Section: 
Science articles
Science articlesAnalysis of laser surgery complications in ENT
M. A. Shakhova (1), A. B. Terent’eva (1), A. V. Shakhov (1)
(1) Volga Research Medical University Ministry of Health of Russia, Nizhny Novgorod, 603005, Russia
UDK: 616.21-089:615.849.19
DOI: https://doi.org/10.18692/1810-4800-2019-3-65-70
ABSTRACT
A retrospective study of the medical documentation of patients with tumor and non-tumor pathology of ENT organs that underwent laser surgery in the ENT clinic of the N. A. Semashko Regional Hospital, N. Novgorod. The study included 850 cases from 1982 to 2016. The purpose of this analysis was to evaluate the functional complications of laser surgery. During this period, the following settings were used: CO2 laser “Romashka-2” (wavelength 10.6 μm), YAG: Nd (wavelength 1.06 μm) and two-wave YAG: Nd setup (wavelength 1.32 /1.44 μm), diode laser (wavelength 1.56 μm). All complications were divided into 2 groups: intra- and postoperative. It was demonstrated, that postoperative complications effecting the functional outcomes prevailed. Among them were perifocal inflammatory reactions, nasal septum perforations, laryngeal scar deformations. The study showed that the main predictors of complications of laser surgery of ENT organs are the use of non-optimal laser wavelength in a particular clinical situation, features of the morphology of the irradiation zone involving cartilage and the incorrect determination of indications for choosing a laser as a surgical instrument.
Publication date:
18.06.2019
Keywords:
laser surgery, tumor and non-tumor pathology of ENT organs, retrospective analysis, functional complications, cartilage. For citation:
Shakhova M. A., Terent’eva A. B., Shakhov A. V. Analysis of laser surgery complications in ENT. Rossiiskaya otorinolaringologiya. 2019;18(3):65–70. https://doi.org/ 10.18692/1810-4800-2019-3-65-70