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Endoscopic Approach

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Surgery of Larynx and Trachea

Abstract

Transoral laser surgery is suited for the curative treatment of most T1-T2 carcinomas of the glottic and supraglottic larynx. The main advantage of this minimal access approach is reduced perioperative morbidity and hospital stay. Tracheotomy is usually not required, but postoperative monitoring in an intensive or intermediate care unit may be needed following more extensive procedures. Shielding the endotracheal tube is essential to avoid serious airway complications (ignition of oxygen) Postoperative aspiration (following surgery for supraglottic tumors or following arytenoid cartilage resection), secondary bleeding, dental injuries, and mucosal tears are the most common complications and sequelae. Exhaustive technical equipment, including contemporary CO2 laser systems and focusing devices, operating laryngoscopes, multiple suction devices, and specially designed instruments are required for successful endoscopic tumor surgery. Comprehensive training in head and neck surgery and specialized instruction in the use of medical lasers is mandatory for laryngologists performing these procedures.

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Author information

Authors and Affiliations

  1. Department of Oto-Rhino-Laryngology, A.ö. Landeskrankenhaus Klagenfurt, HNO, St. Veiter Str. 47, A-9020, Klagenfurt, Austria

    Hans Edmund Eckel

Authors
  1. Hans Edmund Eckel
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  2. Giorgio Perretti
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  3. Marc Remacle
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  4. Jochen Werner
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Corresponding author

Correspondence to Hans Edmund Eckel .

Editor information

Editors and Affiliations

  1. Mont-Godinne, Univ. Hospital of Louvain at, Yvoir, 5530, Belgium

    Marc Remacle

  2. Hals-Nasen-Ohren Abteilung, Landeskrankenhaus Klagenfurt, St. Veiter Str. 47, Klagenfurt, 9026, Austria

    Hans Edmund Eckel

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© 2009 Springer-Verlag Berlin Heidelberg

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Eckel, H.E., Perretti, G., Remacle, M., Werner, J. (2009). Endoscopic Approach. In: Remacle, M., Eckel, H. (eds) Surgery of Larynx and Trachea. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-79136-2_17

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  • DOI: https://doi.org/10.1007/978-3-540-79136-2_17

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-79135-5

  • Online ISBN: 978-3-540-79136-2

  • eBook Packages: MedicineMedicine (R0)

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