Endoscopic treatment of idiopathic subglottic stenosis with digital AcuBlade robotic microsurgery system

Clin Respir J. 2018 Feb;12(2):802-805. doi: 10.1111/crj.12538. Epub 2016 Aug 21.

Abstract

Herein, we described a novel method as the use of AcuBlade robotic microsurgery system to manage idiopathic subglottic stenosis in a 73-y-old lady. Compared to traditional CO2 lasers, AcuBlade facilitated the scar resection by the generation of different shape of beams (straight, curved, or disk). The same setting used for phonomicrosurgery (1-mm beam length, power of 10 W and pulse duration of 0.05-s) allowed to obtain fast, long, and uniform cuts. In addition, the reduction of the number of laser passes over the same area prevented injury of adjacent tissue and thus reduced the risk of recurrence.

Keywords: endoscopy; idiopathic; laser resection; subglottic stenosis.

Publication types

  • Case Reports
  • Comparative Study
  • Review

MeSH terms

  • Aged
  • Bronchoscopy / methods
  • Female
  • Follow-Up Studies
  • Humans
  • Laryngostenosis / diagnosis*
  • Laryngostenosis / surgery*
  • Laser Therapy / methods
  • Lasers, Gas / therapeutic use*
  • Microsurgery / instrumentation*
  • Microsurgery / methods
  • Robotic Surgical Procedures / methods*
  • Severity of Illness Index
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome