By Wolfgang Steiner, P. Ambrosch
Use a strong scientific increase in head and neck oncology - from the masters of the strategy! Endoscopic Laser surgical procedure of the higher Aerodigestive Tract Wolfgang Steiner, MD, Professor, ENT health center, college of Gottingen,Germany Petra Ambrosch, MD, deepest Professor, college of Gottingen, Germany The identify Wolfgang Steiner is synonymous with transoral laser microsurgery for head and neck melanoma. He has tirelessly promoted this leading edge strategy in the course of the global and his health facility is taken into account the pioneering middle in Europe. hundreds of thousands of scholars and practitioners have benefited from his instructing and lectures, letting them deal with chosen sufferers extra effectively and successfully than ever suggestion attainable. Now for the 1st time, you may have at your fingertips Dr. Steiner's distinctive, step by step concepts for transoral laser microsurgery of the top and neck, exhibiting the way to excise tumors, guard the larynx and different key constructions, and dramatically lessen mortality. you'll research the insights and technical refinements that let you tailor your surgical procedure to the level of the melanoma, even removing it in yes localized components. you will see that how you can paintings in a fragment of the time, steer clear of advanced throat and neck reconstructions, protect voice buildings, and tremendously improve the patient's caliber of lifestyles. certain good points of this landmark e-book comprise: - Written by way of the builders of this leading edge, minimally invasive procedure - three hundred endoscopic colour photos and explanatory drawings illustrate the diagnostic and surgeries on a step by step foundation - excellent for college kids in addition to for practitioners trying to develop their healing procedures - bargains an advent to a speedily growing to be average within the box of head and neck oncology. For the newbie in addition to the skilled health practitioner, this e-book deals masterful assistance on utilizing sleek laser expertise to accomplish conservative laryngeal and different head and neck melanoma surgical procedures, leading to well-documented, decrease morbidity premiums. it is going to improve and improve your abilities and open a variety of remedies so you might supply your sufferers. remain up to date with new expertise; reserve your reproduction this day! "To those that think, no rationalization is critical, however the Steiner publication promises technical refinements and insights that may extend the surgeon's ability. to people who are skeptical, the publication addresses the fundamental rules of ...a nice event and possibly the key optimistic switch in head and neck oncology of the final 3 or 4 decades." From the Foreword via Lawrence W. Desanto, MD, Professor Emeritus, Mayo scientific institution, Rochester, Minnesota 2001/145 pp./300 colour illus./hardcover/ISBN 0-86577-904-X/$129.00 Contents: creation. getting ready surgical procedure. Endoscopic Laser Microsurgery of Benign ailments of the Trachea and Esophagus. Endoscopic Laser Microsurgery of Malignant illnesses of the Trachea and Esophagus. Anesthetic difficulties linked to ENT Laser surgical procedure. program of Laser surgical procedure of the Larynx in Phoniatric issues. Laser recommendations and security opposed to Radiation. destiny views. Literature. Index
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Extra info for Endoscopic laser surgery of the upper aerodigestive tract: with special emphasis on cancer surgery
This “shaving” technique considerably reduces the danger of injuring the vocal ligament. Postoperative Treatment Voice rest should be prescribed until the wound on the vocal fold has completely healed. The wound usually heals within approximately 2 weeks. Long-term results are largely dependent on the success of speech therapy in treating the underlying functional dysphonia. 22 2 Endoscopic Microsurgical Laser Treatment of Benign Diseases of the Upper Aerodigestive Tract Fig. 8 Hemangiomatous polyp of the right vocal cord (endoscopic view, 90° telescope).
Laser Microsurgery for Benign Diseases of the Larynx 31 a b Fig. 16 Postoperative web before and after microsurgical laser transection. a Preoperative findings of a membranous web of the anterior and partially the middle glottis. b Eight weeks after laser excision of the web through the 90° telescope. b a Fig. 17 Posterior glottic stenosis following intubation. a Marked adhesions from granulation tissue in the posterior glottis between the vocal processes after long-term intubation. A small residual lumen can still be seen posteriorly at endoscopy (90° telescope).
A nasogastric tube is usually not necessary. During the first postoperative days, a fluid diet is recommended. Analgesics are usually required. One of our patients, however, suffered from severe neuralgia in the distribution of the glossopharyngeal nerve for some weeks following the surgery. Laser Surgery for Benign Diseases of the Hypopharynx Indications: Cysts, papillomas, hemangiomas, diverticulae, cricopharyngeal achalasia (endoscopic laser myotomy). In general, a laser surgical intervention is rarely indicated for benign lesions, since they are mostly discovered accidentally and hardly ever cause any symptoms.
Endoscopic laser surgery of the upper aerodigestive tract: with special emphasis on cancer surgery by Wolfgang Steiner, P. Ambrosch