Possibilities of Surgical Use of Thulium Laser in Otorhinolaryngology of the Child Patients

Authors: I. Šlapák 1,2;  M. Máchalová 1,2;  M. Veselá 2
Authors‘ workplace: Klinika dětské otorinolaryngologie Fakultní nemocnice Brno 1;  Lékařská fakulta Masarykovy Univerzity, Brno 2
Published in: Otorinolaryng. a Foniat. /Prague/, 63, 2014, No. 4, pp. 227-231.
Category: Original Papers


Laser surgery in otorhinolaryngology has been used for decades. Various types of laser devices differ in properties and application. Thulium laser combines fine incision, good hemostasis and shallow tissue penetration. For these reasons it can be used for minimum invasive surgeries in pediatric otorhinolaryngology. We retrospectively evaluated a sample of 34 patients aged between 5 days and 19 years, who underwent Thulium laser surgery at Clinic of Pediatric ENT of the University Hospital Brno and Faculty of Medicine of Masaryk University from December 2012 to November 2013. 16 patients of this sample underwent nasal surgery. Surgery of congenital choanal atresia was the most frequent in this area (5 cases). Second most frequent surgery was a treatment of lacrimal apparatus obstruction – 10 patients underwent dacryocystorhinostomy. We conclude that Thulium laser technique has a wide-ranging possibility of application and is safe even in the youngest children.

Thulium laser, laser surgeries in otorhinolaryngology, childhood


1. Ambrosh, P.: The role of laser microsurgery in the treatment of laryngeal cancer. Current opinion in Otolaryngology and Head and Neck Surgery, 15, 2007, 2, s. 82-88.

2. Andrle, J.: Principy a použití laseru v otorinolaryngologii a chirurgii hlavy a krku. Sanquis, 32, 2004, s. 34.

3. Ayari – Khalfallah, S., Fuchsmann, C., Froehlich, P.: Thulium laser in airway diseases in children. Current opinion in Otolaryngology and Head and Neck Surgery, 16, 2008, 1, s. 55-59.

4. Dedo, H., Yu, K. C.: CO2 laser treatment in 244 patients with respiratory papillomas. The Laryngoscope, 111, 2001, 9, s. 1639-1644.

5. Enepekides, D. J.: Recent advances in the treatment of juvenile angiofibroma. Current opinion in Otolaryngology and Head and Neck Surgery, 12, 2004, 6, s. 495-499.

6. Gallo, A., De Vicentiis, M., Manciocco, V.: CO2 laser cordectomy for early-stage glottic carcinoma: A long-term follow-up of 156 cases. The Laryngoscope, 112, 2002, 2, s. 370-374.

7. Gimbel, H. W., Penno Anderson, E., Van Westenbrugge, J. A., Ferensowicz, M., Furlong, M. T.: Incidence and managemet of intraoperative and early postoperative complications in 1000 consecutive laser in situ keratomileusis cases. Ophthalmology, 105, 1998, 10, s. 1839-1848.

8. Halimi, C., Nevoux, J., Denoyelle, F.: Acquired subglottic cysts: Management and long term outcome. International Journal of Pediatric Otolaryngology, 76, 2012, 4, s. 589-592.

9. Hartikainen, J., Grenman, R., Puuka, P., Seppa, H.: Prospective randomized comparison of external dacryocystorhinostomy and endonasal laser dacryocystorhinostomy. Ophthalmology, 105, 1998, 6, s. 1106-1113.

10. Hengerer, A. S., Brickmann, T. M., Jeyakumar, A.: Choanal atresia: embryologic analysis and evolution of treatment, a 30-year experience. The Laryngoscope, 118, 2008, 5, s. 862-866.

11. Chrobok, V., Vokurka, J.: Současné možnosti využití laseru v otorinolaryngologii, I. část: Vliv laserové energie na tkáň, typy laserů. Lékařský zpravodaj LF UK Hradec Králové, 43, 1998, 5-6, s. 111-115.

12. Chrobok, V., Vokurka, J.: Současné možnosti využití laseru v otorinolaryngologii, II. část: Vlastní využití laseru v chirurgii hlavy a krku, Lékařský zpravodaj LF UK Hradec Králové, 43, 1998, 5-6, s. 117-125.

13. Ilgner, J., Westhofen, M.: Laser interventions in otorhinolaryngology-current techniques and future developments. Medical Laser Aplication, 25, 2010, 1, s. 27-33.

14. Janda, P., Sroka, R., Mundweil, B. et al.: Comparison of thermal tissue effects induced by contact aplication of fiber guided laser systems. Lasers in Surgery and Medicine, 33, 2003, 2, s. 93-101.

15. Lukáš, J., Votruba, J., Paska, J. et al.: Laryngotracheal stenosis in critically ill patients. Acta Otolaryngologica, 131, 2010, 1., s. 91-95.

16. Panwar, S. S., Martin, F. W.: Trans-nasal endoscopic holmium:YAG laser correction of choanal atresia. The Journal of Laryngology and Otology, 110, 1996, 5, s. 429-431.

17. Sedlmaier, B., Jivanjes, A., Gutzler, R., Husher, D., Jovanovic, S.: Ventilation time of the middle ear in otitis media with effusion after CO2 laser myringotomy. The Laryngoscope, 112, 2002, s. 661-668.

18. Šebová, I., Scherer, H.: Súčasné možnosti laserových alebo laserom asistovaných výkonov v ORL. Otorinolaryngológia a chirurgia hlavy a krku, 1, 2007, 2, s. 68-70.

19. Van Abel, K. M., Moore, E. J., Carlson, M. L., Davidson, J. A.: Transoral robotic surgery using the Thulium:YAG laser a prospective study. Arch. Otolaryngology and Head and Neck Surgery, 138, 2012, 2, s. 158-166.

20. Watkins, L. M., Janfera, P., Rubin, P.: The evolution of endonasal dacryocystorhinostomy. Survey of Ophthalmology, 48, 2003, 1, s. 73-84.

21. Wexler, D. B., Berger, G., Derowe, A., Ophir, D.: Long-term histologic effects of inferior turbinate laser surgery. Otolaryngology and Head and Neck Surgery, 124, 2001, 4, s. 459-463.

Audiology Paediatric ENT ENT (Otorhinolaryngology)
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