PURPOSE OF REVIEW The aim of this report is to identify relevant literature reports on salvage transoral laser microsurgery (TLM); to consider its oncologic and functional outcomes, as well as reported complications; and to address indications and limitations of salvage TLM. FINDINGS The weighted average of local control after first salvage TLM was 57%. Repeated TLM procedures for second or t...

several factors including cancer, malformations and traumas may cause large facial mutilation. these functional and aesthetic deformities negatively affect the psychological perspectives and quality of life of the mutilated patient. conventional treatments are prone to fail aesthetically and functionally. the recent introduction of the composite tissue allotransplantation (cta), which uses tran...

BACKGROUND AND OBJECTIVE Cavitation bubbles have been shown to be the driving force of tissue cutting in 193 nm ArF excimer laser-based vitreoretinal microsurgery. In the present work we investigate the dynamics of cavitation bubbles inside a gelatin gel in a saline environment using fast flash microphotography. STUDY DESIGN/MATERIALS AND METHODS The screening influence of the saline medium w...

Background Transoral laser microsurgery (TLM) for early to intermediate laryngeal squamous cell cancer (SCC) can be technically challenging when adequate exposure of the posterior laryngeal compartment is required due to the presence of the orotracheal tube. The goal of our study was to analyze the efficacy of high frequency jet ventilation (HFJV) in achieving appropriate laryngeal exposure and...

BACKGROUND Transoral laser microsurgery (TLM) of the glottis is increasingly utilized in the current management of early glottic cancer, its advantages being administrative ease, potential to be repeated, ability to keep radiotherapy and open laryngeal surgery available as salvage options, and low complication rates. METHODS A retrospective chart review of prospectively gathered data on all p...

OBJECTIVES/HYPOTHESIS Document survival, prognostic variables, and functional outcomes of patients with AJCC stage III or IV oropharyngeal cancer, treated with transoral laser microsurgery (TLM) +/- adjuvant therapy. STUDY DESIGN Analysis of prospectively assembled data pertaining to the above-described patient cohort. METHODS Patients treated with TLM for AJCC stage III or IV oropharyngeal...

BACKGROUND We conducted a retrospective review of patients with unknown primary head and neck cancer who underwent a transoral laser microsurgery (TLM)-assisted search for an occult tumor. METHODS Fifty-two patients at a single center with unknown primaries of squamous cell carcinoma (SCC) were treated with a surgical algorithm. RESULTS The overall rate of primary tumor identification was 7...

PURPOSE Transanal endoscopic microsurgery provides a minimally invasive alternative to radical surgery for excision of benign and malignant rectal tumors. The purpose of this study was to review our experience with transanal endoscopic microsurgery to clarify its role in the treatment of different types of rectal pathology. METHODS A prospective database documented all patients undergoing tra...