OBJECTIVE: To present results from a clinical series of patients who underwent office-based laser nasal septal cartilage reshaping. DESIGN: Nonrandomized prospective clinical trial. SETTING: Outpatient university-based otolaryngology clinic. PATIENTS: One hundred ten patients aged 11 to 66 years with symptomatic nasal obstruction due to septal deviation. INTERVENTION: Topical anesthesia (10% lidocaine solution) was applied to the nasal cavity. The septum was then mechanically straightened using a modified nasal speculum, and it was secured in a median position. Laser energy from a holmium:YAG laser was delivered via an optical fiber to the septum along the regions of maximum mechanical stress. Irradiation was delivered through the mucosa. MAIN OUTCOME MEASURES: A subjective survey, rhinoscopy, and rhinomanometry in 110 patients before and after surgery. RESULTS: Eighty-four patients (76%) showed stable improvement in airways and disappearance of the attendant symptoms. The average duration of follow-up was 18 months. CONCLUSIONS: This technique uses local, nondestructive laser irradiation to reshape septal deviations without the use of mucoperichondrial flaps or sedation.
OBJECTIVE: To present results from a clinical series of patients who underwent office-based laser nasal septal cartilage reshaping. DESIGN: Nonrandomized prospective clinical trial. SETTING:Outpatient university-based otolaryngology clinic. PATIENTS: One hundred ten patients aged 11 to 66 years with symptomatic nasal obstruction due to septal deviation. INTERVENTION: Topical anesthesia (10% lidocaine solution) was applied to the nasal cavity. The septum was then mechanically straightened using a modified nasal speculum, and it was secured in a median position. Laser energy from a holmium:YAG laser was delivered via an optical fiber to the septum along the regions of maximum mechanical stress. Irradiation was delivered through the mucosa. MAIN OUTCOME MEASURES: A subjective survey, rhinoscopy, and rhinomanometry in 110 patients before and after surgery. RESULTS: Eighty-four patients (76%) showed stable improvement in airways and disappearance of the attendant symptoms. The average duration of follow-up was 18 months. CONCLUSIONS: This technique uses local, nondestructive laser irradiation to reshape septal deviations without the use of mucoperichondrial flaps or sedation.
Authors: Edward C Kuan; Ashley A Hamamoto; Cyrus T Manuel; Dmitriy E Protsenko; Brian J F Wong Journal: Laryngoscope Date: 2014-05-02 Impact factor: 3.325
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Authors: Edward C Wu; Dmitriy E Protsenko; Adam Z Khan; Sterling Dubin; Koohyar Karimi; Brian J F Wong Journal: IEEE Trans Biomed Eng Date: 2011-05-19 Impact factor: 4.538
Authors: Edward C Kuan; Ashley A Hamamoto; Victor Sun; Tony Nguyen; Cyrus T Manuel; Dmitry E Protsenko; Brian J F Wong; J Stuart Nelson; Wangcun Jia Journal: Lasers Surg Med Date: 2014-11-18 Impact factor: 4.025