the development of the flexible endoscope with a working channel as well as the glass fibers for delivery of lasers. These advances often spared the patient the risk of general anesthesia and the morbidities of suspension microlaryngoscopy. The evolution in laryngology practice toward office-based surgery has broadened the use of the blue laser in the office with relatively good patient tolerance and surgical outcomes. Atlas of Office-based Blue Laser Therapy in Laryngology is very educational to voice care providers who seek office-based therapy for their patients such as otolaryngologists, laryngologists, speech-language pathologists, phoniatrists, and other voice therapists. Otolaryngologists can use the pictures and videos provided in this atlas to enrich their surgical technique and to build more experience in using this new type of laser that remains in its embryonic phase.

Foreword In this era's informational paradigm, while pondering the considerations to be penned in this foreword, the relevance of a text such as this emerged progressively as the focal point. After all, for years, one established source for accessing large amounts of valuable information had been the Encyclopaedia Britannica, a printed tome, which is no longer relevant. Instant access to the latest scientific information is freely available to all with an internet. So, what can this text provide that cannot be readily accessed? In contemplating given topics, the Editors, as most certainly occurred in this publication, chose clinical authorities to author chapters in their areas of expertise. The experienced clinician often finds such a forum a unique opportunity to reflect on years of knowledge acquisition and then render an insightful discourse on the lineage of his/her current understanding of the topic. On the other side of the coin, the reader instantly acquires a knowledge base, which was validated with an exhaustive literature search and gains the senior authors' perspective of it. A less experienced author will benefit from thoroughly reviewing the currently available science and technology and moreover, gain experience in scientific writing. In the latter scenario the senior author is at once mentor and expert. Under ordinary circumstances, from the concept outline submission to a publisher, the time line to completion of the text is approximately one and a half to two years. Recruiting and assigning authors, awaiting late manuscript submissions and editing are unquestionably time consuming. Yet a passionate, dedicated Editor will take seemingly varied submissions and script them into a worthy finished product. Such was the case with this publication. The end result is a superbly structured text covering most of the concepts relating to the topic in a format that is both logical and intuitive. At the risk of some redundancy, I share with you my thoughts on some of the significant number of new additions and improvements made to this second edition. The chapter on risk management is a welcome contribution. The rationale for the shift in the current decision tree for laryngeal cancer as it relates to macro versus micro margins, improvements in voice quality and the choice of initial therapeutic considerations are appropriately vetted. The rethinking of HPV associated malignancies is a new and most important addition. Zeitels' presentation of angiolytic lasers for benign and malignant pathology is state of the art. I particularly enjoyed reading about lasers and the association with tropical diseases. The chapters on robotic surgery, non-invasive cartilage reshaping and photo-diagnostics puts the latest technical innovation in our discipline into perspective. The excellent illustrations and photographs are a bonus. There are other areas that could be mentioned e.g. paediatrics, however, the aforementioned has more than adequately established the tenor of the text. n their quest to provide a one-stop knowledge base of a reference quality, it is inescapable that the size of the final proof would surpass the typical numbers of between four and five hundred pages for the hard bound volume. Tightening the text by removing some peripheral material would deprive the book its very objective of a reference quality publication. The obvious solution was to present the work in a set of two volumes, and the editors and the publishers have to be congratulated in achieving this seamlessly. The natural anatomical split provides the reader with a convenience of picking up the volume of relevance for the task at hand. An unusual feature is the inclusion of MCQs after each chapter, to serve as a test for recall of knowledge, the result of which can be assessed simply by going back to the chapter! The Editors and the publishers have exploited the now ubiquitous electronic media network to their advantage. Operating on various platforms a dedicated website will complement the book with updates, operative videos, and means of communication to share the knowledge globally. It was the focus of this brief foreword to explore the relevance of this text in the current informational climate. It provides the essential foundation for informed thought on this topic. Agree or disagree with the information contained within, the reader has acquired the knowledge to be able to do such. With this text you will be rewarded for sitting in your most comfortable chair, thumbing through the pages and sensing the new print. Immediately understood will be the time and effort it took to complete a text of this calibre. Read the chapters first that initially appeal to you and then without question you will read the remainder. This book should be in the library of any serious student of the subject. I feel privileged to have been asked to write the foreword. Marshall Strome

Lasers were first used for surgery of the larynx in the 1970s. In the meantime, the use of laser technology has found applications in many other areas of head and neck surgery. This work represents a state-of-the-art update on the use of lasers in otology; rhinology; diseases of the oral cavity and oropharynx; for benign lesions of the larynx, hypopharynx and trachea; for malignant leasions of the aerodigestive tract; and in dermatology (including interstitial therapy). The book is rounded off by an excellent chapter on lasers in ear and hearing research. Lasers in Oto-Rhino-Laryngology is the perfect introduction to this indispensable surgical tool.

Here's a comprehensive text that discusses the role of lasers in all of ENT--surgery, including anesthesia, otologic, rhinologic, oral, tracheal, facial, and complications. Discusses laser surgery for benign laryngeal lesions, multiple respiratory papillomatosis, laser arytenoidectomy, laryngeal cancer, endoscopic esophageal laser therapy, laser bronchoscopy, and more. Also includes a section on the future of laser surgery.

For otolaryngologists, voice therapists, students, and vocalists, provides an understanding of voice production and laser microsurgery, accompanied by color photographs and figures. Following a chapter on the laser concept and its development, Chapter 2 addresses the anatomy of the larynx, vocal cord vibration, and physiology. The following chapter describes anesthesia and the laryngoscopic technique for surgery. Chapter 4 offers 350 photographs with 40 precise pathological conditions and their pre-, per-, and postoperative states. The final chapter offers readers the benefit of the author's 15 years of experience and more than 5,000 cases of laser phonosurgery. Annotation copyright by Book News, Inc., Portland, OR

Information on office-based procedures in laryngology provides Otolaryngologists and other surgeons information on Patient selection, Topicals and anesthesia, Surgical approaches and techniques, and Risks and complications. Each procedure discussed provides key points and technique summaries. Topics include: Anesthesia for office procedures including the role of monitoring, Stroboscopy and other diagnostic tools including high speed larygoscopy, Transnasal esophagoscopy including biopsy, dilation, Bravo, TEP, etc, FEES and FEESST, Office-based laryngeal injections, and Office based procedures that includes biopsy and laser therapy.

This comprehensive volume covers all the subspecialities of laryngology, from phonosurgery to cancer. Each surgical procedure is explained and well illustrated in a step-by-step manner. In addition, coverage evaluates different surgical methods such as endoscopic versus open surgery and the use of cold instrument versus laser so that the reader receives guidance for the use of these complimentary methods.