Laser assisted phonomicrosurgery for premalignant lesions of the larynx
- VernacularTitle:激光治疗喉癌前病变
- Author:
Qiuping LU
;
Jingwu SUN
;
Yanming HU
;
Yinfeng WANG
;
Guanglun WAN
;
Rui FANG
- Publication Type:Journal Article
- Keywords:
Microsurgery;
Laryngeal Diseases;
Vocal Cord;
Precancerous Condition
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2006;0(12):-
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To find a way of reserving high quality phonation function after phonomicrosurgery for premalignant lesions of the larynx.METHODS There were 77 cases with leukoplakia or atypical hyperplasia of the vocal cord included in this study.They were all treated with phonomicrosurgical techniques as mucosal epithelium ablation or mucosal stripping by using CO_2 laser.Ten patients with laryngeal papilloma were excised by CO_2 laser.RESULTS Twenty three patients with leukoplakia or mild atypical hyperplasia of the vocal cord achieved a normal phonation within 2 months.The 44 patients with moderate and advanced hyperplasia need 3～5 months to recover the normal phonation.Phonation recovery of the 10 patients with laryngeal papilloma treated with CO_2 laser was better than patients treated with transcervical approach.CONCLUSION The CO_2 laser assisted phonomicrosurgery is a reliable method for management the premalignant lesions of the larynx, which not only can remove the lesions and also can restore good voice function.
