April 8, 2007

TECHNIQUE OF TUMOR DEBULKING IN THE HEAD &NECK USING Nd:YAG LASER

L.S.Handikin,P.Hasan,Pelni &Husada Hospital,Jakarta-Indonesia

Abstract

The goal of tumor treatment is eradiaction of the disease while maintaining the patient"s quality of life.In saome cases with head and neck tumor we have used Nd:YAG laser for tumor debulking.
Tumor was diagnosed clinically and its pathology was verified through biopsy.Squamous cell carcinoma underwent in vivo staining technique to observe dysplasia,ca in situ,pre invasive carcinoma or second focus of malignancy.
Tumor delineation was done with imaging system(contrast CT scanning,MRI).Whenever possible debulking procedures were done endoscopically,to minimize surgical trauma.Imaging control was done to observe the result.We used knife for skin incission only.Nd:YAG laser was used for cutting,coagulating and evaporating purposes.
For illustration,cases of nasal,paranasal,tonsillar,laryngeal and nasopharyngeal tumors treated with Nd:YAG laser were presented.

Keywords:Nd:YAG laser;Head and Neck Tumor;Tumor debulking

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