| Abstract [eng] |
Laser surgery is becoming an increasingly versatile and widely adopted modality in laryngology, particularly in the management of benign and malignant laryngeal pathologies. Each type of laser possesses distinct advantages that render it more appropriate for specific clinical scenarios. The CO₂ laser remains the gold standard, especially in transoral laser microsurgery (TLM), where precise tissue dissection is essential. Its versatility has been further enhanced by the development of flexible fiber delivery systems. However, due to its limited coagulative capabilities, it is less optimal for effective hemostasis. The use of other types of lasers may result in improved outcomes, particularly in the treatment of benign laryngeal pathologies. The blue laser represents a significant technological advancement, offering both photoangiolytic and cutting properties. Its compact size, user-friendly design, and favorable clinical outcomes make it particularly well-suited for outpatient procedures. Furthermore, its association with reduced scarring and a lower risk of complications makes it an attractive option for the treatment of both benign and malignant laryngeal conditions. The diode laser, in contrast, has a more limited role in laryngology. Although it demonstrates good hemostatic properties and a degree of versatility, its cutting efficiency is inferior to that of the CO₂ laser. Moreover, the decreasing number of recent publications suggests a declining interest in its use within laryngeal surgery. |
