Lasers In Head And Neck Surgery

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.

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 Otorhinolaryngology is the perfect introduction to this indispensable surgical tool.

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

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.

The first complete, "how to" guide to laser surgery of the head and neck! This comprehensive reference covers all aspects of the use of lasers in facial plastic surgery, from basic science to surgical techniques. Introductory chapters provide complete coverage of different laser systems, laser safety, and laser physics. The majority of the book is devoted to presenting the use of lasers in skin resurfacing, treatment of vascular lesions, hair removal, treatment of pigmented lesions and tattoos, and aesthetic surgery. Throughout, you'll find expert commentary from surgeons at the forefront of the field.

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 Otorhinolaryngology is the perfect introduction to this indispensable surgical tool.

The Nd:YAG laser has finally become the multidisciplinary and muitispeciaity tool of the 1980s. Primarily developed for gastrointestinal applications for controlling bleeding, at present it is also used for endoscopic treatment of gastrointestinal tumors, endobronchial cancer, and bladder and gynecological lesions and finding applications in otorhinolaryngology and neurosurgery. De velopment of laser scalpels and focusing head-pieces has now allowed the Nd:YAG laser to be used for open surgical procedures in general and plastic surgery, head and neck surgery, urology, gynecology, dermatology, and neu rosurgery. The rapid development in ceramic technology has led to contact surgery allowing physicians a choice of excision, vaporization, coagulation, incision, or combinations thereof by easily changing probes rather than having to select new laser wavelengths. This technology is rapidly replacing the carbon dioxide laser which currently has no adequate flexible waveguide for fiberoptic en doscopy, cannot be used in a water medium (e.g., bladder), and has poor coagulation properties when compared to the Nd:YAG laser. Future developments may see the Nd:YAG laser even replacing electro cautery in the operating room due to its greater safety and efficacy. Local hyperthermia (laserthermia) with computer control, photodynamic therapy, and ophthalmic applications make the Nd:YAG laser the most exciting tech nological advancement in medicine and surgery for the 1980s.

The advent in the 1960s of the unique and exciting new form of energy called laser brought to medicine a marvelous tool that could accomplish new treatments of previously untreatable disorders as well as improved treat ment of mundane problems. This brilliant form of light energy is many times more powerful than the energy of the sun yet can be focused microscopically to spot sizes as small as 30 microns. Lasers can be directed into seemingly inaccessible areas by mirrors or fiberoptic cables or can be directly applied into sensitive areas such as the retina without damage to intervening structures. There has been a rapid proliferation in the use of lasers in all surgical specialties. Starting with bold ideas and experiments of "thought leaders" in each specialty, the application of lasers has evolved into commonplace usage. Beginning with the era when laser presentations and publications were an oddity, now nearly all specialty areas have whole sections of meetings or journals devoted exclusively to laser usage. Laser specialty societies within a specialty have developed and residency training programs routinely instruct trainees in laser techniques. Basic science and clinical experimentation has supported laser knowledge. Laser usage has also become international. Newer wavelengths and accessories have added to the armamentarium of laser usage. Despite the rapid growth in laser interest, no single source exists to instruct the many new laser users in proper, safe, and effective use of this new modality.

Biomedical Optics in Otorhinolaryngology: Head and Neck Surgery gives an overview of current technology in biomedical optics relevant to the field of Otorhinolaryngology and head and neck surgery. It provides a comprehensive source of knowledge for researchers and active clinicians seeking information on the principles and practical use of novel diagnostic and therapeutic technology. While most books focus exclusively on laser surgery, which has been largely unchanged for the past 15 years, optical diagnostics and head and neck PDT (photodynamic therapy) are usually entirely overlooked. This book contains a basic introduction into the physics of light and its propagation, lasers and low-coherent light sources, and photon-tissue interaction in relation to therapeutic and diagnostic use. The principles of various imaging techniques are also discussed ( i.e. optical coherence tomography in its variations), as well as the principles and practice of lasers for surgical use on the therapeutic side.