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首页> 外文期刊>The Journal of laryngology and otology. >Holmium:YAG laser: 12-year study of indications for use and outcomes in benign and malignant otolaryngological conditions.
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Holmium:YAG laser: 12-year study of indications for use and outcomes in benign and malignant otolaryngological conditions.

机译：m：YAG激光：在良性和恶性耳鼻喉科疾病中使用适应症和结局的12年研究。

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BACKGROUND: We present the largest recorded case series of holmium:YAG laser use in otolaryngology. This laser's hand-held delivery device is easier to manipulate compared with other ENT lasers, and its pulsed delivery mode gives it enhanced cutting and coagulation properties. METHODS AND RESULTS: We conducted a 12-year, retrospective study of holmium:YAG laser use in a tertiary referral centre. Sixty-eight patients were included. Nineteen received primary laser treatment of squamous cell carcinoma of the upper aerodigestive tract (nine with simultaneous neck dissection), and 49 underwent either palatine or lingual tonsillectomy for benign disease. One cancer patient developed a pharyngo-cutaneous fistula, and a second suffered a secondary haemorrhage. No other complications were recorded. There were no local recurrences. CONCLUSIONS: The holmium:YAG laser is safe and effective for benign and malignant otolaryngological conditions. In cancer treatment, it may be best to delay neck dissection until the primary site has healed, in order to avoid fistula formation.
机译：背景：我们介绍了最大的病例记录系列series：YAG激光在耳鼻喉科中的应用。与其他ENT激光器相比，该激光器的手持式输送设备更易于操作，其脉冲输送模式使其具有增强的切割和凝结特性。方法和结果：我们对三级转诊中心的use：YAG激光使用进行了为期12年的回顾性研究。包括68名患者。 19例接受了上呼吸消化道鳞状细胞癌的初次激光治疗（9例同时进行了颈淋巴清扫术），其中49例因良性疾病接受了ala骨或舌状扁桃体切除术。一名癌症患者出现了咽部皮肤瘘，而另一名患有继发性出血。没有其他并发症的记录。没有本地复发。结论：:： YAG激光对于良性和恶性的耳鼻喉科疾病是安全有效的。在癌症治疗中，最好将颈淋巴清扫术推迟到原发部位愈合，以避免瘘管形成。

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