The Application Of CO₂ Laser In Therapy Of Laryngostenosis

Objective: To evaluate the technique and effectiveness of endoscopic treatment of laryngostenosis using CO₂ laser and give a clinical evaluation of CO₂ laser endoscopic bilateral posterior wedge-shaped cordectomy (EBPC) in patients with severely compromised airway due to bilateral paralysis of the vocal fold.Method : The endoscopic CO₂ laser surgery was performed on 20 cases of laryngostenosis, Follow-up has ranged from 4 months to 40 months. Results: 16 patients achieved satisfactory airway after one laser procedure and 2 patient received second laser operation to manage their stenosis. 1 patient has had two formal laser procedures was successful decanulated after this surgery.The failure to decanulation included 1 paient. Conclusions: The author's data confirm the safety, ease of performance, and efficiency of the CO₂ laser in patients with laryngostenosis. The advantages of the procedure are simplicity in concept, reliability of outcome,low risk of complications, short hospitalization, adequate airway, good voice preservation, and suitability for revision operation when necessary. CO₂ laserendoscopic surgery is an alternative management option for laryngo -...