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Abstract 116 su~~ary & conclusion The carbon dioxide laser provides a safe and efficacious technique for treatment of benign laryngeal lesions, provided that certain precautions are taken. It is possible by means of C02 laser to remove extensive papillomatosis without the risk of postoperative oedema and also without tracheostomy, although it is not possible to cure the disease completely. Polyps and cysts of the cord are easily vaporized without damage to the healthy tissues and with rapid wound healinq F.lnc1 voice improvement. Carbon dioxide laser provides a good method for treatrnr-nt of subglottic stenosis without tracheostomy, results of CO2 laser excision of subglottic stenosis is not 50 favorable cHId further studies are needed specially for those due to laryngoscleroma. The specific advantages of C02 laser surgery includes: Tissue destruction is precise, immediate and bloodless. protection of the surrounded structures with preservation of anatomy and functions. - - -------_.-~- -- -~._----,-,.--_.-._----_.- ------_.- 117 Airway preservation without tracheostomy. Tissue manipulation is unnecessary and the absence of instruments means visual access to the operative field. Rapid healing without stricture formation. Possibility of repeated surgery without or with minimal trauma. The major hazard of laser is misdirection of the lasp,r beam either directly or reflection from instrument as it may strike unprotected area of patient, member of operating room personnel or unprotected anaesthetic tube carrying oxygPP causing ignition of the tube. In conclusion, C02 laser surgery is very helpful in thp treatment of papillomatosis, polyps, cysts of the vocal cord as well as subglottic stenosis. The use of C02 laser is recommended whenever possible for these cases. |