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Diode Laser for Laryngeal Surgery: a Systematic Review

机译:喉手术用二极管激光器:系统评价

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摘要

>Introduction The diode laser has been frequently used in the management of laryngeal disorders. The portability and functional diversity of this tool make it a reasonable alternative to conventional lasers. However, whether diode laser has been applied in transoral laser microsurgery, the ideal parameters, outcomes, and adverse effects remain unclear. >Objective The main objective of this systematic review is to provide a reliable evaluation of the use of diode laser in laryngeal diseases, trying to clarify its ideal parameters in the larynx, as well as its outcomes and complications. >Data Synthesis We included eleven studies in the final analysis. From the included articles, we collected data on patient and lesion characteristics, treatment (diode laser's parameters used in surgery), and outcomes related to the laser surgery performed. Only two studies were prospective and there were no randomized controlled trials. Most of the evidence suggests that the diode laser can be a useful tool for treatment of different pathologies in the larynx. In this sense, the parameters must be set depending on the goal (vaporization, section, or coagulation) and the clinical problem. >Conclusion: The literature lacks studies on the ideal parameters of the diode laser in laryngeal surgery. The available data indicate that diode laser is a useful tool that should be considered in laryngeal surgeries. Thus, large, well-designed studies correlated with diode compared with other lasers are needed to better estimate its effects.
机译:>简介二极管激光已被广泛用于治疗喉部疾病。该工具的便携性和功能多样性使其成为传统激光器的合理替代品。但是,是否将二极管激光器应用于经口激光显微外科手术中,理想的参数,结果和不良影响仍不清楚。 >目的本系统综述的主要目的是对二极管激光在喉部疾病中的使用情况进行可靠评估,以阐明其在喉部的理想参数及其结果和并发症。 >数据综合我们在最终分析中纳入了11项研究。从包括的文章中,我们收集了有关患者和病变特征,治疗(手术中使用的二极管激光器的参数)以及与进行的激光手术有关的结果的数据。只有两项研究是前瞻性的,没有随机对照试验。大多数证据表明,二极管激光器可以作为治疗喉部不同病变的有用工具。从这个意义上说,必须根据目标(汽化,切片或凝结)和临床问题来设置参数。 >结论:文献缺乏对喉镜手术中二极管激光理想参数的研究。现有数据表明,二极管激光是喉镜手术中应考虑的有用工具。因此,与其他激光器相比,需要与二极管相关的大型,设计良好的研究来更好地估计其效果。

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