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Diode laser for paediatric airway procedures


SUMMARY
. Objective: A wide range of lasers have been used in the larynx. Diode laser is a portable and relatively inexpensive laser which is delivered via a glass fibre handheld probe. The objective of this study was to report our experience with the use of diode laser in a variety of paediatric airway pathologies.

. Methods: In this study, 90 diode laser laryngeal procedures were performed on 31 patients in the age range of 1 month to 16 years at the time of the operation. The follow up after the procedure has been in the range of 6 months to 3 years.

. Results: As per our records 19 ⁄ 31 (61.3%) patients have been cured of their initial pathologies and were not under further review, 3 ⁄ 31 (9.6%) were having repeated laser treatments. The remaining 9 ⁄ 31 (29.0%) had to undergo further treatment. There was no laser-related intra-operative or postoperative complications.

. Conclusions: Diode laser is a good tool for several paediatric laryngeal pathologies. The ability to guide the laser light using the flexible glass fibre directly onto the area requiring vapourisation enables very precise treatment.

 

INTRODUCTION
Lasers have been used in the treatment of various laryngeal lesions as the experience reported by Strong and Jako

(1) with the clinical use of carbon dioxide laser in larynx. Despite earlier criticism, endoscopic laser treatments have gained widespread acceptance and have been used successfully in laryngeal surgery
(2). Most of the procedures involve either excision or vapourisation of the tissues. A wide range of lasers have been used on the larynx. Diode laser is a portable and relatively inexpensive laser which is delivered down a fine glass fibre and used with a hand-held probe held like a pencil. The objective of this study was to report our experience with the use of diode laser in a variety of paediatric airway pathologies. To the best of our knowledge this is the biggest series of use of the diode laser on paediatric airway pathologies.