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Application of red pulsed laser therapeutic radiation for healing the larynx bilateral paralysis after stringectomy

https://doi.org/10.37895/2071-8004-2017-21-2-4-7

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Abstract

18 women with bilateral paralysis of the larynx were taken into the study. 14 of them were tracheotomized, 4 - not. All the patients were divided into two groups. In the first group 9 patients had chordaritinoidotomy with Coblator apparatus. In the second group 9 patients had the same surgery with microsurgical tools. After the surgery, all patients had anti-inflammatory therapy; 5 patients in each group had additional laser therapy at the projection of larynx cartilage with laser device «Mustang 2 000». On days 3 and 10 after the surgery, patients were examined with Doppler flowmetry considering the variation coefficient (Kv). On the third day, 4 patients in each group who were no treated with laser therapy had Kv equal to 9 units, while in 10 patients who had laser therapy it was 13 units. On day 10, Kv in the first group was 26 units; in the second - 32 units. In both groups 4 months later the researchers registered complications: cicatricial stenosis of the subfold area and vocal cords, a polyp in the vocal folds. On the opposite, 10 patients from the laser-treated group had no any complications. It has been found out that laser therapy is an important factor for the activation of regenerative processes in the postoperative area.

For citations:


Komarova Zh.E., Nasedkin A.N., Selin V.N., Tyukin V.Yu., Polschikova A.Yu. Application of red pulsed laser therapeutic radiation for healing the larynx bilateral paralysis after stringectomy. Laser Medicine. 2017;21(2):4-7. (In Russ.) https://doi.org/10.37895/2071-8004-2017-21-2-4-7

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ISSN 2071-8004 (Print)
ISSN 2686-8644 (Online)