OUR EXPERIENCE WITH 1ST TIME USE OF CO2 LASER IN OTOLARYNGOLOGY AND HEAD AND NECK SURGERIES IN KASHMIR VALLEY.

Dr Tabish Maqbool; Prof Rauf Ahmed

Volume : VII, Issue : IX, September - 2018

OUR EXPERIENCE WITH 1ST TIME USE OF CO2 LASER IN OTOLARYNGOLOGY AND HEAD AND NECK SURGERIES IN KASHMIR VALLEY.

Dr Tabish Maqbool, Prof Rauf Ahmed

Abstract :

Introduction: : Co₂laser has been used for various indications in otolaryngology and head and neck surgery like laryngeal polyposis, laryngeal papillomatosis, arytenoidectomy, early laryngeal carcinoma, turbinate reduction in nose, stapedotomy in ear, oral cavity lesions, and LAUP(laser assisted uvulopalatopharyngoplasty)

Materials and Method: The study was prospective in design and was conducted in the department of ENT and Head And Neck Surgery, SMHS Hospital, GMC Srinagar, Jammu And Kashmir from January 2016 to June 2017. Aims and objectives of this study were:1.To determine indications of CO2 laser in otolaryngological ailments of hospital attending population in Kashmir and 2.To study incidence of complications if any after CO2 laser surgery.

The patients� age and sex, pathology of the lesions in Otorhinolaryngology and head and neck region, type of surgery as well as any Intraoperative and postoperative complications were documented.

RESULTS: Total of 119 patients were studied.45 patients of Benign, premalignant and malignant lesions of the larynx and 44 patients of oral cavity, oropharynx and hypopharynx were treated with CO2 Laser. In nose,reduction of inferior turbinates was done in 21 patients using CO2 laser. In ear primary laser stapedotomy was done in 7 patients and revision laser stapedotomy was done in 2 patients. No laser related complication occurred in any of the patients studied.

Conclusion: All patients with benign and early malignant lesion of larynx and oral cavity, symptomatic hypertrophic turbinates, primary and revision stapedotomies should undergo treatment with CO2 Laser.