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Transoral flexible laser surgery of the upper aerodigestive tract with blue laser

  • Laryngology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

The introduction of fiber-guided lasers was a breakthrough in laryngology practice, opening the path for treating different pathologies with minimally invasive procedures, both in the operating room and in the office. The most recent technology in the area is the blue laser, which combines photoangiolytic and cutting properties, characteristics that make this equipment suitable for its use in upper aerodigestive tract surgery. However, there is not enough experience in this area. The authors present a case series of patients with different pharyngeal, laryngeal, and tracheal pathologies who were treated by means of transoral procedures using fiber-guided blue laser.

Methods

The surgical records of patients with different upper aerodigestive tract pathologies who were treated with fiber-guided blue laser in the operating room, under general anesthesia with jet ventilation or supraglottic ventilation using suspension laryngotracheoscopy techniques between February 2018 and March 2022 were reviewed.

Results

A total of 80 surgical interventions in a group of 38 patients were performed. A wide variety of procedures was executed, either using the laser alone or in combination with other techniques to treat different pathologies of the aero-digestive tract safely and effectively, with adequate functional results.

Conclusions

Following all necessary precautions, blue laser is a reliable tool to perform minimally invasive surgeries in the operating room using TOFLS techniques. It can be used alone or in combination with other devices to achieve the desired goals.

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Funding

No funding or sponsorship was received from any source.

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Authors and Affiliations

  1. Instituto de Laringología, Bogotá DC, Colombia

    Guillermo Campos

  2. Department of Otorhinolaryngology, Fundación Santa Fe University Hospital, Bogotá DC, Colombia

    Guillermo Campos

  3. Department of Anesthesiology, Fundación Santa Fe University Hospital, Bogotá DC, Colombia

    Oswaldo Amaya

  4. Universidad de los Andes School of Medicine, Bogotá DC, Colombia

    Oswaldo Amaya

  5. Universidad del Bosque School of Medicine, Bogotá DC, Colombia

    Oswaldo Amaya

  6. Universidad del Rosario, Bogotá DC, Colombia

    Juliana Valencia

  7. Pontificia Universidad Javeriana, Bogotá DC, Colombia

    Laura Arango

Authors
  1. Guillermo Campos
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  2. Oswaldo Amaya
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  3. Juliana Valencia
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  4. Laura Arango
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Corresponding author

Correspondence to Guillermo Campos.

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Conflict of interest

The main author has a cooperation agreement with ARC Laser GmbH, the company that manufactures the Blue Laser, for laboratory experimentation, with no financial compensation.

Ethical approval

The study was approved by the Ethics Committee of the Fundación Santa Fe University Hospital.

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Campos, G., Amaya, O., Valencia, J. et al. Transoral flexible laser surgery of the upper aerodigestive tract with blue laser. Eur Arch Otorhinolaryngol 280, 765–774 (2023). https://doi.org/10.1007/s00405-022-07606-1

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  • DOI: https://doi.org/10.1007/s00405-022-07606-1

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