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Proceedings Paper

FIBERTOM Nd:YAG laser in treatment of post-inflammatory structures of lower airways
Author(s): Michal Pirozynski; Malgorzata Polubiec-Kownacka; Krzysztof Strojecki; Antoni Blachnio; Wieslaw Pawlak; Jan Krusiewicz
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Paper Abstract

Introduction of the first laser by Maiman in 1960 led to a rapid increase in the biological application of this device. The first application of laser energy in the treatment of airway pathology was by Strong et al. In 1981 Toty et al described the first use of a neodymium:yttrium-aluminum garnet (Nd:YAG) laser for resection of a bronchial tumor. Subglottic and tracheal stenosis have been treated endoscopically for many years with electrocautery, cryosurgery, by mechanical dilatation, and more recently since the mid 1970s with the carbon-dioxide laser. Early series demonstrated a moderate success rate in about 60% of the cases. Recently a new modification of the Nd:YAG laser was made available by Dornier (formerly MBB - Germany). The FIBERTOMTM is a unique method of controlling the temperature at the tip of the light guide allowing precise, direct contact cutting. Eleven patients (age 35.1 plus or minus 20.7 years) with post inflammatory airway stenoses were treated. Thirty-six procedures were carried out. An immediate dilatation of the narrowed airway was produced in 86%. Endoscopic control carried out 52 weeks after the initial procedure confirmed restoration of the airway lumen in 82%. Clinical improvement was seen in all.

Paper Details

Date Published: 27 March 1996
PDF: 4 pages
Proc. SPIE 2781, Lasers in Medicine, (27 March 1996); doi: 10.1117/12.236819
Show Author Affiliations
Michal Pirozynski, Institute of Tuberculosis and Lung Diseases (Poland)
Malgorzata Polubiec-Kownacka, Institute of Tuberculosis and Lung Diseases (Poland)
Krzysztof Strojecki, Regional Tuberculosis and Lung Diseases Ctr. (Poland)
Antoni Blachnio, Regional Tuberculosis and Lung Diseases Ctr. (Poland)
Wieslaw Pawlak, Regional Tuberculosis and Lung Diseases Ctr. (Poland)
Jan Krusiewicz, Regional Tuberculosis and Lung Diseases Ctr. (Poland)


Published in SPIE Proceedings Vol. 2781:
Lasers in Medicine
Tadeusz Kecik; Wlodzimierz Nowakowski, Editor(s)

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