Comparison of Microdissection Microlaryngeal Surgery with Carbon Dioxide Laser in Management of Benign and Premalignant Lesions of Larynx
Introduction Dysphonia is caused by voice misuse and various environmental factors. It is manifested as varied pathological lesions of the vocal cords. Surgical excision of these lesions is mainly by conventional cold steel or laser assisted microsurgical techniques. Both modalities have seen ext...
Ausführliche Beschreibung
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Rachana Prasad [verfasserIn] Ajay Mallick [verfasserIn] |
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2018 |
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In: Bengal Journal of Otolaryngology and Head Neck Surgery - The Association of Otolaryngologists of India, West Bengal, 2016, 26(2018), 3, Seite 190-196 |
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Übergeordnetes Werk: |
volume:26 ; year:2018 ; number:3 ; pages:190-196 |
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DOAJ056505493 |
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520 | |a Introduction Dysphonia is caused by voice misuse and various environmental factors. It is manifested as varied pathological lesions of the vocal cords. Surgical excision of these lesions is mainly by conventional cold steel or laser assisted microsurgical techniques. Both modalities have seen extensive advancements and refinement in technologies in the recent past. In this study we have compared the microdissection microlaryngeal treatment and microspot superpulsed beam carbon dioxide (CO2) laser assisted surgical techniques for the management of benign and precancerous lesions of the vocal cords. Material and Methods A total of 36 cases of benign lesions of vocal cord, were divided randomly to undergo surgery either by microdissection or CO2 laser assisted techniques. The groups were assessed through vocal cord morphological observation and subjective voice assessment parameters GRBAS score and VHI10 index. Results Peroperative bleeding was observed to be significantly reduced in the laser excision group. However, operating time was significantly increased in this group. Patients recovered remarkably well following both the techniques as denoted by voice parameters. No difference was observed in duration of hospital stay. Conclusion Both surgical techniques give satisfactory results in their management of benign and precancerous lesions of the vocal cords. Both techniques have their advantages and disadvantages. After a learning curve, laser surgery with its precision and cleaner surgical fields will be more effective in the management of such cases. | ||
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(DE-627)DOAJ056505493 (DE-599)DOAJ62a43df3c10b4b84a6f8f686af36553b DE-627 ger DE-627 rakwb eng RF1-547 Rachana Prasad verfasserin aut Comparison of Microdissection Microlaryngeal Surgery with Carbon Dioxide Laser in Management of Benign and Premalignant Lesions of Larynx 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction Dysphonia is caused by voice misuse and various environmental factors. It is manifested as varied pathological lesions of the vocal cords. Surgical excision of these lesions is mainly by conventional cold steel or laser assisted microsurgical techniques. Both modalities have seen extensive advancements and refinement in technologies in the recent past. In this study we have compared the microdissection microlaryngeal treatment and microspot superpulsed beam carbon dioxide (CO2) laser assisted surgical techniques for the management of benign and precancerous lesions of the vocal cords. Material and Methods A total of 36 cases of benign lesions of vocal cord, were divided randomly to undergo surgery either by microdissection or CO2 laser assisted techniques. The groups were assessed through vocal cord morphological observation and subjective voice assessment parameters GRBAS score and VHI10 index. Results Peroperative bleeding was observed to be significantly reduced in the laser excision group. However, operating time was significantly increased in this group. Patients recovered remarkably well following both the techniques as denoted by voice parameters. No difference was observed in duration of hospital stay. Conclusion Both surgical techniques give satisfactory results in their management of benign and precancerous lesions of the vocal cords. Both techniques have their advantages and disadvantages. After a learning curve, laser surgery with its precision and cleaner surgical fields will be more effective in the management of such cases. Lasers Microdissection Vocal Cords Medicine R Otorhinolaryngology Ajay Mallick verfasserin aut In Bengal Journal of Otolaryngology and Head Neck Surgery The Association of Otolaryngologists of India, West Bengal, 2016 26(2018), 3, Seite 190-196 (DE-627)823092836 (DE-600)2818459-2 23952407 nnns volume:26 year:2018 number:3 pages:190-196 https://doaj.org/article/62a43df3c10b4b84a6f8f686af36553b kostenfrei https://bjohns.in/journal/index.php/bjohns/article/view/400 kostenfrei https://doaj.org/toc/2395-2407 Journal toc kostenfrei https://doaj.org/toc/2395-2407 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 26 2018 3 190-196 |
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(DE-627)DOAJ056505493 (DE-599)DOAJ62a43df3c10b4b84a6f8f686af36553b DE-627 ger DE-627 rakwb eng RF1-547 Rachana Prasad verfasserin aut Comparison of Microdissection Microlaryngeal Surgery with Carbon Dioxide Laser in Management of Benign and Premalignant Lesions of Larynx 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction Dysphonia is caused by voice misuse and various environmental factors. It is manifested as varied pathological lesions of the vocal cords. Surgical excision of these lesions is mainly by conventional cold steel or laser assisted microsurgical techniques. Both modalities have seen extensive advancements and refinement in technologies in the recent past. In this study we have compared the microdissection microlaryngeal treatment and microspot superpulsed beam carbon dioxide (CO2) laser assisted surgical techniques for the management of benign and precancerous lesions of the vocal cords. Material and Methods A total of 36 cases of benign lesions of vocal cord, were divided randomly to undergo surgery either by microdissection or CO2 laser assisted techniques. The groups were assessed through vocal cord morphological observation and subjective voice assessment parameters GRBAS score and VHI10 index. Results Peroperative bleeding was observed to be significantly reduced in the laser excision group. However, operating time was significantly increased in this group. Patients recovered remarkably well following both the techniques as denoted by voice parameters. No difference was observed in duration of hospital stay. Conclusion Both surgical techniques give satisfactory results in their management of benign and precancerous lesions of the vocal cords. Both techniques have their advantages and disadvantages. After a learning curve, laser surgery with its precision and cleaner surgical fields will be more effective in the management of such cases. Lasers Microdissection Vocal Cords Medicine R Otorhinolaryngology Ajay Mallick verfasserin aut In Bengal Journal of Otolaryngology and Head Neck Surgery The Association of Otolaryngologists of India, West Bengal, 2016 26(2018), 3, Seite 190-196 (DE-627)823092836 (DE-600)2818459-2 23952407 nnns volume:26 year:2018 number:3 pages:190-196 https://doaj.org/article/62a43df3c10b4b84a6f8f686af36553b kostenfrei https://bjohns.in/journal/index.php/bjohns/article/view/400 kostenfrei https://doaj.org/toc/2395-2407 Journal toc kostenfrei https://doaj.org/toc/2395-2407 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 26 2018 3 190-196 |
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(DE-627)DOAJ056505493 (DE-599)DOAJ62a43df3c10b4b84a6f8f686af36553b DE-627 ger DE-627 rakwb eng RF1-547 Rachana Prasad verfasserin aut Comparison of Microdissection Microlaryngeal Surgery with Carbon Dioxide Laser in Management of Benign and Premalignant Lesions of Larynx 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction Dysphonia is caused by voice misuse and various environmental factors. It is manifested as varied pathological lesions of the vocal cords. Surgical excision of these lesions is mainly by conventional cold steel or laser assisted microsurgical techniques. Both modalities have seen extensive advancements and refinement in technologies in the recent past. In this study we have compared the microdissection microlaryngeal treatment and microspot superpulsed beam carbon dioxide (CO2) laser assisted surgical techniques for the management of benign and precancerous lesions of the vocal cords. Material and Methods A total of 36 cases of benign lesions of vocal cord, were divided randomly to undergo surgery either by microdissection or CO2 laser assisted techniques. The groups were assessed through vocal cord morphological observation and subjective voice assessment parameters GRBAS score and VHI10 index. Results Peroperative bleeding was observed to be significantly reduced in the laser excision group. However, operating time was significantly increased in this group. Patients recovered remarkably well following both the techniques as denoted by voice parameters. No difference was observed in duration of hospital stay. Conclusion Both surgical techniques give satisfactory results in their management of benign and precancerous lesions of the vocal cords. Both techniques have their advantages and disadvantages. After a learning curve, laser surgery with its precision and cleaner surgical fields will be more effective in the management of such cases. Lasers Microdissection Vocal Cords Medicine R Otorhinolaryngology Ajay Mallick verfasserin aut In Bengal Journal of Otolaryngology and Head Neck Surgery The Association of Otolaryngologists of India, West Bengal, 2016 26(2018), 3, Seite 190-196 (DE-627)823092836 (DE-600)2818459-2 23952407 nnns volume:26 year:2018 number:3 pages:190-196 https://doaj.org/article/62a43df3c10b4b84a6f8f686af36553b kostenfrei https://bjohns.in/journal/index.php/bjohns/article/view/400 kostenfrei https://doaj.org/toc/2395-2407 Journal toc kostenfrei https://doaj.org/toc/2395-2407 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 26 2018 3 190-196 |
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(DE-627)DOAJ056505493 (DE-599)DOAJ62a43df3c10b4b84a6f8f686af36553b DE-627 ger DE-627 rakwb eng RF1-547 Rachana Prasad verfasserin aut Comparison of Microdissection Microlaryngeal Surgery with Carbon Dioxide Laser in Management of Benign and Premalignant Lesions of Larynx 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction Dysphonia is caused by voice misuse and various environmental factors. It is manifested as varied pathological lesions of the vocal cords. Surgical excision of these lesions is mainly by conventional cold steel or laser assisted microsurgical techniques. Both modalities have seen extensive advancements and refinement in technologies in the recent past. In this study we have compared the microdissection microlaryngeal treatment and microspot superpulsed beam carbon dioxide (CO2) laser assisted surgical techniques for the management of benign and precancerous lesions of the vocal cords. Material and Methods A total of 36 cases of benign lesions of vocal cord, were divided randomly to undergo surgery either by microdissection or CO2 laser assisted techniques. The groups were assessed through vocal cord morphological observation and subjective voice assessment parameters GRBAS score and VHI10 index. Results Peroperative bleeding was observed to be significantly reduced in the laser excision group. However, operating time was significantly increased in this group. Patients recovered remarkably well following both the techniques as denoted by voice parameters. No difference was observed in duration of hospital stay. Conclusion Both surgical techniques give satisfactory results in their management of benign and precancerous lesions of the vocal cords. Both techniques have their advantages and disadvantages. After a learning curve, laser surgery with its precision and cleaner surgical fields will be more effective in the management of such cases. Lasers Microdissection Vocal Cords Medicine R Otorhinolaryngology Ajay Mallick verfasserin aut In Bengal Journal of Otolaryngology and Head Neck Surgery The Association of Otolaryngologists of India, West Bengal, 2016 26(2018), 3, Seite 190-196 (DE-627)823092836 (DE-600)2818459-2 23952407 nnns volume:26 year:2018 number:3 pages:190-196 https://doaj.org/article/62a43df3c10b4b84a6f8f686af36553b kostenfrei https://bjohns.in/journal/index.php/bjohns/article/view/400 kostenfrei https://doaj.org/toc/2395-2407 Journal toc kostenfrei https://doaj.org/toc/2395-2407 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 26 2018 3 190-196 |
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(DE-627)DOAJ056505493 (DE-599)DOAJ62a43df3c10b4b84a6f8f686af36553b DE-627 ger DE-627 rakwb eng RF1-547 Rachana Prasad verfasserin aut Comparison of Microdissection Microlaryngeal Surgery with Carbon Dioxide Laser in Management of Benign and Premalignant Lesions of Larynx 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction Dysphonia is caused by voice misuse and various environmental factors. It is manifested as varied pathological lesions of the vocal cords. Surgical excision of these lesions is mainly by conventional cold steel or laser assisted microsurgical techniques. Both modalities have seen extensive advancements and refinement in technologies in the recent past. In this study we have compared the microdissection microlaryngeal treatment and microspot superpulsed beam carbon dioxide (CO2) laser assisted surgical techniques for the management of benign and precancerous lesions of the vocal cords. Material and Methods A total of 36 cases of benign lesions of vocal cord, were divided randomly to undergo surgery either by microdissection or CO2 laser assisted techniques. The groups were assessed through vocal cord morphological observation and subjective voice assessment parameters GRBAS score and VHI10 index. Results Peroperative bleeding was observed to be significantly reduced in the laser excision group. However, operating time was significantly increased in this group. Patients recovered remarkably well following both the techniques as denoted by voice parameters. No difference was observed in duration of hospital stay. Conclusion Both surgical techniques give satisfactory results in their management of benign and precancerous lesions of the vocal cords. Both techniques have their advantages and disadvantages. After a learning curve, laser surgery with its precision and cleaner surgical fields will be more effective in the management of such cases. Lasers Microdissection Vocal Cords Medicine R Otorhinolaryngology Ajay Mallick verfasserin aut In Bengal Journal of Otolaryngology and Head Neck Surgery The Association of Otolaryngologists of India, West Bengal, 2016 26(2018), 3, Seite 190-196 (DE-627)823092836 (DE-600)2818459-2 23952407 nnns volume:26 year:2018 number:3 pages:190-196 https://doaj.org/article/62a43df3c10b4b84a6f8f686af36553b kostenfrei https://bjohns.in/journal/index.php/bjohns/article/view/400 kostenfrei https://doaj.org/toc/2395-2407 Journal toc kostenfrei https://doaj.org/toc/2395-2407 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 26 2018 3 190-196 |
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It is manifested as varied pathological lesions of the vocal cords. Surgical excision of these lesions is mainly by conventional cold steel or laser assisted microsurgical techniques. Both modalities have seen extensive advancements and refinement in technologies in the recent past. In this study we have compared the microdissection microlaryngeal treatment and microspot superpulsed beam carbon dioxide (CO2) laser assisted surgical techniques for the management of benign and precancerous lesions of the vocal cords. Material and Methods A total of 36 cases of benign lesions of vocal cord, were divided randomly to undergo surgery either by microdissection or CO2 laser assisted techniques. The groups were assessed through vocal cord morphological observation and subjective voice assessment parameters GRBAS score and VHI10 index. Results Peroperative bleeding was observed to be significantly reduced in the laser excision group. However, operating time was significantly increased in this group. Patients recovered remarkably well following both the techniques as denoted by voice parameters. No difference was observed in duration of hospital stay. Conclusion Both surgical techniques give satisfactory results in their management of benign and precancerous lesions of the vocal cords. Both techniques have their advantages and disadvantages. 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Comparison of Microdissection Microlaryngeal Surgery with Carbon Dioxide Laser in Management of Benign and Premalignant Lesions of Larynx |
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Comparison of Microdissection Microlaryngeal Surgery with Carbon Dioxide Laser in Management of Benign and Premalignant Lesions of Larynx |
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Introduction Dysphonia is caused by voice misuse and various environmental factors. It is manifested as varied pathological lesions of the vocal cords. Surgical excision of these lesions is mainly by conventional cold steel or laser assisted microsurgical techniques. Both modalities have seen extensive advancements and refinement in technologies in the recent past. In this study we have compared the microdissection microlaryngeal treatment and microspot superpulsed beam carbon dioxide (CO2) laser assisted surgical techniques for the management of benign and precancerous lesions of the vocal cords. Material and Methods A total of 36 cases of benign lesions of vocal cord, were divided randomly to undergo surgery either by microdissection or CO2 laser assisted techniques. The groups were assessed through vocal cord morphological observation and subjective voice assessment parameters GRBAS score and VHI10 index. Results Peroperative bleeding was observed to be significantly reduced in the laser excision group. However, operating time was significantly increased in this group. Patients recovered remarkably well following both the techniques as denoted by voice parameters. No difference was observed in duration of hospital stay. Conclusion Both surgical techniques give satisfactory results in their management of benign and precancerous lesions of the vocal cords. Both techniques have their advantages and disadvantages. After a learning curve, laser surgery with its precision and cleaner surgical fields will be more effective in the management of such cases. |
abstractGer |
Introduction Dysphonia is caused by voice misuse and various environmental factors. It is manifested as varied pathological lesions of the vocal cords. Surgical excision of these lesions is mainly by conventional cold steel or laser assisted microsurgical techniques. Both modalities have seen extensive advancements and refinement in technologies in the recent past. In this study we have compared the microdissection microlaryngeal treatment and microspot superpulsed beam carbon dioxide (CO2) laser assisted surgical techniques for the management of benign and precancerous lesions of the vocal cords. Material and Methods A total of 36 cases of benign lesions of vocal cord, were divided randomly to undergo surgery either by microdissection or CO2 laser assisted techniques. The groups were assessed through vocal cord morphological observation and subjective voice assessment parameters GRBAS score and VHI10 index. Results Peroperative bleeding was observed to be significantly reduced in the laser excision group. However, operating time was significantly increased in this group. Patients recovered remarkably well following both the techniques as denoted by voice parameters. No difference was observed in duration of hospital stay. Conclusion Both surgical techniques give satisfactory results in their management of benign and precancerous lesions of the vocal cords. Both techniques have their advantages and disadvantages. After a learning curve, laser surgery with its precision and cleaner surgical fields will be more effective in the management of such cases. |
abstract_unstemmed |
Introduction Dysphonia is caused by voice misuse and various environmental factors. It is manifested as varied pathological lesions of the vocal cords. Surgical excision of these lesions is mainly by conventional cold steel or laser assisted microsurgical techniques. Both modalities have seen extensive advancements and refinement in technologies in the recent past. In this study we have compared the microdissection microlaryngeal treatment and microspot superpulsed beam carbon dioxide (CO2) laser assisted surgical techniques for the management of benign and precancerous lesions of the vocal cords. Material and Methods A total of 36 cases of benign lesions of vocal cord, were divided randomly to undergo surgery either by microdissection or CO2 laser assisted techniques. The groups were assessed through vocal cord morphological observation and subjective voice assessment parameters GRBAS score and VHI10 index. Results Peroperative bleeding was observed to be significantly reduced in the laser excision group. However, operating time was significantly increased in this group. Patients recovered remarkably well following both the techniques as denoted by voice parameters. No difference was observed in duration of hospital stay. Conclusion Both surgical techniques give satisfactory results in their management of benign and precancerous lesions of the vocal cords. Both techniques have their advantages and disadvantages. After a learning curve, laser surgery with its precision and cleaner surgical fields will be more effective in the management of such cases. |
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Comparison of Microdissection Microlaryngeal Surgery with Carbon Dioxide Laser in Management of Benign and Premalignant Lesions of Larynx |
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|
score |
7.402231 |