The study aim was to increase the effectiveness of surgical treatment and rehabilitation of patients with bilateral paralysis of the larynx by applying low-intensity laser radiation of the visible red spectrum in the pulsed mode in this category of patients in the postoperative period. There were healed 18 female patients with bilateral paralysis of the larynx, 14 of them was tracheotomized, 4 of them - wasn’t. According to the method of surgical intervention, the patients were divided into 2 groups. The first one includes 9 female patients who had chordaritenoidotomy with coblator. The second one includes 9 female patients who had chordaritenoidotomy with microsyrgery tools. All of patients had antiphlogistic therapy after operation, 5 patients from each group also had additionally low-intensity laser radiation therapy with device «Mustang 2000». On the third and tenth day patients had Doppler laser flowmetry, considering variation coefficient (Kv). On the third day 4 patients from each group (who haven’t additionally red pulsed laser therapy) have Kv=9, 10 patients (who have additionally red pulsed laser therapy) – Kv=13. On the 10 day the first ones had Kv=26, the second ones – Kv=32. The criteria for the effectiveness of postoperative treatment were the quality and timing of wound healing, the absence of cicatricial measurements in the long-term postoperative period, and the normalization of respiratory function. After 4 months both groups have such complications as cicatricial stenosis of vocal folds and underfolds area, polypus of vocal folds. In 10 patients receiving laser therapy, no complications were observed. In conclusion it can be said that the method of surgical intervention (in the first group - chordaritenoidotomy with the cold-plasma apparatus cobblator, in the second group - chordaritenoidotomy with instruments for microsurgery of the larynx) practically does not affect the final result. Laser therapy is an important factor in the activation of regenerative processes in the postoperative area.
| Published in | International Journal of Otorhinolaryngology (Volume 4, Issue 1) |
| DOI | 10.11648/j.ijo.20180401.17 |
| Page(s) | 27-30 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2018. Published by Science Publishing Group |
Bilateral Paralysis of the Larynx, Chordarinoidotomy, Low-Intensity Laser Radiation
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APA Style
Zhanna Evgenevna Komarova, Alexey Nicolaevich Nasedkin, Vitalyi Nicolaevich Selin, Valentin Yurievich Tyukin, Anna Yurievna Polschikova. (2018). Application of Red Pulsed Laser Therapeutic Radiation for Healing Larynx Bilateral Paralysis After Stringectomy. International Journal of Otorhinolaryngology, 4(1), 27-30. https://doi.org/10.11648/j.ijo.20180401.17
ACS Style
Zhanna Evgenevna Komarova; Alexey Nicolaevich Nasedkin; Vitalyi Nicolaevich Selin; Valentin Yurievich Tyukin; Anna Yurievna Polschikova. Application of Red Pulsed Laser Therapeutic Radiation for Healing Larynx Bilateral Paralysis After Stringectomy. Int. J. Otorhinolaryngol. 2018, 4(1), 27-30. doi: 10.11648/j.ijo.20180401.17
AMA Style
Zhanna Evgenevna Komarova, Alexey Nicolaevich Nasedkin, Vitalyi Nicolaevich Selin, Valentin Yurievich Tyukin, Anna Yurievna Polschikova. Application of Red Pulsed Laser Therapeutic Radiation for Healing Larynx Bilateral Paralysis After Stringectomy. Int J Otorhinolaryngol. 2018;4(1):27-30. doi: 10.11648/j.ijo.20180401.17
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Download@article{10.11648/j.ijo.20180401.17,
author = {Zhanna Evgenevna Komarova and Alexey Nicolaevich Nasedkin and Vitalyi Nicolaevich Selin and Valentin Yurievich Tyukin and Anna Yurievna Polschikova},
title = {Application of Red Pulsed Laser Therapeutic Radiation for Healing Larynx Bilateral Paralysis After Stringectomy},
journal = {International Journal of Otorhinolaryngology},
volume = {4},
number = {1},
pages = {27-30},
doi = {10.11648/j.ijo.20180401.17},
url = {https://doi.org/10.11648/j.ijo.20180401.17},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20180401.17},
abstract = {The study aim was to increase the effectiveness of surgical treatment and rehabilitation of patients with bilateral paralysis of the larynx by applying low-intensity laser radiation of the visible red spectrum in the pulsed mode in this category of patients in the postoperative period. There were healed 18 female patients with bilateral paralysis of the larynx, 14 of them was tracheotomized, 4 of them - wasn’t. According to the method of surgical intervention, the patients were divided into 2 groups. The first one includes 9 female patients who had chordaritenoidotomy with coblator. The second one includes 9 female patients who had chordaritenoidotomy with microsyrgery tools. All of patients had antiphlogistic therapy after operation, 5 patients from each group also had additionally low-intensity laser radiation therapy with device «Mustang 2000». On the third and tenth day patients had Doppler laser flowmetry, considering variation coefficient (Kv). On the third day 4 patients from each group (who haven’t additionally red pulsed laser therapy) have Kv=9, 10 patients (who have additionally red pulsed laser therapy) – Kv=13. On the 10 day the first ones had Kv=26, the second ones – Kv=32. The criteria for the effectiveness of postoperative treatment were the quality and timing of wound healing, the absence of cicatricial measurements in the long-term postoperative period, and the normalization of respiratory function. After 4 months both groups have such complications as cicatricial stenosis of vocal folds and underfolds area, polypus of vocal folds. In 10 patients receiving laser therapy, no complications were observed. In conclusion it can be said that the method of surgical intervention (in the first group - chordaritenoidotomy with the cold-plasma apparatus cobblator, in the second group - chordaritenoidotomy with instruments for microsurgery of the larynx) practically does not affect the final result. Laser therapy is an important factor in the activation of regenerative processes in the postoperative area.},
year = {2018}
}
TY - JOUR T1 - Application of Red Pulsed Laser Therapeutic Radiation for Healing Larynx Bilateral Paralysis After Stringectomy AU - Zhanna Evgenevna Komarova AU - Alexey Nicolaevich Nasedkin AU - Vitalyi Nicolaevich Selin AU - Valentin Yurievich Tyukin AU - Anna Yurievna Polschikova Y1 - 2018/08/27 PY - 2018 N1 - https://doi.org/10.11648/j.ijo.20180401.17 DO - 10.11648/j.ijo.20180401.17 T2 - International Journal of Otorhinolaryngology JF - International Journal of Otorhinolaryngology JO - International Journal of Otorhinolaryngology SP - 27 EP - 30 PB - Science Publishing Group SN - 2472-2413 UR - https://doi.org/10.11648/j.ijo.20180401.17 AB - The study aim was to increase the effectiveness of surgical treatment and rehabilitation of patients with bilateral paralysis of the larynx by applying low-intensity laser radiation of the visible red spectrum in the pulsed mode in this category of patients in the postoperative period. There were healed 18 female patients with bilateral paralysis of the larynx, 14 of them was tracheotomized, 4 of them - wasn’t. According to the method of surgical intervention, the patients were divided into 2 groups. The first one includes 9 female patients who had chordaritenoidotomy with coblator. The second one includes 9 female patients who had chordaritenoidotomy with microsyrgery tools. All of patients had antiphlogistic therapy after operation, 5 patients from each group also had additionally low-intensity laser radiation therapy with device «Mustang 2000». On the third and tenth day patients had Doppler laser flowmetry, considering variation coefficient (Kv). On the third day 4 patients from each group (who haven’t additionally red pulsed laser therapy) have Kv=9, 10 patients (who have additionally red pulsed laser therapy) – Kv=13. On the 10 day the first ones had Kv=26, the second ones – Kv=32. The criteria for the effectiveness of postoperative treatment were the quality and timing of wound healing, the absence of cicatricial measurements in the long-term postoperative period, and the normalization of respiratory function. After 4 months both groups have such complications as cicatricial stenosis of vocal folds and underfolds area, polypus of vocal folds. In 10 patients receiving laser therapy, no complications were observed. In conclusion it can be said that the method of surgical intervention (in the first group - chordaritenoidotomy with the cold-plasma apparatus cobblator, in the second group - chordaritenoidotomy with instruments for microsurgery of the larynx) practically does not affect the final result. Laser therapy is an important factor in the activation of regenerative processes in the postoperative area. VL - 4 IS - 1 ER -
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