Laser surgery is surgery that uses a beam of laser light, rather than other instruments, to cut, dissect, remove, and so forth. The beam of light has advantages over other cutting instruments, such as scalpel or scissors.
First, at the same time that it cuts, it tends to seal off tiny blood vessels and reduce bleeding. Second, it may be especially useful in endoscopic surgery, where there is not a lot of room for instruments. Third, it is very precise. Both the microspot carbon dioxide laser and the RevoLix laser used at our practice have minimum spot sizes of about 1/5 of a millimeter.
Laser Surgery for Bilateral Vocal Cord Cancer
Laser Removal of Vocal Cord Cancer with Bilateral Disease
For treatment of early vocal cord cancer, both laser excision and radiotherapy are in competition as good treatment modalities. See also Early Vocal Cord Cancer: Remove with a Laser, or Radiate? Often, radiation is used when disease is bilateral, in the interest of preserving voice. This is an example of the ability to do fairly extensive laser surgery bilaterally, yet preserving good voice. This man had a friend who had severe difficulty with radiation, and he was therefore opposed to that option.
Hemorrhagic Polyp, Treated By Thulium Laser
Capillary Ectasia, Before and After Laser Coagulation
Lidocaine Injection for Aggressive “Office” Laser Treatments
Perfect Candidate for Thulium Laser
Leukoplakia Battled Over Time
Leukoplakia, Before, During, and After Laser Coagulation
Mid-Tracheal Papilloma, Treated By Thulium Laser
Capillary Ectasia and Hemorrhagic Polyp, Treated by Thulium Laser
Thulium Laser Surgery, With Local Anesthetic Injection, to Treat Leukoplakia
Tracheal Papillomas and the Thulium Laser
Office-Based Surgery When General Anesthesia Is too Risky
Office Coagulation of Laryngeal Papillomas
This man has had RRP (laryngeal papillomas) for many years. He has had laser ablations both in the O.R. under general anesthesia, and in an “office” laser room.
This video is an operative sequence in the latter setting. He is sitting in a chair and tolerating this procedure with the assistance of topical anesthesia and bilateral superior laryngeal nerve blocks, after which he can even drive himself home. In addition to thulium laser coagulation of the papillomas, this video also illustrates how patient movement and obscuring secretions must be managed.
This patient is sitting in a chair under topical anesthesia. He is able to minimize movement of his vocal cords, and is therefore a “perfect” candidate for office-based thulium laser ablation of residual laryngeal papilloma