title: Diode endovascular laser treatment in venous malformations of the upper aerodigestive tract.
abstract: OBJECTIVE
  Venous malformations of the upper aerodigestive tract can cause pain, dysphagia, obstructive sleep apnea, and rarely bleeding. We studied 980-nm diode endovenous laser therapy.
  
  
  METHODS
  This is a 2007-2014 retrospective study in our vascular anomalies center. Data on patients' clinical history, polysomnography, magnetic resonance imaging, and treatment were collected. Patients were contacted for Epworth Sleepiness Scale and Eating Assessment Tool (EAT-10) scores to evaluate sleepiness and dysphagia before and after laser therapy.
  
  
  RESULTS
  We included 32 patients (mean age 41 years) presenting with obstructive sleep apnea (n = 18) and dysphagia (n = 13). With a mean follow-up of 39 months, average Epworth Sleepiness Scale score fell from 17.3 to 10.4 (p = 0.015), EAT-10 score from 8.2 to 3.5 (p = 0.002) and apnea-hypopnea index from 47.5 to 24.7 (p = 0.01). Of the sleep apnea patients, 89% required continuous positive airway pressure before and 50% afterward (p = 0.016).
  
  
  CONCLUSIONS
  Diode endovascular laser treatment seems to be a safe and effective treatment option in venous malformations of the upper airways.
authors.affiliation: AP-HP, Hôpital Lariboisière, Department of Otorhinolaryngology, 2 Rue Ambroise Paré, 75010 Paris, France; Paris Diderot University, Paris, France. Electronic address: fsimon05@gmail.com.
authors.forename: François
authors.initials: F
authors.lastname: Simon
authors.affiliation: AP-HP, Hôpital Lariboisière, Department of Otorhinolaryngology, 2 Rue Ambroise Paré, 75010 Paris, France; Paris Diderot University, Paris, France.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Le Clerc
authors.affiliation: AP-HP, Hôpital Lariboisière, Department of Otorhinolaryngology, 2 Rue Ambroise Paré, 75010 Paris, France; Paris Diderot University, Paris, France.
authors.forename: Didier
authors.initials: D
authors.lastname: Salvan
authors.affiliation: Hôpital Saint Joseph, Department of Otorhinolaryngology, 185 rue Raymond Losserand, 75014 Paris, France.
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Sauvaget
authors.affiliation: AP-HP, Hôpital Lariboisière, Department of Otorhinolaryngology, 2 Rue Ambroise Paré, 75010 Paris, France; Paris Diderot University, Paris, France.
authors.forename: Benoît
authors.initials: B
authors.lastname: Faucon
authors.affiliation: AP-HP, Hôpital Lariboisière, Department of Otorhinolaryngology, 2 Rue Ambroise Paré, 75010 Paris, France; Paris Diderot University, Paris, France.
authors.forename: Michel
authors.initials: M
authors.lastname: Borsik
authors.affiliation: AP-HP, Hôpital Lariboisière, Department of Otorhinolaryngology, 2 Rue Ambroise Paré, 75010 Paris, France; Paris Diderot University, Paris, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Herman
authors.affiliation: Paris Diderot University, Paris, France; AP-HP, Hôpital Lariboisière, Department of Radiology, 2 Rue Ambroise Paré, 75010 Paris, France.
authors.forename: Annouk
authors.initials: A
authors.lastname: Bisdorff
mesh_terms: D000328:Adult; D002648:Child; D045422:Continuous Positive Airway Pressure / Q000706:statistics & numerical data; D003680:Deglutition Disorders / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D007830:Larynx / Q000098:blood supply* / Q000601:surgery; D054023:Lasers, Semiconductor / Q000627:therapeutic use*; D008297:Male; D011183:Postoperative Complications; D012189:Retrospective Studies; D020181:Sleep Apnea, Obstructive / Q000209:etiology / Q000628:therapy; D013284:Stomatognathic System / Q000098:blood supply* / Q000601:surgery; D054079:Vascular Malformations / Q000150:complications / Q000601:surgery*
keywords: 980-nm Diode; Dysphagia; Endovenous laser treatment; Obstructive sleep apnea; Venous malformation