A comparative study of complications in transoral CO2 and Nd:YAG laser surgery for glottic carcinoma.
- Author:
Yun-jun GAO
1
;
Shui-fang XIAO
;
Quan-gui WANG
;
Yong QIN
;
En-min ZHAO
;
Hong SHEN
;
Tian-cheng LI
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Aged, 80 and over; Female; Glottis; Humans; Laryngeal Neoplasms; surgery; Laser Therapy; methods; Lasers, Gas; Lasers, Solid-State; Male; Middle Aged; Retrospective Studies; Young Adult
- From: Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2011;46(8):658-663
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo compare the complications in transoral CO2 and Nd:YAG laser surgery for the treatment of laryngeal carcinoma.
METHODSRetrospective analysis of 83 cases of glottic laryngeal carcinoma treated with laser surgery from January 1, 1999 to December 31, 2008 was carried out. Thirty-two cases were treated with the CO2 laser, including Tis (2 cases), T1N0M0 (21 cases), T2N0M0 (8 cases), and T3N0M0 (1 case). Fifty-one cases were treated with the Nd:YAG laser, including Tis (3 cases), T1N0M0 (36 cases), T1N2M0 (3 cases), and T2N0M0 (9 cases).
RESULTSFour complications (12.5%) occurred in the CO2 laser group. There was 1 local infection (3.1%), 1 numbness of the tongue (3.1%), 1 odontoseisis (3.1%), and 1 subcutaneous emphysema (3.1%). Twenty-seven complications (52.9%) occurred in 19 patients in the Nd:YAG laser group. There were postoperative bleeding 2 (3.9%), dyspnea 5 (9.8%), local infection 7 (13.7%), aspiration pneumonia 4 (7.8%), numbness of the tongue 2(3.9%), pharyngeal cutaneous fistula 1 (2.0%), vocal cord fixation 4 (7.8%), and laryngostenosis 2 (3.9%).
CONCLUSIONMore complications were observed in the patients with Nd:YAG laser surgery when compared to the patients with CO2 laser surgery.
