The first experience of applying laser ablation in patients with benign tumors, tumor-like and inflammatory diseases of the skeleton
https://doi.org/10.37895/2071-8004-2020-24-4-37-42
Abstract
The researchers discuss the first experience of treating 9 pediatric patients with osteoid osteoma (3), primary chronic osteomyelitis (4) and aneurysmal cysts (2). Selected patients had complex treatment which included unloading of the diseased segment of the skeleton and laser ablation of the pathological focus. Laser ablation was done with medical laser «AZOR-ALM», emitting light at wavelength 1.55 μm. Registration certificate No. RZN 2015/2720 of Roszdravnadzor. Manufacturer – LLC «AZOR» (Moscow). Small tumors and inflammatory diseases of the skeleton were surgically treated with high-level laser light in the computed tomography room. Patients with lesions of lower extremities and pelvis previously had spinal anesthesia. If a pathologic focus was located in bones of upper extremities, regional brachial plexus blockage was preferable. In all cases, positive outcomes were seen. Follow-up lasted for 6 months.
About the Authors
A. I. SnetkovRussian Federation
Snetkov Andrei – MD, PhD, professor, head of division of pediatric bone pathology and adolescent orthopedics
Moscow
N. Yu. Gruzdev
Russian Federation
Gruzdev Nikolai – Director General
Moscow
S. Yu. Batrakov
Russian Federation
Batrakov Sergei – MD, PhD, orthopaedist and traumatologist of division of pediatric bone pathology and adolescent orthopedics
Moscow
A. D. Akinshina
Russian Federation
Akinshina Aleksandra – MD, PhD, orthopaedist and traumatologist in division of pediatric bone pathology and adolescent orthopedics
Moscow
I. M. Dan
Russian Federation
Dan Ivan – MD, orthopaedist and traumatologist in division of pediatric bone pathology and adolescent orthopedics
Moscow
References
1. Snetkov A.I., Batrakov S.Ju., Morozov A.K. et al. Diagnostics and treatment of benign tumors and tumor-like pathologies in bones of children. M.: GJeOTAR-Media, 2017: 346. [In Russ.].
2. Morozov A.K., Snetkov A.I., Balberkin A.V. et al. The role of computed tomography in the development and implementation of minimally invasive surgical techniques in osseous pathologies. Vestnik travmatologii i ortopedii im. N.N. Priorova. 2001; 2: 5–10. [In Russ.].
3. Krochek I.V., Privalov V.A., Lappa A.V. et al. Evaluation of immediate and long-term results of laser osteoperforation in the treatment of osteomyelitis. New technologies and fundamental researches in medicine: Proceedings of Second Russian conference devoted to 60th anniversary of Chelyabinsk State Medical Academy. Chelyabinsk: ChelGMA, 2002: 90–9. [In Russ.].
4. Noskov N.V., Abushkin I.A., Kotljarov A.N. et al. High-level laser light in the treatment of degenerative-dystrophic bone diseases in children. Vestnik JuUrGU. Serija «Obrazovanie, zdravoohranenie, fizicheskaja kul'tura». 2013; 13 (1): 132– 135. [In Russ.].
5. Hotim O.A., Anosov V.S., Sychevskij L.Z. Lasers in medicine: potentials for their application in traumatology and orthopedics. Zhurnal Grodnenskogo gosudarstvennogo medicinskogo universiteta. 2018; 16 (6): 654–659. [In Russ.].
6. Fekrazad R. et al. Pyogenic granuloma: surgical treatment with Er: YAG laser. Journal of Lasers Medical Sciences. 2014; 5 (4): 199–205.
7. He W.L. et al. A systematic review and meta-analysis on the efficacy of low-level laser therapy in the management of complication after mandibular third molar surgery. Journal of Lasers Medical Sciences. 2015; 30 (6): 1779–1788. doi:10.1007/s10103-014-1634-0
Review
For citations:
Snetkov A.I., Gruzdev N.Yu., Batrakov S.Yu., Akinshina A.D., Dan I.M. The first experience of applying laser ablation in patients with benign tumors, tumor-like and inflammatory diseases of the skeleton. Laser Medicine. 2020;24(4):37-42. (In Russ.) https://doi.org/10.37895/2071-8004-2020-24-4-37-42