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28 June 2000 Neodymium:YAG laser in postoperative follow-up after endonasal pansinus operation
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Microscopic and endoscopic surgery are the current widely accepted state of the art for the treatment of chronic polypoid sinusitis. Postoperative recurrence of the disease is reported in 12-25 percent of the patients. Revision surgery mostly requires similar surgical techniques. Therefore, modifications of the primary micro surgical technique were worked out to allow wide endoscopic accessibility postoperatively. Nd:YAG laser surgical tools for the endoscopic application of laser fibers were developed for minimal invasive revision surgery. Applicators for proper fiber positioning within the paranasal sinuses were constructed. Meanwhile n equals 92 patients are treated over a period of two years. 90 percent of the patients with recurrence are free of symptoms and pathological findings for more than six months. Among two treated patients two developed hyposensitivity of the pterygopalatine nerve for two and six months respectively. No further complications were seen. The new endoscopic laser surgery of the paranasal sinuses reveals a reduction of sinus disease recurrence in 90 percent of the patients.
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Martin Westhofen M.D., Justus F. R. Ilgner M.D., and Stefan Handt "Neodymium:YAG laser in postoperative follow-up after endonasal pansinus operation", Proc. SPIE 4166, Laser Florence '99: A Window on the Laser Medicine World, (28 June 2000);


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