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An Evolving Experience

Max M. April, MD; Elie E. Rebeiz, MD; Ellen M. Friedman, MD; Gerald B. Healy, MD; Stanley M. Shapshay, MD

Arch Otolaryngol Head Neck Surg. 1992;118(2):205-208.

Abstract
• Lymphatic malformations of the upper aerodigestive tract can present therapeutic challenges. Symptoms associated with these lesions include bleeding, dysphagia, changes in speech, and dyspnea. Surgical therapy is recommended, which often leads to functional interference and cosmetic deformities. Laser photocoagulation of these malformations can control symptoms and may be repeated as necessary, preserving tissue and function. The results in four patients treated with the carbon dioxide laser and in five patients treated with the neodymium-YAG laser were reviewed. Reduction of bulk and improvement of symptoms were achieved in all patients, most of whom required multiple treatments. The average duration of each procedure was 30 minutes. All patients were discharged from the hospital on the same day or 1 day after laser therapy with minimal morbidity. The indications, evolving technique, and results of laser therapy are discussed.

(Arch Otolaryngol Head Neck Surg. 1992;118:205-208)

Author Affiliations
From the Department of Otolaryngology—Head and Neck Surgery (Drs April, Rebeiz, and Shapshay) and the Eleanor Naylor Dana Laser Research Laboratory (Drs Rebeiz and Shapshay), Lahey Clinic Medical Center, Burlington, Mass; the Department of Otolaryngology and Communication Disorders, Boston (Mass) Children's Hospital (Drs Friedman and Healy); and the Department of Otolaryngology, Boston University School of Medicine (Drs April, Friedman, Healy, and Shapshay). Dr April is now with the Division of Otolaryngology—Head and Neck Surgery, State University of New York at Stony Brook.

Footnotes
Accepted for publication May 29, 1991.

Presented at the Fifth Annual Meeting of the American Society of Pediatric Otolaryngology, Toronto, Ontario, May 16, 1990. Reprint requests to Department of Otolaryngology—Head and Neck Surgery, Lahey Clinic Medical Center, 41 Mall Rd, Burlington, MA 01805 (Dr Shapshay).

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