By Wolfgang Steiner, P. Ambrosch
Use a strong clinical develop in head and neck oncology - from the masters of the approach! Endoscopic Laser surgical procedure of the higher Aerodigestive Tract Wolfgang Steiner, MD, Professor, ENT medical institution, collage of Gottingen,Germany Petra Ambrosch, MD, inner most 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 cutting edge procedure in the course of the global and his medical institution is taken into account the pioneering heart in Europe. millions of scholars and practitioners have benefited from his educating and lectures, permitting them to deal with chosen sufferers extra effectively and successfully than ever concept attainable. Now for the 1st time, you might have at your fingertips Dr. Steiner's specified, step by step ideas for transoral laser microsurgery of the pinnacle and neck, displaying the way to excise tumors, look after the larynx and different key buildings, and dramatically lessen mortality. you'll examine the insights and technical refinements that let you tailor your surgical procedure to the level of the melanoma, even removing it in sure localized components. you will discover tips on how to paintings in a fragment of the time, stay away from complicated throat and neck reconstructions, safeguard voice buildings, and significantly increase the patient's caliber of lifestyles. particular positive factors of this landmark ebook comprise: - Written through the builders of this cutting edge, minimally invasive process - three hundred endoscopic colour photographs and explanatory drawings illustrate the diagnostic and surgeries on a step by step foundation - perfect for college kids in addition to for practitioners looking to increase their remedies - deals an advent to a swiftly becoming usual within the box of head and neck oncology. For the newbie in addition to the skilled doctor, this publication deals masterful assistance on utilizing glossy laser expertise to accomplish conservative laryngeal and different head and neck melanoma surgical procedures, leading to well-documented, decrease morbidity charges. it is going to improve and improve your talents and open a variety of treatments so that you can supply your sufferers. remain up to date with new know-how; reserve your replica at the present time! "To those that think, no clarification is critical, however the Steiner ebook provides technical refinements and insights that might extend the surgeon's ability. to those that are skeptical, the publication addresses the fundamental rules of ...a nice event and possibly the most important confident switch in head and neck oncology of the final 3 or 4 decades." From the Foreword through Lawrence W. Desanto, MD, Professor Emeritus, Mayo clinical 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 illnesses of the Trachea and Esophagus. Endoscopic Laser Microsurgery of Malignant illnesses of the Trachea and Esophagus. Anesthetic difficulties linked to ENT Laser surgical procedure. software of Laser surgical procedure of the Larynx in Phoniatric problems. Laser suggestions and security opposed to Radiation. destiny views. Literature. Index
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Extra resources for Endoscopic laser surgery of the upper aerodigestive tract: with special emphasis on cancer surgery
To achieve hemostasis in these cases, the application of a gauze patty soaked in an epinephrine solution might be necessary. Coagulation with monopolar electrocautery should be avoided. Reinke's edema does not usually extend into the anterior commissure. Provided a good surgical technique is used, both vocal folds can thus be operated on in one session, without the danger of web formation. Wound healing after excision is protracted due to the underlying chronic inflammation and takes 3–4 weeks.
From sticking together, and the repeated interruption of wound healing leads to delay in epithelialization. If there is excessive formation of granulation tissue, a laser-surgical ablation might be indicated. Children can also be treated with this technique. The postoperative swabbing of the anterior commissure must then be done under a short general anesthetic, usually without endotracheal intubation. An alternative to the regular swabbing is the use of a silastic sheet secured with a penetrating suture (Friedrich, 1996).
C Laser Microsurgery for Benign Diseases of the Larynx Postoperative: Secondary hemorrhage, surgical emphysema, mediastinitis (infection occurs as result of perforation). By applying the above-mentioned cautionary measures, the risk of postoperative complications is (very) low. Advantages of the Endoscopic Laser Operation The minimally invasive procedure is of shorter duration and has a lower morbidity for the patient. The complications associated with an open approach through the neck are avoided.