Laser treatment of hemangiomas of the larynx and trachea

Background and Objective Hemangiomas have a typical clinical course and may lead to life‐threatening obstruction if the central respiratory tract is involved. Study Design/Patients and Methods This was observed in 32 children over a period of 20 years. The radiation parameters and application proced...

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Bibliographic Details
Published in:Lasers in surgery and medicine 1998, Vol.23 (4), p.221-232
Main Authors: Cholewa, Dietmar, Waldschmidt, Jürgen
Format: Article
Language:English
Subjects:
064 nm
Biological and medical sciences
Bronchoscopy
central respiratory tract
Diseases of the respiratory system
endoscopic laser application technique
Female
Follow-Up Studies
Hemangioma, Capillary - classification
Hemangioma, Capillary - surgery
Hemangioma, Cavernous - classification
Hemangioma, Cavernous - surgery
Humans
Infant
Infant, Newborn
infantile hemangiomas
Laryngeal Neoplasms - classification
Laryngeal Neoplasms - surgery
Laryngoscopy
Laser Therapy - instrumentation
Laser Therapy - methods
Laser Therapy - statistics & numerical data
Male
Medical sciences
Nd:YAG-laser
Nd:YAG‐laser (1,064 nm)
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Tracheal Neoplasms - classification
Tracheal Neoplasms - surgery
Treatment Outcome
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Description
Summary:Background and Objective Hemangiomas have a typical clinical course and may lead to life‐threatening obstruction if the central respiratory tract is involved. Study Design/Patients and Methods This was observed in 32 children over a period of 20 years. The radiation parameters and application procedure of Neodymium:Yttrium‐Aluminum‐Garnet‐laser (Nd:YAG‐laser) therapy were adjusted for the degree of obstruction and the type of disease. Results The success rate was 93.8%, of which a maximum of one application was sufficient in 24 children (75.0%). Subglottic cicatricial stenosis was considered a laser‐related complication. Conclusion Nd:YAG‐laser treatment is a safe and effective therapeutic measure for eliminating respiratory tract obstruction caused by hemangiomas. Lasers Surg. Med. 23:221–232, 1998. © 1998 Wiley‐Liss, Inc.
ISSN:0196-8092
1096-9101
DOI:10.1002/(SICI)1096-9101(1998)23:4<221::AID-LSM5>3.0.CO;2-A