Hostname: page-component-76fb5796d-5g6vh Total loading time: 0 Render date: 2024-04-26T18:58:00.820Z Has data issue: false hasContentIssue false
  • English
  • Français

Curved adjustable fibre-optic diode laser in microscopic cholesteatoma surgery: description of use and review of the relevant literature

Published online by Cambridge University Press:  08 March 2018

C J McCaffer ,
L Pabla  and
C Watson
C J McCaffer*
Affiliation:
Department of Otolaryngology Head and Neck Surgery, James Cook University Hospital, Middlesbrough, UK
L Pabla
Affiliation:
Department of Otolaryngology Head and Neck Surgery, James Cook University Hospital, Middlesbrough, UK
C Watson
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Darlington Memorial Hospital, UK
*
Address for correspondence: Mr Craig J McCaffer, C/O ENT Secretaries, Department of Otolaryngology Head and Neck Surgery, James Cook University Hospital, Middlesbrough, UK E-mail: cmccaffer@nhs.net
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

The use of lasers in cholesteatoma surgery is common and well accepted. The most commonly used laser fibres are straight and non-adjustable; these have several limitations. This paper describes the use of an alternative laser fibre.

Method:

This ‘How I Do It’ paper describes and illustrates the use of an alternative curved adjustable fibre-optic diode laser in microscopic cholesteatoma surgery.

Results:

The curved, adjustable laser fibre allows accurate and atraumatic disease removal when the use of a straight laser fibre may be less effective or accurate. It reduces potential damage to delicate structures without the need for extra drilling or bone removal.

Conclusion:

It is suggested that the curved adjustable laser fibre is superior to the traditional straight fibre for cholesteatoma surgery.

Keywords

CholesteatomaLasersCurved Laser
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 4 , April 2018 , pp. 360 - 363
Copyright
Copyright © JLO (1984) Limited 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Hamilton, JW. Systematic preservation of the ossicular chain in cholesteatoma surgery using a fiber-guided laser. Otol Neurotol 2010;31:1104–8.Google Scholar
2Caffier, PP, Marzahn, U, Franke, A, Sudhoff, H, Jovanovic, S, Haisch, A et al. Laser-assisted cholesteatoma surgery: technical aspects, in vitro implementation and challenge of selective cell destruction. Eur Arch Otorhinolaryngol 2008;265:1179–88.CrossRefGoogle ScholarPubMed
3Eskander, A, Holler, T, Papsin, BC. Delayed facial nerve paresis after using the KTP laser in the treatment of cholesteatoma despite inter-operative facial nerve monitoring. Int J Pediatr Otorhinolaryngol 2010;74:823–4.Google Scholar