Endolaryngeal surgery of benign vocal fold lesions with a 445 nm semiconductor laser: postoperative management

Introduction. Today the high prevalence of benign vocal fold lesions is shown (up to 55-70%). The possibilities of surgical management of this pathology are very extensive. Laser technologies are becoming more and more popular among high-tech treatment methods. However the comprehensive postoperativ...

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Main Authors: A. A. Krivopalov, P. A. Shamkina, Ju. E. Stepanova, E. E. Koren, T. V. Gotovyakhina
Format: Article
Language:Russian
Published: Remedium Group LLC 2021-12-01
Series:Медицинский совет
Subjects:
Online Access:https://www.med-sovet.pro/jour/article/view/6569
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author A. A. Krivopalov
P. A. Shamkina
Ju. E. Stepanova
E. E. Koren
T. V. Gotovyakhina
author_facet A. A. Krivopalov
P. A. Shamkina
Ju. E. Stepanova
E. E. Koren
T. V. Gotovyakhina
author_sort A. A. Krivopalov
collection DOAJ
description Introduction. Today the high prevalence of benign vocal fold lesions is shown (up to 55-70%). The possibilities of surgical management of this pathology are very extensive. Laser technologies are becoming more and more popular among high-tech treatment methods. However the comprehensive postoperative management of these patients is equally important.The aim of the study was to assess the features of the postoperative period in patients undergoing the endolaryngeal surgery using a semiconductor laser with a wavelength of 445 nm.Material and methods. On the basis of Saint-Petersburg Research Institute of Ear, Throat, Nose and Speech from February to June 2021 20 patients with benign vocal fold lesions 6 women and 14 men from 24 to 67 years old were examined and treated. All the patients underwent endolaryngeal surgery with direct microlaryngoscopy using a new semiconductor 445 nm laser in an inert gas atmosphere (intraoperative helium supply). After surgical treatment, the patients observed vocal rest, received antiinflammatory, antibacterial therapy, inhalations, as well as the drug Homeovox® according to the standard scheme.Conclusion. Endolaryngeal surgery with the removing of benign vocal fold lesions using a semiconductor laser with a wavelength of 445 nm has been proven to be safe and effective. According to the results of video laryngostroboscopy, acoustic analysis of the voice (the questionnaire “Voice handicap index-30”) it was noted that the laryngeal functions were restored in a short time. The inclusion of Homeovox® in the complex postoperative treatment had a favorable effect on the restoration of the phonatory function.
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spelling doaj.art-0297f30958044bee9048cc5d9cad10332023-04-23T06:56:47ZrusRemedium Group LLCМедицинский совет2079-701X2658-57902021-12-0101817818310.21518/2079-701X-2021-18-178-1835932Endolaryngeal surgery of benign vocal fold lesions with a 445 nm semiconductor laser: postoperative managementA. A. Krivopalov0P. A. Shamkina1Ju. E. Stepanova2E. E. Koren3T. V. Gotovyakhina4St Petersburg Research Institute of Ear, Throat, Nose and SpeechSt Petersburg Research Institute of Ear, Throat, Nose and SpeechSt Petersburg Research Institute of Ear, Throat, Nose and SpeechSt Petersburg Research Institute of Ear, Throat, Nose and SpeechSt Petersburg Research Institute of Ear, Throat, Nose and SpeechIntroduction. Today the high prevalence of benign vocal fold lesions is shown (up to 55-70%). The possibilities of surgical management of this pathology are very extensive. Laser technologies are becoming more and more popular among high-tech treatment methods. However the comprehensive postoperative management of these patients is equally important.The aim of the study was to assess the features of the postoperative period in patients undergoing the endolaryngeal surgery using a semiconductor laser with a wavelength of 445 nm.Material and methods. On the basis of Saint-Petersburg Research Institute of Ear, Throat, Nose and Speech from February to June 2021 20 patients with benign vocal fold lesions 6 women and 14 men from 24 to 67 years old were examined and treated. All the patients underwent endolaryngeal surgery with direct microlaryngoscopy using a new semiconductor 445 nm laser in an inert gas atmosphere (intraoperative helium supply). After surgical treatment, the patients observed vocal rest, received antiinflammatory, antibacterial therapy, inhalations, as well as the drug Homeovox® according to the standard scheme.Conclusion. Endolaryngeal surgery with the removing of benign vocal fold lesions using a semiconductor laser with a wavelength of 445 nm has been proven to be safe and effective. According to the results of video laryngostroboscopy, acoustic analysis of the voice (the questionnaire “Voice handicap index-30”) it was noted that the laryngeal functions were restored in a short time. The inclusion of Homeovox® in the complex postoperative treatment had a favorable effect on the restoration of the phonatory function.https://www.med-sovet.pro/jour/article/view/6569benign vocal fold lesionsphonosurgerybenign vocal fold lesionsendolaryngeal surgeryphonosurgery445 nm semiconductor laserblue laserphotoangiolytic laser445 nm semiconductor laserpostoperative management
spellingShingle A. A. Krivopalov
P. A. Shamkina
Ju. E. Stepanova
E. E. Koren
T. V. Gotovyakhina
Endolaryngeal surgery of benign vocal fold lesions with a 445 nm semiconductor laser: postoperative management
Медицинский совет
benign vocal fold lesions
phonosurgery
benign vocal fold lesions
endolaryngeal surgery
phonosurgery
445 nm semiconductor laser
blue laser
photoangiolytic laser
445 nm semiconductor laser
postoperative management
title Endolaryngeal surgery of benign vocal fold lesions with a 445 nm semiconductor laser: postoperative management
title_full Endolaryngeal surgery of benign vocal fold lesions with a 445 nm semiconductor laser: postoperative management
title_fullStr Endolaryngeal surgery of benign vocal fold lesions with a 445 nm semiconductor laser: postoperative management
title_full_unstemmed Endolaryngeal surgery of benign vocal fold lesions with a 445 nm semiconductor laser: postoperative management
title_short Endolaryngeal surgery of benign vocal fold lesions with a 445 nm semiconductor laser: postoperative management
title_sort endolaryngeal surgery of benign vocal fold lesions with a 445 nm semiconductor laser postoperative management
topic benign vocal fold lesions
phonosurgery
benign vocal fold lesions
endolaryngeal surgery
phonosurgery
445 nm semiconductor laser
blue laser
photoangiolytic laser
445 nm semiconductor laser
postoperative management
url https://www.med-sovet.pro/jour/article/view/6569
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