Laryngo- rhino- otologie · 1996
[Micro-laser surgery in nasopharyngeal tumors with steel reflector. Report of experiences with an improved technique].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Heher W
Аннотация
BACKGROUND: Microsurgery of the nasopharynx by carbon dioxide laser requires operating with a steelreflector. The problems with light, view, time, and assistance should thus be reduced.
METHODS: A newly constructed micro-polished self-retained steelreflector allows the surgeon to operate with both hands under better light and viewing conditions.
RESULTS: The concept was practiced on four patients, two with metastatic nasopharyngeal cancer, one with metastatic oro-nasopharyngeal cancer, and one with a verrucous carcinoma at the dorsal soft palate, in 24 sessions without problems. The poor prognosis of the metastatic cancer did not change; however, the patients' quality of life improved considerably. Outpatient treatment was the rule. There has been no recurrence of the verrucous carcinoma at the dorsal soft palate for 14 months.
CONCLUSIONS: The concept increases reliability in microsurgery of the nasopharynx by carbon dioxide laser by providing improved light and viewing conditions, and allows fast operating.
METHODS: A newly constructed micro-polished self-retained steelreflector allows the surgeon to operate with both hands under better light and viewing conditions.
RESULTS: The concept was practiced on four patients, two with metastatic nasopharyngeal cancer, one with metastatic oro-nasopharyngeal cancer, and one with a verrucous carcinoma at the dorsal soft palate, in 24 sessions without problems. The poor prognosis of the metastatic cancer did not change; however, the patients' quality of life improved considerably. Outpatient treatment was the rule. There has been no recurrence of the verrucous carcinoma at the dorsal soft palate for 14 months.
CONCLUSIONS: The concept increases reliability in microsurgery of the nasopharynx by carbon dioxide laser by providing improved light and viewing conditions, and allows fast operating.