Use of the KTP laser in totally endoscopic cholesteatoma surgery.
J Laryngol Otol
; 134(4): 362-365, 2020 Apr.
Article
em En
| MEDLINE
| ID: mdl-32122410
ABSTRACT
OBJECTIVE:
This paper reviews our experience of potassium titanyl phosphate (KTP) laser in transcanal totally endoscopic cholesteatoma surgery.METHODS:
A prospective cohort study was conducted in a tertiary referral centre, involving a consecutive series of children with cholesteatoma who underwent totally endoscopic cholesteatoma surgery with a KTP laser.RESULTS:
The patients' mean age was 10.5 years (range, 1.8-18 years). A KTP laser was used in 70 of the 83 cases (84 per cent). The laser was not used in 13 'clean' cases, in which disease was removed more easily. Residual disease was detected in five cases (6 per cent), of which the KTP laser had been used in four (5 per cent). No complications were associated with KTP laser use.CONCLUSION:
The combination of KTP laser use with endoscopic visualisation is effective for minimising the risk of residual disease using a minimally invasive surgical approach. The thin, semi-flexible fibre carrier of the KTP laser is ideally suited to work alongside the endoscope within the narrow confines of the ear canal.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
/
2_ODS3
Base de dados:
MEDLINE
Assunto principal:
Colesteatoma da Orelha Média
/
Meato Acústico Externo
/
Endoscopia
/
Lasers de Estado Sólido
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Child
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Child, preschool
/
Humans
/
Infant
Idioma:
En
Revista:
J Laryngol Otol
Ano de publicação:
2020
Tipo de documento:
Article