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    Transoral laser microsurgery of benign and malignant lesions / [edited by] Manuel Bernal-Sprekelsen, Isabel Vilaseca.

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    • Title:Transoral laser microsurgery of benign and malignant lesions / [edited by] Manuel Bernal-Sprekelsen, Isabel Vilaseca.
    •    
    • Other Contributors/Collections:Bernal-Sprekelsen, Manuel, editor.
      Vilaseca, Isabel, editor.
    • Published/Created:Stuttgart ; New York : Thieme, [2016]
      ©2016

    • Holdings

      Holdings Record Display

       
    • Library of Congress Subjects:Head--Cancer--Surgery.
      Neck--Cancer--Surgery.
      Lasers in surgery.
      Microsurgery.
    • Medical Subjects: Head and Neck Neoplasms--surgery.
      Laser Therapy--methods.
      Microsurgery--methods.
    • Description:xxiv, 299 pages : color illustrations ; 28 cm
    • Notes:Includes bibliographical references and index.
    • ISBN:9783131723918 hardcover
      3131723912 hardcover
      9783131724113 electronic book
    • Contents:Machine generated contents note: pt. 1 Materials and Methods
      1. History of Laser Application in Surgery of the Upper Aerodigestive Tract / Eduardo Breda
      1.1. Introduction
      1.2. History of Laryngeal Surgery
      1.2.1. Laryngectomy
      1.2.2. Minimally Invasive Laryngeal Surgery
      1.2.3. Introduction of Laser Surgery
      2. Physical Properties of Lasers: Introduction to Laser Physics for Medical Personnel / Carsten M. Philipp
      2.1. Introduction
      2.2. Physical Basics
      2.2.1. Wavelength
      2.2.2. Energy, Power, and Spot Size
      2.2.3. Duration
      2.3. Technical Developments of the CO2 Laser System
      2.4. Components of the CO2 Laser
      2.4.1. Laser
      2.4.2. Articulated Arm: Transmission by Mirrors
      2.4.3. Handpiece
      2.4.4. Micromanipulators
      2.4.5. Scanners
      2.4.6. Fiber-Guided Transmission
      2.5. Tissue Effects of the CO2 Laser
      References
      3. Flexible Fiber CO2 Laser and Transoral Robotic Surgery / Marc Remade
      3.1. Introduction
      3.2. Cutting and Ablative Instruments
      3.3. CO2 Flexible Fiber Guides
      References
      4. Equipment and Instrumentation for Transoral Laser Microsurgery / Wolfgang Steiner
      4.1. Introduction
      4.2. Equipment
      4.2.1. CO2 Laser
      4.2.2. Microscope
      4.2.3. Eye Protection and Laser Safety
      4.3. Instrumentation
      4.3.1. Laryngopharyngoscopes
      4.3.2. Endoscopes
      4.3.3. Grasping Instruments
      4.3.4. Coagulation Forceps
      4.3.5. Suction
      4.3.6. Clipping Instruments
      4.3.7. Protecting Shields
      References
      5. Anesthesia for Transoral Laser Microsurgery / Marina Vendrell
      5.1. Introduction
      5.2. Initial Considerations
      5.3. Airway Management and Difficult Intubation
      5.3.1. Preoperative Identification of the Difficult Airway
      5.3.2. Intubation Management in Upper Airway Pathology
      5.3.3. Mechanic Ventilation Modalities
      5.4. Anesthesia Aspects Associated with Laser Laryngeal Microsurgery
      5.4.1. Risks Derived from CO2 Laser on the Upper Airway
      5.4.2. Safety Measures During Laser Surgery
      5.5. Postoperative Period
      5.5.1. In the Operating Room
      5.5.2. In the Postanesthesia Care Unit
      References
      pt. 2 Treatment of Benign Lesions and Disorders of the Upper Aerodigestive Tract
      6. Endoscopic Treatment of Laryngeal, Subglottic, and Tracheal Stenosis
      Primitivo Ortega del Alamo, Consuelo Ortega Fernandez, Jorge Duque Silva with the collaboration of Javier / Cervera Escario
      6.1. Introduction
      6.2. Supraglottic Stenosis
      6.3. Glottic Stenosis
      6.3.1. Anterior Glottic Stenosis
      6.3.2. Posterior Glottic Stenosis
      6.3.3. Vocal Cord Paralysis in Children
      6.3.4. Posterior Glottic Commissure Scarring
      6.4. Subglottic and Tracheal Stenosis
      6.4.1. Etiology
      6.4.2. Classification
      6.4.3. Endoscopic Treatment
      References
      7. CO2 Laser Surgery for Benign Pharyngeal Lesions: Snoring, Hypopharyngeal (Zenker) Diverticulum, Palatine and Lingual Tonsils / Devora Kiagiadaki
      7.1. Introduction
      7.2. Snoring
      7.2.1. Surgical Treatment for Snoring
      7.3. Zenker Diverticulum
      7.3.1. Surgical Treatment for Zenker Diverticulum
      7.4. Oropharyngeal Dysfunction
      7.4.1. Endoscopic CO2 Laser-Assisted Cricopharyngeal Myotomy
      7.5. Palatine Tonsils
      7.5.1. Laser-Assisted Tonsillectomy
      7.5.2. Laser-Assisted Tonsillotomy
      7.5.3. CO2 Laser Hollow Waveguide for Tonsil Ablations
      7.6. Lingual Tonsils
      7.6.1. Surgical Treatment of Lingual Tonsils
      References
      8. Benign and Premalignant Lesions of the Larynx / Devora Kiagiadaki
      8.1. Introduction
      8.2. Benign Glottic Lesions
      8.2.1. Polyps
      8.2.2. Nodules
      8.2.3. Reinke Edema
      8.2.4. Vocal Fold Cysts
      8.2.5. Sulcus
      8.2.6. Scar
      8.2.7. Glottic Webs
      8.2.8. Recurrent Respiratory Papillomatosis
      8.2.9. Leukoplakia
      8.2.10. Bilateral Vocal Fold Paralysis
      8.3. Management of Benign Glottic Lesions
      8.3.1. Laser-Assisted Surgery for Benign Lesions of the Larynx
      References
      9. Premalignant Lesions of the Oral Cavity / Richard J. Shaw
      9.1. Introduction
      9.2. Premalignant Lesions of the Oral Cavity: Oral Epithelial Dysplasia and Malignant Transformation
      9.3. Management of Oral Epithelial Dysplasia
      9.3.1. CO2 Laser Surgery for Premalignant Oral Lesions
      9.4. Acknowledgments
      References
      pt. 3 Treatment of Malignant Tumors of the Upper Aerodigestive Tract
      10. Principles of the Gottingen Concept for Transoral Laser Microsurgery of the Upper Aerodigestive Tract Cancer / David Howard
      10.1. Introduction
      10.2. Therapeutic Concept
      10.2.1. Neck Dissection
      10.3. Oncologic and Functional Principles of TLM
      10.4. Diagnostic and Operative Procedures
      10.4.1. Human Papillomavirus
      10.4.2. Imaging
      10.4.3. Narrow Band Imaging
      10.4.4. Anesthesia
      10.4.5. Operative Procedure
      10.5. Microsurgical Technique and Histopathologic Processing
      10.5.1. Re-resection
      10.6. Prerequisites of TLM
      10.7. Preconditions for Organ Preservation
      10.8. Limitations of TLM
      10.8.1. Very Advanced Tumors with Risk of Severe Persisting Aspiration
      10.9. Risks of TLM
      10.10. Postoperative Complications
      10.11. Advantages of TLM over Standard Conventional Surgery
      10.12. Conclusion
      Recommended Literature
      11. ELS Classification of Transoral Resections / Nayla Matar
      11.1. Introduction
      11.2. Presentation of the ELS Classifications of Transoral Resections
      11.2.1. ELS Classification of Cordectomies
      11.2.2. ELS Classification of Supraglottic Laryngectomies
      11.3. Impact of the ELS Classifications on Publications Related to Outcomes
      11.3.1. Impact of the ELS Classification of Cordectomies on Publications Related to Outcomes
      11.3.2. Impact of the ELS Classifications of Supraglottic Laryngectomies on Publications Related to Outcomes
      11.4. Conclusion
      References
      12. Technical Details for Transoral Laser Microsurgery in the Oral Cavity and Oropharynx, Base of the Tongue, Hypopharynx, Glottis and Anterior Commissure, and Supraglottis: Tips and Tricks to Improve Exposure / Manuel Bernal-Sprekelsen
      12.1. Introduction
      12.2. Surgical Technique
      12.3. Transoral Laser Microsurgery for Tumors of the Oral Cavity and Oropharynx
      12.3.1. Tumors of the Floor of the Mouth
      12.3.2. Tumors of Buccal Mucosa and Palate
      12.3.3. Tumors of the Oropharynx
      12.4. Transoral Laser Microsurgery for Laryngeal Carcinoma
      12.4.1. Glottic Carcinoma in situ, "Small" T1a Carcinoma
      12.4.2. Unexpected Deep Invasion of the Vocal Fold
      12.4.3. T1a "Large," T1b Glottic Carcinoma
      12.4.4. T1b Tumor of Both Vocal Folds
      12.4.5. T2a, T2b, T3, T4 Glottic Carcinoma
      12.4.6. Involvement of the Arytenoid Mucosa
      12.4.7. Paraglottic Space
      12.4.8. Operative Procedure
      12.5. Transoral Laser Microsurgery for Tumors of the Supraglottis
      12.5.1. Tumors of the Suprahyoid Epiglottis
      12.5.2. Infrahyoid Epiglottis
      12.5.3. T2, T3, and T4 Supraglottic Tumors
      12.6. Transoral Laser Microsurgery for Tumors of the Hypopharynx
      12.6.1. Pyriform Fossa Tumors
      12.6.2. Postcricoid Tumors
      12.6.3. Posterior Pharyngeal Wall Tumors
      12.7. Exposure
      12.7.1. Common Principles
      12.7.2. Tips and Tricks to Improve Exposure
      Recommended Literature
      13. Study of Biopsies Taken by Laser Microsurgery: The Pathologist's View and the ENT View / Manuel Bernal-Sprekelsen
      13.1. Introduction
      13.2. Goals of Histopathologic Studies
      13.3. Problems of the Evaluation of Margins
      13.4. Results of Tumor Margin Assessment
      13.5. Conclusion
      References
      14. Role of Neck Dissection in Transoral Laser Microsurgery / Petra Ambrosch
      14.1. Introduction and General Remarks
      14.2. Classification of Lymph Nodes and Neck Dissection
      14.3. Clinical Staging of the Neck
      14.4. Accuracy of Pathological Assessment of the Neck
      14.5. Special Aspects of Neck Dissection in Transoral Laser Microsurgery
      14.5.1. Simultaneous or Staged Neck Dissection?
      14.6. Extent of SND
      14.7. Elective Treatment of the Neck
      14.8. Therapeutic SND
      14.9. Adjuvant Treatment
      14.10. Conclusion
      References
      pt. 4 Results
      15. Transoral Laser Microsurgery of the Oral Cavity / Peter James Thomson
      15.1. Introduction
      15.2. Applied Anatomy of the Oral Cavity...
      15.3. CO2 Laser Techniques in the Oral Cavity
      15.3.1. Treatment of Benign Mucosal Disease
      15.3.2. Oral Potentially Malignant Disorders
      15.3.3. Oral Squamous Cell Carcinoma
      15.4. Clinical Outcome Following Laser Surgery
      15.4.1. Potentially Malignant Disorders
      15.4.2. Oral Squamous Cell Carcinoma
      15.5. Complications of Oral Laser Surgery...
      15.6. Conclusion
      References
      16. Transoral Laser Microsurgery of the Oropharynx / Terry M. Jones
      16.1. Introduction
      16.2. TLM for Early and Intermediate OPSCC
      16.3. TLM for Advanced OPSCC
      16.3.1. Survival
      16.4. Conclusion
      References
      17. Transoral Laser Microsurgery of the Base of the Tongue / Michael L. Hinni
      17.1. Introduction
      17.2. Oncologic Outcomes
      17.2.1. Local Recurrence
      17.2.2. Regional Recurrence
      17.2.3. Distant Metastasis and Second Primaries
      17.2.4. Disease Survival
      17.3. Complications
      17.4. Prognostic Factors
      17.5. Conclusion
      References
      18. Transoral Laser Microsurgery for Hypopharyngeal Carcinomas / Manuel Bernal-Sprekelsen
      Contents note continued: 18.1. Introduction
      18.2. Transoral Laser Microsurgery for Hypopharyngeal Carcinoma
      18.3. Patient Selection
      18.4. Advantages and Disadvantages of TLM
      18.4.1. Advantages
      18.4.2. Disadvantages
      18.5. Conclusion
      References
      19. Transoral Laser Microsurgery for Early Glottic Tumors (Tis, T1a, T1b, and T2) / Manuel Bernal-Sprekelsen
      19.1. Introduction
      19.2. Oncologic Outcomes of TLM in Early Glottic Tumors
      19.3. TLM Versus Radiotherapy
      19.4. Advantages of TLM
      19.5. Conclusion
      References
      20. Transoral Laser Microsurgery of the Anterior Commissure of the Larynx / Isabel Vilaseca
      20.1. Introduction
      20.2. Diagnosis
      20.3. Treatment Options for Tumors Originating in the ACL
      20.4. Technical Aspects of Transoral Laser Resection
      20.5. Conclusion
      References
      21. Transoral Laser Microsurgery for Advanced Glottic Tumors / Jose L. Blanch
      21.1. Introduction
      21.2. Oncologic Outcomes
      21.2.1. Outcomes with TLM
      21.2.2. Other Organ Preservation Strategies
      21.3. Functional Outcomes
      21.4. Complications
      21.5. Conclusion
      References
      22. Laser Salvage Surgery after Failed Radiotherapy / Xavier Leon
      22.1. Introduction
      22.2. Advantages and Limitations of Laser Salvage Surgery
      22.3. Indications and Results
      22.4. Our Experience
      22.5. Conclusion
      References
      23. Transoral Laser Microsurgery for Early Supraglottic Tumors / Hans Edmund Eckel
      23.1. Introduction
      23.1.1. Basic Considerations for the Surgical Treatment of Supraglottic Carcinomas
      23.1.2. Preoperative Assessment
      23.1.3. Indications for Surgery
      23.2. Oncologic and Functional Results
      23.3. Follow-up after Curative Surgery
      23.4. Conclusion
      References
      24. Advanced Supraglottic Tumors: T3 and Selected T4 / Martin Canis
      24.1. Introduction
      24.2. Oncologic Outcomes
      24.3. Functional Outcomes
      24.4. Perioperative and Long-Term Complications
      24.5. Conclusion
      References
      pt. 5 Postoperative Management, Complications, Rehabilitation, and Adjuvant Therapy
      25. Immediate Postoperative Management / Vinidh Paleri
      25.1. Introduction
      25.2. Emergence from Anesthesia
      25.3. Considerations during the Recovery Period after Anesthesia
      25.4. Complications in the Recovery Period
      25.4.1. Airway
      25.4.2. Bleeding
      25.4.3. Fluid Management
      25.4.4. Rare Issues
      25.5. Management on the Ward
      25.6. Nutritional and Swallowing issues
      25.7. Conclusion
      References
      26. Complications of Transoral Laser Microsurgery of Malignant Tumors of the Larynx and Hypopharynx / Manuel Bernal-Sprekelsen
      26.1. Introduction
      26.2. Intraoperative Complications
      26.3. Postoperative Complications
      26.3.1. Postoperative Hemorrhage
      26.3.2. Dyspnea
      26.3.3. Cervical Emphysema
      26.3.4. Local Infection
      26.3.5. Pneumonia
      26.3.6. Tracheotomies
      26.3.7. Learning Curve
      26.4. Conclusion
      References
      27. Deglutition after Laser Surgery / Isabel Vilaseca
      27.1. Introduction
      27.2. Results
      27.2.1. Nasogastric Feeding Tube
      27.2.2. Aspirations and Aspiration Pneumonia
      27.2.3. Tracheostomy
      27.2.4. Level of Experience and Learning Curve
      27.3. Discussion
      27.4. Conclusion
      References
      28. Rehabilitation of Deglutition / R. Rodriguez Villalva
      28.1. Introduction
      28.2. Fiberoptic Endoscopic Evaluation of Swallowing
      28.2.1. FEES Technique
      28.2.2. Other Factors Affecting Swallowing
      28.3. Rehabilitation
      28.3.1. Adaptation Strategies
      28.3.2. Swallowing Maneuvers
      28.3.3. Specific Exercises
      28.4. Swallowing and Aspiration after TLM
      28.5. Conclusion
      References
      29. Voice Outcome in Glottic Tumors / Manuel Bernal-Sprekelsen
      29.1. Introduction
      29.2. Voice Assessment
      29.3. Voice Quality after TLM in Locally Early Tumors
      29.4. Radiation Therapy Versus TLM
      29.5. Voice Quality after TLM in Locally Advanced Tumors
      29.6. Surgical Voice Restoration after TLM
      29.7. Conclusion
      References
      30. Voice Rehabilitation / Arno Olthoff
      30.1. Introduction
      30.2. Evaluation of Voice Quality
      30.2.1. Endoscopic Findings
      30.2.2. Perceptive Evaluation
      30.2.3. Objective Evaluation
      30.2.4. Questionnaires
      30.3. Phonosurgery
      30.3.1. Medialization
      30.3.2. Augmentation
      30.4. Voice Therapy
      30.4.1. Methods and Aims
      30.5. Conclusion
      References
      31. Transoral CO2 Laser Resection for Arytenoid Edema and Posterior Glottic Stenosis / Francesco Mora
      31.1. Introduction
      31.2. Differential Diagnosis
      31.2.1. Trauma
      31.2.2. Endotracheal Intubation
      31.2.3. Surgery
      31.2.4. Inhalation Injuries
      31.2.5. Caustic Ingestion
      31.2.6. Infection
      31.2.7. Bilateral Vocal Fold Palsy
      31.3. Evaluation of Patients with Arytenoid Edema and PGS
      31.3.1. Diagnostic Workup
      31.3.2. Grade and Extent of PGS
      31.4. Treatment
      31.4.1. Medical
      31.4.2. Intralesional Injections
      31.4.3. Transoral and Open Procedures
      31.5. Discussion
      31.5.1. Edema
      31.5.2. Stenosis
      31.6. Conclusion
      References
      32. Quality of Life after Transoral Laser Microsurgery / Jose L. Blanch
      32.1. Introduction
      32.2. QOL in Laryngeal Tumors
      32.3. QOL in Pharyngeal Tumors
      32.4. Conclusion
      References
      33. Learning Curve in Transoral Laser Microsurgery / Isabel Vilaseca
      33.1. Introduction
      33.2. Material and Methods
      33.3. Results
      33.3.1. Small Tumors (T1-T2)
      33.3.2. Locally Advanced Tumors (T3 and T4)
      33.4. Discussion
      33.5. Conclusion
      References.
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