Laser Interventons in othorhinolaryngology

Benign nose and nasopharynx diseases

  • Reduction of hypertrophic turbinates: an enlargement of the turbinates, which makes breathing difficult, comes with chronic rhinitis (both allergic and drug-induced). The diode laser enables an efficient reduction of the turbinates
  • Resection of septal spurs
  • Exeresis of benign tumours like polyps, cysts and papillomas
  • Resection of vascular lesions, such as angiofibromas and hemangiomas
  • Resection of nasal synechiae, which are adhesions between the septum and the external walls of the nose (turbinates) that appear often after surgery or traumatisms
  • Opening of choanal atresia: congenital malformation that consists in a lack of aperture of the posterior nostril (choana). It can be unilateral or bilateral
  • Adenoid removal

Benign mouth diseases

  • Resection of benign tumours: papillomas, fibromas, granulomas, cysts, ranula, hemangiomas
  • Resection of premalignant lesions: leukoplakias (white spot on the mucous membranes) and erythroplakia (reddened spots)
  • Gum hyperplasia: swelling of the gums caused by multiplication of normal cells.

Benign oropharynx diseases

  • Chronic hypertrophic pharyngitis (also called chronic hyperplastic pharyngitis, granular pharyngitis, or follicular pharyngitis): the treatment consists in vaporizing the lymphatic tissue of the oropharynx. The mucus on the posterior pharynx wall is swollen, granular and reddened. There's abundant thick and colourless exudation. A sense of a strange body in the pharynx is almost always felt, which causes the patient to swallow and clear their throat. It can easily cause nausea and even vomits
  • Tonsil hypertrophy (enlarged tonsils): may cause apneas and it's treated with a partial laser tonsillectomy
  • Chronic and recurrent acute tonsillitis: The treatment consists in a total tonsillectomy. Using laser and microscope is more accurate, the bleeding is minimal and there's less post surgical pain
  • Lingual tonsil hypertrophy: there are tonsils that cover the posterior region of the tongue and may cause snoring and the feeling of a lump in the throat. It can be partially dried out by laser
  • Recurrent lingual tonsillitis: Infrequent cases of repeated infection of the lingual tonsils. If it could not be avoided with antibiotics, a laser lingual tonsillectomy can be performed.
  • Vallecular cyst: The vallecula is a depression between the epiglottis and the base of the tongue

Benign hypopharynx diseases: cysts, papilomas and hemangiomas

Benign larynx diseases

  • Congenital lesions
    • Laryngomalacia: The most common congenital anomaly during infancy, in which the soft, immature cartilage of the upper larynx collapses inward during inhalation, causing airway obstruction and a high-pitched squeaking sound. This condition usually disappears when the child turns one, although severe cases can be solved by an endoscopic treatment with laser
    • Vocal cord paralysis
    • Laryngeal cysts
    • Subglottic hemangioma
    • Congenital subglottic strenosis
  • Acquired lesions
    • Nodules, polyps, cysts, Reinke's edema
    • Post-intubation granuloma
    • Post-radiotherapy arytenoid edema
    • Laryngeal papillomatosi
    • Amyloidosis
    • Papilloma, hemangioma
    • Keratosis, leukoplakia, hyperplasia
    • Bilateral vocal cord paralysis: posterior cordectomy
    • Larynx stenosis
    • Other stenosis caused by burns, acid or alkaline ingestion

Larynx cancer

Pharynx cancer

Mouth or oral cavity cancer

Tongue cancer

Paranasal sinuses and nasal cavity cancer