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Use of the KTP laser in totally endoscopic cholesteatoma surgery

Published online by Cambridge University Press:  03 March 2020

S D Sharma ,
A Swarup  and
A L James
S D Sharma
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Hospital for Sick Children, Toronto, Canada Department of Otolaryngology, Head and Neck Surgery, University of Toronto, Canada
A Swarup
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Hospital for Sick Children, Toronto, Canada Institute of Biomaterials and Biomedical Engineering, University of Toronto, Canada
A L James*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Hospital for Sick Children, Toronto, Canada Department of Otolaryngology, Head and Neck Surgery, University of Toronto, Canada Institute of Biomaterials and Biomedical Engineering, University of Toronto, Canada
*
Author for correspondence: Dr Adrian L James, Department of Otolaryngology, Head and Neck Surgery, Hospital for Sick Children, 555 University Avenue, Toronto, OntarioM5 G 1X8, Canada E-mail: adr.james@utoronto.ca Fax: +1 (416) 813 5036
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Abstract

Objective

This paper reviews our experience of potassium titanyl phosphate (KTP) laser in transcanal totally endoscopic cholesteatoma surgery.

Methods

A prospective cohort study was conducted in a tertiary referral centre, involving a consecutive series of children with cholesteatoma who underwent totally endoscopic cholesteatoma surgery with a KTP laser.

Results

The patients’ mean age was 10.5 years (range, 1.8–18 years). A KTP laser was used in 70 of the 83 cases (84 per cent). The laser was not used in 13 ‘clean’ cases, in which disease was removed more easily. Residual disease was detected in five cases (6 per cent), of which the KTP laser had been used in four (5 per cent). No complications were associated with KTP laser use.

Conclusion

The combination of KTP laser use with endoscopic visualisation is effective for minimising the risk of residual disease using a minimally invasive surgical approach. The thin, semi-flexible fibre carrier of the KTP laser is ideally suited to work alongside the endoscope within the narrow confines of the ear canal.

Keywords

Endoscopic Ear SurgeryKTP LasersCholesteatoma
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 4 , April 2020 , pp. 362 - 365
Copyright
Copyright © JLO (1984) Limited, 2020

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Footnotes

Dr A L James takes responsibility for the integrity of the content of the paper

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