ThuliumV1, PubMed, Corpus, bibRecord, 000630

Office-based and microlaryngeal applications of a fiber-based thulium laser.

Identifieur interne : 000630 ( PubMed/Corpus ); précédent : 000629; suivant : 000631

Office-based and microlaryngeal applications of a fiber-based thulium laser.

Auteurs : Steven M. Zeitels ; James A. Burns ; Lee M. Akst ; Robert E. Hillman ; Matthew S. Broadhurst ; R Rox Anderson

Source :

The Annals of otology, rhinology, and laryngology [ 0003-4894 ] ; 2006.

RBID : pubmed:17214262

English descriptors

KwdEn :
- Adult, Aged, Ambulatory Surgical Procedures, Female, Humans, Laryngeal Diseases (surgery), Laryngoscopy, Larynx (surgery), Laser Therapy, Male, Middle Aged, Pilot Projects, Prospective Studies, Thulium.
MESH :
- chemical : Thulium.
- surgery : Laryngeal Diseases, Larynx.
- Adult, Aged, Ambulatory Surgical Procedures, Female, Humans, Laryngoscopy, Laser Therapy, Male, Middle Aged, Pilot Projects, Prospective Studies.

Abstract

The carbon dioxide (CO2) laser is the premier dissecting instrument for hemostatic cutting and ablation during endolaryngeal surgery. However, microlaryngeal tangential dissection and office-based photoablation have been limited by the lack of a fiber-based delivery system. To address this limitation, a new laser was designed, which is a diode-pumped solid-state laser with a thulium-doped yttrium-aluminum-garnet laser rod. It produces a continuous-wave beam with a wavelength of 2013 nm and a target chromophore of water. This new laser functions similarly to a CO2 laser with the benefit of being delivered through a small glass fiber (0.365 to 0.550 mm).

PubMed: 17214262

Links to Exploration step

pubmed:17214262

Le document en format XML

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<author><name sortKey="Zeitels, Steven M" sort="Zeitels, Steven M" uniqKey="Zeitels S" first="Steven M" last="Zeitels">Steven M. Zeitels</name>
<affiliation><nlm:affiliation>Department of Surgery, Harvard Medical School, USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Burns, James A" sort="Burns, James A" uniqKey="Burns J" first="James A" last="Burns">James A. Burns</name>
</author>
<author><name sortKey="Akst, Lee M" sort="Akst, Lee M" uniqKey="Akst L" first="Lee M" last="Akst">Lee M. Akst</name>
</author>
<author><name sortKey="Hillman, Robert E" sort="Hillman, Robert E" uniqKey="Hillman R" first="Robert E" last="Hillman">Robert E. Hillman</name>
</author>
<author><name sortKey="Broadhurst, Matthew S" sort="Broadhurst, Matthew S" uniqKey="Broadhurst M" first="Matthew S" last="Broadhurst">Matthew S. Broadhurst</name>
</author>
<author><name sortKey="Anderson, R Rox" sort="Anderson, R Rox" uniqKey="Anderson R" first="R Rox" last="Anderson">R Rox Anderson</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2006">2006</date>
<idno type="RBID">pubmed:17214262</idno>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Office-based and microlaryngeal applications of a fiber-based thulium laser.</title>
<author><name sortKey="Zeitels, Steven M" sort="Zeitels, Steven M" uniqKey="Zeitels S" first="Steven M" last="Zeitels">Steven M. Zeitels</name>
<affiliation><nlm:affiliation>Department of Surgery, Harvard Medical School, USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Burns, James A" sort="Burns, James A" uniqKey="Burns J" first="James A" last="Burns">James A. Burns</name>
</author>
<author><name sortKey="Akst, Lee M" sort="Akst, Lee M" uniqKey="Akst L" first="Lee M" last="Akst">Lee M. Akst</name>
</author>
<author><name sortKey="Hillman, Robert E" sort="Hillman, Robert E" uniqKey="Hillman R" first="Robert E" last="Hillman">Robert E. Hillman</name>
</author>
<author><name sortKey="Broadhurst, Matthew S" sort="Broadhurst, Matthew S" uniqKey="Broadhurst M" first="Matthew S" last="Broadhurst">Matthew S. Broadhurst</name>
</author>
<author><name sortKey="Anderson, R Rox" sort="Anderson, R Rox" uniqKey="Anderson R" first="R Rox" last="Anderson">R Rox Anderson</name>
</author>
</analytic>
<series><title level="j">The Annals of otology, rhinology, and laryngology</title>
<idno type="ISSN">0003-4894</idno>
<imprint><date when="2006" type="published">2006</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Ambulatory Surgical Procedures</term>
<term>Female</term>
<term>Humans</term>
<term>Laryngeal Diseases (surgery)</term>
<term>Laryngoscopy</term>
<term>Larynx (surgery)</term>
<term>Laser Therapy</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pilot Projects</term>
<term>Prospective Studies</term>
<term>Thulium</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Thulium</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Laryngeal Diseases</term>
<term>Larynx</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Ambulatory Surgical Procedures</term>
<term>Female</term>
<term>Humans</term>
<term>Laryngoscopy</term>
<term>Laser Therapy</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pilot Projects</term>
<term>Prospective Studies</term>
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<front><div type="abstract" xml:lang="en">The carbon dioxide (CO2) laser is the premier dissecting instrument for hemostatic cutting and ablation during endolaryngeal surgery. However, microlaryngeal tangential dissection and office-based photoablation have been limited by the lack of a fiber-based delivery system. To address this limitation, a new laser was designed, which is a diode-pumped solid-state laser with a thulium-doped yttrium-aluminum-garnet laser rod. It produces a continuous-wave beam with a wavelength of 2013 nm and a target chromophore of water. This new laser functions similarly to a CO2 laser with the benefit of being delivered through a small glass fiber (0.365 to 0.550 mm).</div>
</front>
</TEI>
<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">17214262</PMID>
<DateCreated><Year>2007</Year>
<Month>01</Month>
<Day>11</Day>
</DateCreated>
<DateCompleted><Year>2007</Year>
<Month>02</Month>
<Day>08</Day>
</DateCompleted>
<DateRevised><Year>2013</Year>
<Month>11</Month>
<Day>21</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0003-4894</ISSN>
<JournalIssue CitedMedium="Print"><Volume>115</Volume>
<Issue>12</Issue>
<PubDate><Year>2006</Year>
<Month>Dec</Month>
</PubDate>
</JournalIssue>
<Title>The Annals of otology, rhinology, and laryngology</Title>
<ISOAbbreviation>Ann. Otol. Rhinol. Laryngol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Office-based and microlaryngeal applications of a fiber-based thulium laser.</ArticleTitle>
<Pagination><MedlinePgn>891-6</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">The carbon dioxide (CO2) laser is the premier dissecting instrument for hemostatic cutting and ablation during endolaryngeal surgery. However, microlaryngeal tangential dissection and office-based photoablation have been limited by the lack of a fiber-based delivery system. To address this limitation, a new laser was designed, which is a diode-pumped solid-state laser with a thulium-doped yttrium-aluminum-garnet laser rod. It produces a continuous-wave beam with a wavelength of 2013 nm and a target chromophore of water. This new laser functions similarly to a CO2 laser with the benefit of being delivered through a small glass fiber (0.365 to 0.550 mm).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A prospective pilot trial was done in 74 cases to explore applications of the new thulium laser. Thirty-two procedures were done with the laser used as an ablating instrument and topical anesthesia through a flexible laryngoscope (papillomatosis, 20; microinvasive carcinoma, 6; benign supraglottic lesions, 3; edema, 2; granuloma, (1). Forty-two procedures were done with the laser used as a cutting or ablating instrument for microlaryngeal dissection and general anesthesia. These included 27 partial laryngeal resections (supraglottis, 15; glottis, 10; subglottis, (2) and 8 posterior glottic laryngoplasties. The laser was also used as an ablative instrument during microlaryngoscopy in 7 cases.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The thulium laser was used effectively in all cases, under both local and general anesthesia. In microlaryngeal dissection, electrocautery was not needed to control bleeding, even during cutting in the highly vascular paraglottic space. No complications related to the use of the thulium laser were experienced in any case.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Because of the fiber-based delivery system, the 2013-nm continuous-wave thulium laser shows substantial promise for tangential dissection during microlaryngoscopy and soft tissue photoablation during office-based flexible laryngoscopy. Hemostasis was judged to be superior to experiences with the CO2 laser. In this pilot study, performing en bloc laryngeal cancer resection procedures was facilitated by use of the thulium laser.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Zeitels</LastName>
<ForeName>Steven M</ForeName>
<Initials>SM</Initials>
<AffiliationInfo><Affiliation>Department of Surgery, Harvard Medical School, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Burns</LastName>
<ForeName>James A</ForeName>
<Initials>JA</Initials>
</Author>
<Author ValidYN="Y"><LastName>Akst</LastName>
<ForeName>Lee M</ForeName>
<Initials>LM</Initials>
</Author>
<Author ValidYN="Y"><LastName>Hillman</LastName>
<ForeName>Robert E</ForeName>
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</Author>
<Author ValidYN="Y"><LastName>Broadhurst</LastName>
<ForeName>Matthew S</ForeName>
<Initials>MS</Initials>
</Author>
<Author ValidYN="Y"><LastName>Anderson</LastName>
<ForeName>R Rox</ForeName>
<Initials>RR</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016430">Clinical Trial</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Ann Otol Rhinol Laryngol</MedlineTA>
<NlmUniqueID>0407300</NlmUniqueID>
<ISSNLinking>0003-4894</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList><Chemical><RegistryNumber>8RKC5ATI4P</RegistryNumber>
<NameOfSubstance UI="D013932">Thulium</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>AIM</CitationSubset>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000328">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D000556">Ambulatory Surgical Procedures</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D007818">Laryngeal Diseases</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D007828">Laryngoscopy</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D007830">Larynx</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D053685">Laser Therapy</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D010865">Pilot Projects</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D011446">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D013932">Thulium</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2007</Year>
<Month>1</Month>
<Day>12</Day>
<Hour>9</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="entrez"><Year>2007</Year>
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<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">17214262</ArticleId>
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</record>

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Office-based and microlaryngeal applications of a fiber-based thulium laser.

Office-based and microlaryngeal applications of a fiber-based thulium laser.

Source :

English descriptors

Abstract

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki