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International Journal of Pediatrics
Volume 2011 (2011), Article ID 521464, 5 pages
http://dx.doi.org/10.1155/2011/521464
Clinical Study

Flexible CO2 Laser Fiber in the Pediatric Airway

Department of Otorhinolaryngology, The University of Oklahoma Health Sciences Center, P.O. Box 26901, WP 1360, Oklahoma City, OK 73126-0901, USA

Received 14 August 2010; Revised 13 December 2010; Accepted 20 January 2011

Academic Editor: Deepak Kamat

Copyright © 2011 Kimberly K. Caperton and G. Paul Digoy. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. Our institution has been using a novel flexible laser fiber in pediatric surgical airway procedures, which has been quite successful. The purpose of this paper is to present our preliminary experience in the treatment of pediatric airway lesions using this laser technique. Methods. A case series reviewing 40 patients undergoing 95 laser procedures is reported. Indications included removal of suprastomal granulation tissue, removal of granulation after laryngotracheal reconstruction, subglottic and supraglottic stenoses, recurrent respiratory papillomas, subglottic hemangioma, laryngeal cleft, and left main stem bronchus stenosis. Procedures were performed via microdirect laryngoscopy and bronchoscopy. Results. No complications including postoperative glottic webs, concentric scar formation, or airway fires occurred in any of the patients (after the series was completed, we did experience an airway fire. It was a flash flame that was self-limited and caused no long-term tissue injury). Conclusions. The endoscopic application of a new flexible carbon dioxide laser fiber for management of pediatric airways lesions provides good outcomes in selected patients. Distal respiratory papillomas, subglottic stenosis, and granulation tissue are, in our experience, appropriate indications.