Transoral Laser Microsurgery of Benign and Malignant Lesions

Edited by renowned experts, with contributions from leading authorities, this book provides comprehensive and up-to-date coverage of TLM for the treatment of benign lesions and malignant tumors of the oral cavity, pharynx, and larynx.

Key Features:

• Accompanied by more than 300 exceptional illustrations
• Detailed descriptions of the surgical techniques for the different anatomical locations
• Tips and tricks for improving exposure
• Discussions of potential complications, their incidence, and prevention and management
• Results of oncological outcomes, survival rates, organ preservation rates, and complication rates for each anatomical subsite, and also comparable results with alternative treatment modalities

• Advice on postoperative management, rehabilitation, and adjuvant therapy
  This state-of-the-art book is an invaluable resource for surgeons because it covers not only the equipment and surgical aspects but, very importantly for decision making, it also provides site-specific evidence for the use of TLM in the treatment of benign disorders and malignant disease, even at advanced stages.

  Klappentext

  A diagnosis of a mouth or throat lesion can be devastating, especially when malignant. Chemotherapy, radiotherapy, and open surgery can dramatically alter a patients facial appearance and negatively impact their quality of life. Extensive sensory impairments can result affecting taste, smell, hearing, swallowing, speech, and the ability to breathe normally. The development of transoral laser microsurgery (TLM) was groundbreaking, but it took years of refinement before the technology became the gold standard for specific types of tumors. The name Wolfgang Steiner is synonymous with bringing TLM into the medical mainstream. In the last two decades, a new group of medical pioneers has built on the foundation laid by Prof. Steiner, progressively expanding its applications. In a 16-year period, the treatment of more than 1400 patients has been meticulously documented, yielding important data and clinical pearls shared within these pages. Today even for advanced tumors this technology is viewed as a viable treatment option, with similar or better oncological results, and improved facial, sensory, and larynx preservation. Edited by renowned experts, with contributions from leading authorities, this book provides comprehensive and up-to-date coverage of TLM for the treatment of benign lesions and malignant tumors of the oral cavity, pharynx, and larynx. Accompanied by more than 300 exceptional illustrations, the authors provide: - Detailed descriptions of the surgical techniques for the different anatomical locations - Tips and tricks for improving exposure - Discussions of potential complications, their incidence, and prevention and management - Results of oncological outcomes, survival rates, organ preservation rates, and complication rates for each anatomical subsite, and also comparable results with alternative treatment modalities - Advice on postoperative management, rehabilitation, and adjuvant therapy This state-of-the-art book is an invaluable resource for surgeons because it covers not only the equipment and surgical aspects but, very importantly for decision making, it also provides site-specific evidence for the use of TLM in the treatment of benign disorders and malignant disease, even at advanced stages.

  Inhalt

  Part 1 Materials and Method
  1 History of Laser Application in Surgery of the Upper Aerodigestive Tract
  2 Physical Properties of Lasers: Introduction to Laser Physics for Medical Personnel
  3 Flexor Fiber CO 2 Laser and Transoral Robotic Surgery
  4 Equipment and Instrumentation for Transoral Laser Microsurgery
  5 Anesthesia for Transoral Laser Microsurgery
  Part 2 Treatment of Benign Lesions and Disorders of the Upper Aerodigestive Tract
  6 Endoscopic Treatment of Laryngeal, Subglottic, and Tracheal Stenosis
  7 CO 2 Laser Surgery for Benign Pharyngeal Lesions: Snoring, Hypopharyngeal (Zenker) Diverticulum, Palatine and Lingual Tonsils
  8 Benign and Premalignant Lesions of the Larynx
  9 Premalignant Lesions of the Oral Cavity
  Part 3 Treatment of Malignant Tumors of the Upper Aerodigestive Tract
  10 Principles of the Göttingen Concept for Transoral Laser Microsurgery of the Upper Aerodigestive Tract Cancer
  11 ELS Classification of Transoral Resections
  12 Technical Details for Transoral Laser Microsurgery in the Oral Cavity and Oropharynx, Base of the Tongue, Hypopharynx, Glottis and Anterior Commissure, and Supraglottis: Tips and Tricks to Improve Exposure
  13 The Study of Biopsies Taken by Laser Microsurgery: The Pathologist's View and the ENT View
  14 The Role of Neck Dissection in Transoral Laser Microsurgery
  Part 4 Results
  15 Transoral Laser Microsurgery of the Oral Cavity
  16 Transoral Laser Microsurgery of the Oropharynx
  17 Transoral Laser Microsurgery of the Base of the Tongue
  18 Transoral Laser Microsurgery for Hypopharyngeal Carcinomas
  19 Transoral Laser Microsurgery for Early Glottic Tumors (Tis, T1a, T1b, and T2)
  20 Transoral Laser Microsurgery of the Anterior Commissure of the Larynx
  21 Transoral Laser Microsurgery for Advanced Glottic Tumors
  22 Laser Salvage Surgery after Failed Radiotherapy
  23 Transoral Laser Microsurgery for Early Supraglottic Tumors
  24 Advanced Supraglottic Tumors: T3 and Selected T4
  Part 5 Postoperative Management, Complications, Rehabilitation, and Adjuvant Therapy
  25 Immediate Postoperative Management
  26 Complications of Transoral Laser Microsurgery of Malignant Tumors of the Larynx and Hypopharynx
  27 Deglutition after Laser Surgery
  28 Rehabilitation of Deglutition
  29 Voice Outcome in Glottic Tumors
  30 Voice Rehabilitation
  31 Transoral CO 2 Laser Resection for Arytenoid Edema and Posterior Glottic Stenosis
  32 Quality of Life after Transoral Laser Microsurgery
  33 The Learning Curve in Transoral Laser Microsurgery