Endoscopic laser treatment of subglottic and tracheal stenosis

Alex J. Correa M.D.; C. Gaelyn Garrett M.D.; Lou Reinisch

doi:10.1117/12.350965

22 June 1999 Endoscopic laser treatment of subglottic and tracheal stenosis

Alex J. Correa M.D., C. Gaelyn Garrett M.D., Lou Reinisch

Proceedings Volume 3590, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems IX; (1999) https://doi.org/10.1117/12.350965
Event: BiOS '99 International Biomedical Optics Symposium, 1999, San Jose, CA, United States

Abstract

The ideal laser produces discrete wounds in a reproducible manner. The CO₂ laser with its 10.6 micron wavelength is highly absorbed by water, its energy concentrated at the point of impact and the longer wavelength creates less scatter in tissue. The development of binocular endoscopic delivery system for use with binocular microlaryngoscopes have aided in using CO₂ laser to treat patients with subglottic and tracheal stenosis. Often, patients with these disease processes require multiple endoscopic or open reconstructive procedures and my ultimately become tracheotomy dependent. The canine model of subglottic stenosis that has been develop allows testing of new agents as adjuncts to laser treatment. Mitomycin-C is an antibiotic with antitumor activity used in chemotherapy and also in ophthalmologic surgery due to its known inhibition of fibroblast proliferation. Current studies indicate this drug to have significant potential for improving our current management of this disease process.

Citation Download Citation

Alex J. Correa M.D., C. Gaelyn Garrett M.D., and Lou Reinisch "Endoscopic laser treatment of subglottic and tracheal stenosis", Proc. SPIE 3590, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems IX, (22 June 1999); https://doi.org/10.1117/12.350965

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