International Journal of Otorhinolaryngology

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Application of Red Pulsed Laser Therapeutic Radiation for Healing Larynx Bilateral Paralysis After Stringectomy

Received: 10 July 2018    Accepted: 30 July 2018    Published: 27 August 2018
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Abstract

The study aim was to increase the effectiveness of surgical treatment and rehabilitation of patients with bilateral paralysis of the larynx by applying low-intensity laser radiation of the visible red spectrum in the pulsed mode in this category of patients in the postoperative period. There were healed 18 female patients with bilateral paralysis of the larynx, 14 of them was tracheotomized, 4 of them - wasn’t. According to the method of surgical intervention, the patients were divided into 2 groups. The first one includes 9 female patients who had chordaritenoidotomy with coblator. The second one includes 9 female patients who had chordaritenoidotomy with microsyrgery tools. All of patients had antiphlogistic therapy after operation, 5 patients from each group also had additionally low-intensity laser radiation therapy with device «Mustang 2000». On the third and tenth day patients had Doppler laser flowmetry, considering variation coefficient (Kv). On the third day 4 patients from each group (who haven’t additionally red pulsed laser therapy) have Kv=9, 10 patients (who have additionally red pulsed laser therapy) – Kv=13. On the 10 day the first ones had Kv=26, the second ones – Kv=32. The criteria for the effectiveness of postoperative treatment were the quality and timing of wound healing, the absence of cicatricial measurements in the long-term postoperative period, and the normalization of respiratory function. After 4 months both groups have such complications as cicatricial stenosis of vocal folds and underfolds area, polypus of vocal folds. In 10 patients receiving laser therapy, no complications were observed. In conclusion it can be said that the method of surgical intervention (in the first group - chordaritenoidotomy with the cold-plasma apparatus cobblator, in the second group - chordaritenoidotomy with instruments for microsurgery of the larynx) practically does not affect the final result. Laser therapy is an important factor in the activation of regenerative processes in the postoperative area.

DOI 10.11648/j.ijo.20180401.17
Published in International Journal of Otorhinolaryngology (Volume 4, Issue 1, June 2018)
Page(s) 27-30
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Bilateral Paralysis of the Larynx, Chordarinoidotomy, Low-Intensity Laser Radiation

References
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[2] Vasilenko, Yu. S. Iatrogenic dysphonia and their treatment / Yu. S. Vasilenko, G. Kittel // XVI congress of otorhinolaryngologists of the Russian Federation: theses. doc. Sochi, 2001.- С. 454-458.
[3] Zenger VG, Nasedkin AN, Parshin VD Surgery of larynx and trachea injuries. - M.: Medkniga Publishing House, 2007. - 348p.
[4] Lapchenko AS, Gurov AV, Malchenko OV Kucherov AG, Lapchenko AA Treatment of purulent-septic complications of inflammatory diseases of ENT organs using photodynamic therapy. Modern achievements of laser medicine and their application in practical public health". Materials of the scientific-practical conference with international participation dedicated to the 20th anniversary of the State Scientific Center of Laser Medicine of the Ministry of Health of the Russian Federation on 5-6 October 2006, Moscow. 150 p.
[5] Krechina EK, Maslova VV, Shidova A. V. and others. A comparative assessment of the effect of low-intensity pulsed and continuous laser radiation of red and infrared spectral ranges on microcirculation in the complex therapy of chronic periodontitis. Laser medicine. - 2009. - Т.13, вып.2. - P.22-26.
[6] Leiderman NE, Kochetkov AV, Moskvin S. V. LAZMIK technology in complex regenerative treatment of patients with chronic cerebral ischemia. Bulletin of new medical technologies. - 2009. - №4. - P. 104-106.
[7] Moskvin SV, Achilov AA Basics of laser therapy. - M.-Tver: Triad, 2008. – 256 p.
[8] Zenger V. G., Nasedkin A. N. Modern technologies in the treatment of diseases of the ear, throat and nose. - М.: Medkniga Publishing House, 2008. - 335с.
[9] Nasedkin A. N., Zenger V. G. Optimization of laser therapy methods for ear diseases. Throat and nose. Laser medicine. - 2000. - Т.4, №.4. -.9-12 p.
[10] Moskvin SV, Nasedkin AN, Kochetkov AV and others. Therapy with matrix pulsed lasers of the red radiation spectrum. - Tver: The Triad, 2007. – 112 p.
[11] Moskvin SV, Nasedkin AN, Osin A. Ya., Khan M. Ya. Laser therapy in pediatrics. - Moscow: Izd. EKSMO, 2010. - 479p.
[12] Moskvin SV, Efficiency of laser therapy. Series "Effective laser therapy". T. 2.- M.- Tver: OOO "Publishing House" Triada ", 2014.-896 p.
[13] Karpova O. Yu. Clinic, diagnosis and treatment of vocal and respiratory disorders in functional and organic diseases of the larynx: Author's abstract. diss. Dr. med. sciences. - M., 2001. - 45 p.
[14] Kozlov VI, Builin V. A. Laser therapy with application of ALT "Mustang". - M.: Firma "Technika", 1998. - 148s.
[15] Moskvin S. V. Pulsed electromagnetic fields in physiotherapy. Problems of biophysical medicine. - Saratov: The Sarat Publishing House. honey. University, 2003. - P. 66-73.
[16] Uskov AE Endoscopic laryngoplasty in rehabilitation of patients with bilateral paralytic stenoses of the larynx: the author's abstract of the dissertation.... Candidate of Medical Sciences: 14.00.04 / St. Petersburg. NII of the ear, throat, nose and speech. - St. Petersburg, 1995. - 22 p.
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Author Information
  • Department of Otorhinolaryngology, Moscow Regional Scientific Research Clinical Institute of M. F. Vladimirsky, Moscow, Russia

  • Department of Otorhinolaryngology, Moscow Regional Scientific Research Clinical Institute of M. F. Vladimirsky, Moscow, Russia

  • Department of Otorhinolaryngology, Moscow Regional Scientific Research Clinical Institute of M. F. Vladimirsky, Moscow, Russia

  • Department of Otorhinolaryngology, Moscow Regional Scientific Research Clinical Institute of M. F. Vladimirsky, Moscow, Russia

  • Department of Otorhinolaryngology, Moscow Regional Scientific Research Clinical Institute of M. F. Vladimirsky, Moscow, Russia

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    Zhanna Evgenevna Komarova, Alexey Nicolaevich Nasedkin, Vitalyi Nicolaevich Selin, Valentin Yurievich Tyukin, Anna Yurievna Polschikova. (2018). Application of Red Pulsed Laser Therapeutic Radiation for Healing Larynx Bilateral Paralysis After Stringectomy. International Journal of Otorhinolaryngology, 4(1), 27-30. https://doi.org/10.11648/j.ijo.20180401.17

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    ACS Style

    Zhanna Evgenevna Komarova; Alexey Nicolaevich Nasedkin; Vitalyi Nicolaevich Selin; Valentin Yurievich Tyukin; Anna Yurievna Polschikova. Application of Red Pulsed Laser Therapeutic Radiation for Healing Larynx Bilateral Paralysis After Stringectomy. Int. J. Otorhinolaryngol. 2018, 4(1), 27-30. doi: 10.11648/j.ijo.20180401.17

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    AMA Style

    Zhanna Evgenevna Komarova, Alexey Nicolaevich Nasedkin, Vitalyi Nicolaevich Selin, Valentin Yurievich Tyukin, Anna Yurievna Polschikova. Application of Red Pulsed Laser Therapeutic Radiation for Healing Larynx Bilateral Paralysis After Stringectomy. Int J Otorhinolaryngol. 2018;4(1):27-30. doi: 10.11648/j.ijo.20180401.17

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  • @article{10.11648/j.ijo.20180401.17,
      author = {Zhanna Evgenevna Komarova and Alexey Nicolaevich Nasedkin and Vitalyi Nicolaevich Selin and Valentin Yurievich Tyukin and Anna Yurievna Polschikova},
      title = {Application of Red Pulsed Laser Therapeutic Radiation for Healing Larynx Bilateral Paralysis After Stringectomy},
      journal = {International Journal of Otorhinolaryngology},
      volume = {4},
      number = {1},
      pages = {27-30},
      doi = {10.11648/j.ijo.20180401.17},
      url = {https://doi.org/10.11648/j.ijo.20180401.17},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijo.20180401.17},
      abstract = {The study aim was to increase the effectiveness of surgical treatment and rehabilitation of patients with bilateral paralysis of the larynx by applying low-intensity laser radiation of the visible red spectrum in the pulsed mode in this category of patients in the postoperative period. There were healed 18 female patients with bilateral paralysis of the larynx, 14 of them was tracheotomized, 4 of them - wasn’t. According to the method of surgical intervention, the patients were divided into 2 groups. The first one includes 9 female patients who had chordaritenoidotomy with coblator. The second one includes 9 female patients who had chordaritenoidotomy with microsyrgery tools. All of patients had antiphlogistic therapy after operation, 5 patients from each group also had additionally low-intensity laser radiation therapy with device «Mustang 2000». On the third and tenth day patients had Doppler laser flowmetry, considering variation coefficient (Kv). On the third day 4 patients from each group (who haven’t additionally red pulsed laser therapy) have Kv=9, 10 patients (who have additionally red pulsed laser therapy) – Kv=13. On the 10 day the first ones had Kv=26, the second ones – Kv=32. The criteria for the effectiveness of postoperative treatment were the quality and timing of wound healing, the absence of cicatricial measurements in the long-term postoperative period, and the normalization of respiratory function. After 4 months both groups have such complications as cicatricial stenosis of vocal folds and underfolds area, polypus of vocal folds. In 10 patients receiving laser therapy, no complications were observed. In conclusion it can be said that the method of surgical intervention (in the first group - chordaritenoidotomy with the cold-plasma apparatus cobblator, in the second group - chordaritenoidotomy with instruments for microsurgery of the larynx) practically does not affect the final result. Laser therapy is an important factor in the activation of regenerative processes in the postoperative area.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - Application of Red Pulsed Laser Therapeutic Radiation for Healing Larynx Bilateral Paralysis After Stringectomy
    AU  - Zhanna Evgenevna Komarova
    AU  - Alexey Nicolaevich Nasedkin
    AU  - Vitalyi Nicolaevich Selin
    AU  - Valentin Yurievich Tyukin
    AU  - Anna Yurievna Polschikova
    Y1  - 2018/08/27
    PY  - 2018
    N1  - https://doi.org/10.11648/j.ijo.20180401.17
    DO  - 10.11648/j.ijo.20180401.17
    T2  - International Journal of Otorhinolaryngology
    JF  - International Journal of Otorhinolaryngology
    JO  - International Journal of Otorhinolaryngology
    SP  - 27
    EP  - 30
    PB  - Science Publishing Group
    SN  - 2472-2413
    UR  - https://doi.org/10.11648/j.ijo.20180401.17
    AB  - The study aim was to increase the effectiveness of surgical treatment and rehabilitation of patients with bilateral paralysis of the larynx by applying low-intensity laser radiation of the visible red spectrum in the pulsed mode in this category of patients in the postoperative period. There were healed 18 female patients with bilateral paralysis of the larynx, 14 of them was tracheotomized, 4 of them - wasn’t. According to the method of surgical intervention, the patients were divided into 2 groups. The first one includes 9 female patients who had chordaritenoidotomy with coblator. The second one includes 9 female patients who had chordaritenoidotomy with microsyrgery tools. All of patients had antiphlogistic therapy after operation, 5 patients from each group also had additionally low-intensity laser radiation therapy with device «Mustang 2000». On the third and tenth day patients had Doppler laser flowmetry, considering variation coefficient (Kv). On the third day 4 patients from each group (who haven’t additionally red pulsed laser therapy) have Kv=9, 10 patients (who have additionally red pulsed laser therapy) – Kv=13. On the 10 day the first ones had Kv=26, the second ones – Kv=32. The criteria for the effectiveness of postoperative treatment were the quality and timing of wound healing, the absence of cicatricial measurements in the long-term postoperative period, and the normalization of respiratory function. After 4 months both groups have such complications as cicatricial stenosis of vocal folds and underfolds area, polypus of vocal folds. In 10 patients receiving laser therapy, no complications were observed. In conclusion it can be said that the method of surgical intervention (in the first group - chordaritenoidotomy with the cold-plasma apparatus cobblator, in the second group - chordaritenoidotomy with instruments for microsurgery of the larynx) practically does not affect the final result. Laser therapy is an important factor in the activation of regenerative processes in the postoperative area.
    VL  - 4
    IS  - 1
    ER  - 

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