title: Endoscopic ablation of distal tracheal lesions using Nd:YAG contact laser.
abstract: Surgical lasers are an excellent tool for the treatment of airway lesions. Distal tracheal lesions offer a greater challenge in that they are less accessible to laser treatment relative to upper airway lesions yet retain the propensity to cause complete airway obstruction. The ideal treatment modality for the endoscopic ablation of distal tracheal lesions provides secure airway protection, excellent visualization of the lesion in question, and delivery of a safe and effective method of treatment. We have found that the use of a contact Nd:YAG fiberoptic delivery system through a rigid bronchoscope has performed very well in meeting these criteria.
authors.affiliation: Department of Otolaryngology/Head and Neck Surgery, University of North Carolina at Chapel Hill, 610 Burnett-Womack Building, CB #7070, Chapel Hill, NC 27599-7070, USA.
authors.forename: Chapman T
authors.initials: CT
authors.lastname: McQueen
authors.forename: Robert D
authors.initials: RD
authors.lastname: Cullen
mesh_terms: D020680:Bronchoscopes; D016145:Endoscopy, Digestive System / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006391:Hemangioma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007223:Infant; D053685:Laser Therapy / Q000379:methods*; D018570:Risk Assessment; D014134:Tracheal Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D014135:Tracheal Stenosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome