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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 27(3); 1984 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1984;27(3): 299-304.
Carbon Dioxide Laser Treatment of Laryngeal Stenosis
Gill Ryoung Kim, MD, Won Pyo Hong, MD, Kwang Moon Kim, MD, Myoung Hyun Chung, MD, Jang Soo Suh, MD, Eun Chang Choi, MD, and Jong Boo Jin, MD
Department of Otolaryngology, Yonsei University College of Medicine, Seoul, Korea
CO2 레이저에 의한 후두협착증의 치험
김기령 · 홍원표 · 김광문 · 정명현 · 서장수 · 최은창 · 진종부
연세대학교 의과대학 이비인후과학교실
ABSTRACT

Chronic laryngotracheal stenosis is becoming increasingly prevalent, many acceptable procedures such as repeated dilation, laryngotracheoplasty and end-to-end anastomosis had been done according to it's indication, but it have given less than favorable results. Since 1972 and the experimental and clinical experiences of Jako and Strong, the carbon dioxide laser has offered a valuable tool to the otolaryngologist. Strong and Lyons reported use of laser to the management of laryngotracheal stenosis with successful results. From March 82' to March 83', using the carbon dioxide laser, the various obstructing lesions were excised microendoscopically which include 4 patients considered failures from conventional surgical technique and one patient laryngeal stenosis occured after hemilaryngectomy and neoglottis formation. We concluded as follows ; 1) Laser surgery is a useful method to the management of laryngeal stenosis in maintaining adequate airway. 2) Laser was very effective in glottic and supraglottic stenosis, but it was not in subglottic area. 3) Further application of laser surgery in laryngotracheal stenosis will be forthcoming as experience and expertise accumulates.

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