Surgical Division is global leader in surgical laser technology and medical laser equipment, and considered a pioneer in the field of laser for surgery
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Hypopharynx, Larynx & Trachea
The CO2 laser offers significant advantages over traditional surgical methods for applications of the Hypopharynx, Larynx and Trachea. Lumenis’ advanced laser systems and delivery devices allow for highly controlled tissue treatment capabilities, especially designed to work on and around delicate tissue surfaces. For some conditions, surgical treatment can be performed microscopically, using a CO2 laser micromanipulator or endoscopically, using the FiberLase flexible CO2 laser fiber. The choice depends on the clinical scenario and personal preference.

 

 
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Lumenis Surgical – Larynx Surgical Laser

 
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Cancer of the larynx

Many believe the CO2 laser to be the gold standard for treatment of early stage cancer of the larynx. Studies have shown considerable cost savings and equivalent or better treatment outcomes for transoral laser resection of laryngeal tumors vs. radiation. 

Definitive treatment can be done at the time of surgical biopsy, sparing the need for repeated trips and the unpleasant morbidity often associated with radiation. Additionally, CO2 laser surgery does not eliminate the option for reoperation or radiation, should salvage therapy be necessary. The Digital AcuBlade scanning micromanipulator affords the highest surgical precision and control.

While under the surgeon’s joystick control, the automated scanner rapidly and continually moves the beam over the tissue – resulting in highly predictable depths of incision or ablation and virtually char-free tissue margins. The automation and predictability of the scanner make it easy to reproduce results and teach surgical technique. 

Reinke’s edema

No device compares to the Digital AcuBlade for incision into the lamina propria and excision of excess tissue during treatment of Reinke’s edema. The laser spot size can be increased and power density decreased for rapid coagulation of very superficial blood vessels.

Benign cysts, nodules and polyps on vocal folds

Preservation of voice quality depends on care and preservation of the vibrational mucosa and underlying structures of the vocal fold. While using forceps for good counter traction, straight line and curved line scan patterns can be used to cleanly excise the lesions – with minimal to no char formation.


Swallowing disorders

Endoscopic approaches for surgical treatment of swallowing disorders enhance visualization for the surgeon and minimize invasiveness for the patient. Again, the CO2 laser combines precision and hemostasis while it is used to selectively incise mucosa and muscle and remove cartilage.

Vocal fold paralysis and motion disorders

The CO2 laser permits endoscopic approach, surgical precision and hemostasis for small vessels during procedures involving arytenoidectomy (partial and total) and cordectomy.

The Digital AcuBlade scanning micromanipulator or Acuspot 712 series micromanipulator can be used with an operating microscope for visualization. The FiberLase flexible CO2 laser fiber combined with a FiberLase rigid or malleable handpiece is also well suited for this surgery.

Recurrent papillomatosis

Treatment goals for recurring papillomatosis include a tolerable procedure and, whenever possible, convenience for the patient. The FiberLase flexible CO2 laser fiber can be used in the Outpatient Clinic setting as well as the operating room. In addition to convenience, the precision and hemostasis afforded by the CO2 laser minimizes surgical trauma to the affected tissues over repeated procedures.

Hemangioma

Excision of hemangioma is easily accomplished with the Digital AcuBlade scanning micromanipulator. The size and orientation of the straight and curved line scan patterns can be easily adjusted according to the geometry of the lesion, saving time and minimizing unnecessary tissue removal.

Subglottic and tracheal stenosis

Depending on the surgical aims, there are a number of ways to use a Lumenis surgical CO2 laser to treat stenosis in the subglottic and tracheal regions. For microsurgical application, the Digital AcuBlade or AcuSpot 712 Series micromanipulator can be used to direct the beam down a rigid laryngoscope designed for surgical exposure in these regions. For convenience or if the lesion is too distal for micromanipulator application, the CO2 laser energy can be directed through the FiberLase flexible CO2 laser fiber and a flexible or rigid endoscope.

Zenker’s diverticulum

The CO2 laser is well suited for incising through the multiple tissue layers, necessary to open the Zenker’s diverticulum pouch. Incision can be performed microsurgically using the Digital AcuBlade scanning micromanipulator or the AcuSpot 712 Series micromanipulator. 

Alternatively, a flexible endoscope can be used with the FiberLase flexible CO2 laser fiber.

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