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• W1567017739 abstract "Introduction : depuis ses premieres applications en ORL en 1972, les indications du Laser n’ont cesse de se developper pour devenir recemment une option therapeutique et meme un traitement de reference dans certaines pathologies laryngees. Le but de cette etude est d’evaluer nos resultats en precisant les indications du Laser selon la pathologie laryngee et en discutant les gestes therapeutiques a realiser ainsi que leurs limites. Patients et methodes : Nous rapportons une etude retrospective a propos de 31 patients presentant des pathologies laryngotracheales, traites et suivis par Laser diode au service d’ORL et de chirurgie cervico-faciale de l’hopital Habib Thameur de Tunis. Resultats : L’âge moyen de nos patients etait de 34 ans. Le sex-ratio etait de 1,58. Les differentes pathologies laryngees traitees par Laser ont ete classees de la facon suivante : stenose laryngotracheale acquise (13 cas), papillomatose laryngee (7 cas), diplegie laryngee (5 cas), stenose laryngotracheale congenitale (4 cas), polype de la corde vocale (1 cas) et tumeurs pseudo inflammatoire du larynx (1 cas). La duree moyenne d’hospitalisation dans notre serie etait de 3 jours (2- 5 jours). Les suites operatoires etaient simples. L’evolution a ete jugee bonne chez 24 patients (77,41 %) selon des criteres anamnestiques, cliniques et endoscopiques. Le taux de recidive etait de 22,58 % apres un delai moyen de 19 mois. Le delai moyen de recidive etait de 6 mois. Les complications post operatoires etaient rares (1 cas). Conclusion : : Le Laser n’est qu’un instrument qu’on doit manier en respectant les precautions d’usage et les indications afin d’optimiser les resultats et de reduire les complications. Mots cles : Laser, stenose laryngotracheale acquise, papillomatose laryngee, diplegie laryngee, stenose laryngotracheale congenitale. Objective : Since its first applications in 1972 for ENT pathlology, Laser indications have continued to develop into a recent treatment option and even a standard treatment in certain laryngeal pathologies. Our subject was to evaluate our results using the laser as indications of laryngeal pathology and discussing the therapeutic procedures to achieve and their limitations. Patients and methods : we carry a retrospective study about 31 patients with laryngotracheal pathologies followed and treated by diode laser at the department of ENT and head and neck surgery at the Habib Thameur hospital of Tunis. Results : The average age was 34 years. The sex-ratio was 1.58. The different laryngotracheal pathology treated by laser were classified in the following way: acquired laryngotracheal stenosis (13 cases), laryngeal papillomatosis (7 cases), laryngeal diplegia (5 cases), congenital laryngotracheal stenosis (4 cases), polyp of the vocal cord (1 case) and inflammatory pseudo-tumor of the larynx (1 case). The average length of hospitalization in our series was 3 days (2-5 days). Evolution was considered good on anamnestic, clinical and endoscopic in 24 patients (77.41%). The recurrence rate was 22.58% with a mean of 19 months. The period of recurrence was 6 months. The postoperative complications were rare (1 case). Conclusion : The laser is an instrument that must be handled in accordance with the precautions and instructions in order to optimize results and reduce complications. Keyswords : Laser, acquired laryngotracheal stenosis, laryngeal papillomatosis, laryngeal diplegia, congenital laryngotracheal stenosis." @default.
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• W1567017739 date "2012-01-01" @default.
• W1567017739 modified "2023-09-24" @default.
• W1567017739 title "Laser en laryngologie" @default.
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