caa a22 4500 477087035 CHVBK 20180405111506.0 cr unu---uuuuu 170330e19960901xx s 000 0 eng 10.1007/BF00168491 doi (NATIONALLICENCE)springer-10.1007/BF00168491 Use of the CO2-laser micropoint micromanipulator for the treatment of laryngomalacia [Elektronische Daten] [M. Remacle, E. Bodart, G. Lawson, M. Minet, A. Mayné] Between September 1989 and June 1994, 21 children (17 boys, 4 girls) with moderate to severe symptoms due to laryngomalacia underwent endoscopic surgery using the CO2-laser micropoint manipulator (shot-by-shot, 0.1 s, super-pulse, 2-3 W power; 280 μm beam; 400 mm working distance). Mean age of the children was 5 months (range, 1-11 months). The procedure was performed under high-frequency jet ventilation and consisted in the resection and/or vaporization of the aryepiglottic folds. This tissue removal could be extended to the laryngeal mucosa of the arytenoids and the lateral edge of the epiglottis. Results of surgery were excellent with normalization (8 patients) or, at worst, a very definite improvement of symptoms (4 patients). Furthermore, no complications occurred due to the technique used. These results have convinced us that the CO2-laser micropoint manipulator technique, with the "super-pulse” shooting mode and high-frequency jet ventilation, is by far superior to microsurgery with cold instruments when endoscopic treatment of laryngomalacia is indicated. Springer-Verlag, 1996 Laryngomalacia nationallicence Endoscopic treatment CO2 laser nationallicence Remacle M. Department of ORL and Head and Neck Surgery, University Hospital of Louvain at Mont-Godinne, B-5530, Yvoir, Belgium aut Bodart E. Department of Pediatrics, University Hospital of Louvain at Mont-Godinne, B-5530, Yvoir, Belgium aut Lawson G. Department of ORL and Head and Neck Surgery, University Hospital of Louvain at Mont-Godinne, B-5530, Yvoir, Belgium aut Minet M. Department of ORL and Head and Neck Surgery, University Hospital of Louvain at Mont-Godinne, B-5530, Yvoir, Belgium aut Mayné A. Department of Anesthesiology, University Hospital of Louvain at Mont-Godinne, B-5530, Yvoir, Belgium aut European Archives of Oto-Rhino-Laryngology Springer-Verlag 253/7(1996-09-01), 401-404 0937-4477 253:7<401 1996 253 405 https://doi.org/10.1007/BF00168491 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00168491 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Remacle M. Department of ORL and Head and Neck Surgery, University Hospital of Louvain at Mont-Godinne, B-5530, Yvoir, Belgium aut NATIONALLICENCE 700 1- Bodart E. Department of Pediatrics, University Hospital of Louvain at Mont-Godinne, B-5530, Yvoir, Belgium aut NATIONALLICENCE 700 1- Lawson G. Department of ORL and Head and Neck Surgery, University Hospital of Louvain at Mont-Godinne, B-5530, Yvoir, Belgium aut NATIONALLICENCE 700 1- Minet M. Department of ORL and Head and Neck Surgery, University Hospital of Louvain at Mont-Godinne, B-5530, Yvoir, Belgium aut NATIONALLICENCE 700 1- Mayné A. Department of Anesthesiology, University Hospital of Louvain at Mont-Godinne, B-5530, Yvoir, Belgium aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer-Verlag 253/7(1996-09-01), 401-404 0937-4477 253:7<401 1996 253 405 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer