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Diode Laser for Laryngeal Surgery: a Systematic Review.

Arroyo HH, Neri L, Fussuma CY, Imamura R - Int Arch Otorhinolaryngol (2016)

Bottom Line: However, whether diode laser has been applied in transoral laser microsurgery, the ideal parameters, outcomes, and adverse effects remain unclear.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Otorhinolaryngology, Hospital das Clínicas, School of Medicine, Universidade de São Paulo, São Paulo, Brazil.

ABSTRACT

Unlabelled: 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.

No MeSH data available.


Related in: MedlinePlus

Diagram of eligibility criteria.
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FI0376sr-1: Diagram of eligibility criteria.

Mentions: Our search strategy yielded a total of 284 articles (including duplicates). By screening the titles alone, 234 articles could be excluded, as they were either review articles, obviously not relating to the use of diode laser in larynx, or clearly not eligible for inclusion (for example, studies looking at diode laser in animals). This left 50 abstracts, of which 36 were duplicate. After reading the abstracts, one was removed due to its focus on endobronchial diseases. Then, the 13 eligible articles were full-text assessed, but two more were excluded due to failure to meet eligibility criteria (one that did not describe the laser parameters used at one single surgery and another that included patients with lesions outside the larynx). This left 11 articles appropriate for inclusion in the review. We manually searched reference lists for further relevant articles, but none was eligible (Fig. 1).


Diode Laser for Laryngeal Surgery: a Systematic Review.

Arroyo HH, Neri L, Fussuma CY, Imamura R - Int Arch Otorhinolaryngol (2016)

Diagram of eligibility criteria.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4835333&req=5

FI0376sr-1: Diagram of eligibility criteria.
Mentions: Our search strategy yielded a total of 284 articles (including duplicates). By screening the titles alone, 234 articles could be excluded, as they were either review articles, obviously not relating to the use of diode laser in larynx, or clearly not eligible for inclusion (for example, studies looking at diode laser in animals). This left 50 abstracts, of which 36 were duplicate. After reading the abstracts, one was removed due to its focus on endobronchial diseases. Then, the 13 eligible articles were full-text assessed, but two more were excluded due to failure to meet eligibility criteria (one that did not describe the laser parameters used at one single surgery and another that included patients with lesions outside the larynx). This left 11 articles appropriate for inclusion in the review. We manually searched reference lists for further relevant articles, but none was eligible (Fig. 1).

Bottom Line: However, whether diode laser has been applied in transoral laser microsurgery, the ideal parameters, outcomes, and adverse effects remain unclear.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Otorhinolaryngology, Hospital das Clínicas, School of Medicine, Universidade de São Paulo, São Paulo, Brazil.

ABSTRACT

Unlabelled: 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.

No MeSH data available.


Related in: MedlinePlus