{"title":"Concurrent Subepithelial Vocal Fold Infusion and Photoangiolysis for Vessel Coagulation in Vocal Fold Surgery.","authors":"Alexander Szymczak, James A Burns","doi":"10.1002/lary.32081","DOIUrl":null,"url":null,"abstract":"<p><p>This study introduces a new technique in laryngeal microsurgery that combines subepithelial saline infusion with photoangiolysis to safely and effectively coagulate vocal fold vessels while minimizing thermal damage. By expanding the volume of the superficial lamina propria with saline, the method allows for precise targeting of vessels with reduced energy needed for coagulation, thereby protecting the delicate microstructure of the vocal folds. The technique allows for a more comprehensive hemostatic approach by making an increased number of vessels accessible for treatment, which can lead to reduced intraoperative bleeding and fewer postoperative complications.</p>","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Laryngoscope","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/lary.32081","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
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Abstract
This study introduces a new technique in laryngeal microsurgery that combines subepithelial saline infusion with photoangiolysis to safely and effectively coagulate vocal fold vessels while minimizing thermal damage. By expanding the volume of the superficial lamina propria with saline, the method allows for precise targeting of vessels with reduced energy needed for coagulation, thereby protecting the delicate microstructure of the vocal folds. The technique allows for a more comprehensive hemostatic approach by making an increased number of vessels accessible for treatment, which can lead to reduced intraoperative bleeding and fewer postoperative complications.
期刊介绍：
The Laryngoscope has been the leading source of information on advances in the diagnosis and treatment of head and neck disorders since 1890. The Laryngoscope is the first choice among otolaryngologists for publication of their important findings and techniques. Each monthly issue of The Laryngoscope features peer-reviewed medical, clinical, and research contributions in general otolaryngology, allergy/rhinology, otology/neurotology, laryngology/bronchoesophagology, head and neck surgery, sleep medicine, pediatric otolaryngology, facial plastics and reconstructive surgery, oncology, and communicative disorders. Contributions include papers and posters presented at the Annual and Section Meetings of the Triological Society, as well as independent papers, "How I Do It", "Triological Best Practice" articles, and contemporary reviews. Theses authored by the Triological Society’s new Fellows as well as papers presented at meetings of the American Laryngological Association are published in The Laryngoscope.
• Broncho-esophagology
• Communicative disorders
• Head and neck surgery
• Plastic and reconstructive facial surgery
• Oncology
• Speech and hearing defects
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