Microlaryngoscopic surgery and CO laser treatment have become popular, especially in the last two decades, and especially in internal laryngocele cases (6).
Endoscopic excision with a CO laser is an option for small, internal laryngoceles.
There are few beneficial treatment approaches reported, including CO laser
ablation and oral isotretinoin.7
Harmonic scalpel releases about 80 degrees heat with resultant much less damaging effect to tissue compare to steel scalpel, monopolar diathermy, bipolar diathermy and CO laser
.4 Ultrasonic scalpel surgery has more rapid resolution of inflammation and tissue reepithelialization and strong tensile strength of the wound compared with CO2 laser, monopolar diathermy and bipolar diathermy as was demonstrated in guinea pig oral mucosa.4
Pertinent data: The single CO laser
head design enables high-quality cuts with a 210-micron spot size in a 350-mm cutting field at speeds as fast as 80 m/min.
(9) Theirreview demonstrated the relative safety of the CO laser
when it is used judiciously, and they 2 recommended the Rusch red rubber endotracheal tube wrapped with reflective metallic tape as the safest of these instruments.