Laser Surgery in Children

214 Pages·1998·5.706 MB·English

by  P. P. Schmittenbecher (auth.), Professor Dr.med. H.-P. Berlien, Dr.med. P. P. Schmittenbecher (eds.)

H.-P. Berlien P.-P. Schmittenbecher (Eds.)
Laser Surgery in Children
Springer
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H.-P. Berlien
P. P. Schmittenbecher
(Eds.)
Laser Surgery
in Children
With 143 figures and 15 tables
Springer
Professor Dr. med. H.-P. Berlien
Department of Laser Medicine
Hospital N euk611n
Rudower Str. 48
D-12313 Berlin
Dr. med. P. P. Schmittenbecher
Department of Pediatric Surgery
Dr. von Hauners Children Hospital, University of Munich
Lindwurmstr.4
D-80337 Munich
Library of Congress Cataloging-in-Publication Data
Laser surgery in children II H.-P. Berlien, P.P. Schmittenbecher
(eds.).
p. cm.
Includes bibliographical references and index.
ISBN-13:978-3-642-6433 1-6 e-ISBN -I 3 :978-3-642-602 76-4
DOT: I 0.1 007/978-3-642-60276-4
1. Children--Surgery. 2. Lasers in surgery. I. Berlien, H.-P.
(Hans-Peter) II. Schmittenbecher, P.P. (Peter P.), 1958-
[DNLM: 1. Laser Surgery--in infancy & childhood. WO 511 L3432
1998]
RD 137.L.324 1998
617.9'8--dc21
DNLM/DLC
for Library of Congress 97-18416
CIP
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Table of Contents
The History of Laser Application in Pediatric Surgery
P. P. SCHMITTENBECHER ............................... .
Laser Physics and Laser Tissue Interaction
J. F. BEEK, F. W. VAN DER MEULEN, G. H. M. GIJSBERS,
A. J. WELCH, W. HOGERVORST, and M. J. C. VAN GEMERT 10
Electron Microscopic Investigations After Laser Radiation
R. R. LEHMANN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Clinical Features and Classification of
Congenital Vascular Disorders
M. POETKE, C. PHILIPP, and H. P. BERLIEN ................. 72
Ten Years of Laser Treatment of Hemangiomas and
Vascular Malformations: Techniques and Results
M. POETKE, C. PHILIPP, and H. P. BERLIEN ................. 82
Diagnosis and Therapy of Pediatric Airway Obstructions
J. ENGERT .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
Laser Treatment of Recurrent Respiratory Papillomatosis
C. DESLOOVERE and C. VON ILBERG ...................... 123
The Treatment of Laryngeal Papillomas with the
Aid of Photodynamic Laser Therapy
J. FEYH and P. P. SCHMITTENBECHER ..................... 133
Laser Treatment of Tracheoesophageal Fistulae
P. P. Schmittenbecher and K. Mantel ...................... 138
Endoscopic Laser Therapy in
Pediatric Gastrointestinal Disorders
P. SPINELLI, M. DAL FANTE, A. MANCINI, and G. CASELLA ... 147
Lasers in Childhood: Laparoscopic Applications
J. WALDSCHMIDT ...................................... 155
VI Table of Contents
Basics of Laser Resection in Parenchymatous Organs
C. PHILIPP, M. POETKE, and H. P. BERLIEN ................. 170
Tumor Removal by Laser
S. L. GANS •••••••••••••••••••••••••••••••••••••••••••• 181
The Use of Lasers in Pediatric Neurosurgery
M. L. WALKER ......................................... 187
Subject Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 201
List of Contributors
BEEK,J.F.
Laser Centre, Academic Medical Centre,
Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands
BERLIEN, H. P.
Department of Laser Medicine, Hospital Neuk511n,
Rudower Str. 48, D-12313 Berlin, Germany
CASELLA,G.
Division of Diagnostic and Surgical Endoscopy,
National Cancer Institute,
Via Venezia 1,1-20133 Milan, Italy
DAL FANTE, M.
Division of Diagnostic and Surgical Endoscopy,
National Cancer Institute,
Via Venezia 1, 1-20133 Milan, Italy
DEsLoovERRE, C
ENT Department, University Clinics K. V. Leuven,
Kapucisnenvoer, 33, B-3000 Leuven, Belgium
ENGERT, J.
Clinic of Pediatric Surgery, Ruhr-UniversiHit Bochum
Marienhospital Herne,
Widumerstr. 8, D-44627 Herne, Germany
J.
FEYH,
Clinic and Policlinic for Oto-Rhino-Laryngology,
Klinikum GroBhadern der Universitat Munich,
Marchioninistr.15, 80377 Munich, Germany
GANS, S. 1. (t)
717, North Rexford Drive, Beverly Hills, CA 90210, USA
GIJSBERS, G. H. M.
Laser Centre, Academic Medical Centre,
Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands
VIII List of Contributors
HOGERVORST, W.
Laser Centre, Department of Physics, Free University,
de Boelelaan 1081, 1081 HV Amsterdam, The Netherlands
LEHMANN, R. R.
Vesaliusweg 2-4, D-48I49 Munster, Germany
MANCINI,A.
Divison of Diagnostic and Surgical Endoscopy,
National Cancer Institut,
Via Venezia 1, 1-20133 Milan, Italy
MANTEL,K.
Division of Pediatric Anaesthesia,
Dr. von Hauners Children Hospital, University of Munich,
Lindwurmstr. 4, D-80337 Munich, Germany
PHILIPP,C.
Department of Laser Medicine, Hospital Neukolln,
Rudower Str. 48, D-I23I3 Berlin, Germany
POETKE,M.
Department of Laser Medicine, Hospital Neukolln,
Rudower Str. 48, D-I23I3 Berlin, Germany
SCHMITTENBECHER, P. P.
Department of Pediatric Surgery,
Dr. von Hauners Children Hospital, University of Munich,
Lindwurmstr. 4, D-80337 Munich, Germany
SPINELLI, P.
Division of Diagnostic and Surgical Endoscopy,
National Cancer Institute,
Via Venezia 1,1-20133 Milan, Italy
VAN DER MEULEN, F. W.
Laser Centre, Academic Medical Centre,
Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands
J. c.
VAN GEMERT, M.
Laser Centre, Academic Medical Centre,
Meibergdreef 9,1105 AZ, Amsterdam, The Netherlands
VON ILLBERG, C.
ENT Department, University Clinics K. V. Leuven,
Kapucisnenvoer, 33, B-3000 Leuven, Belgium
List of Contributors IX
WALDSCHMIDT, J.
Department of Pediatric-Surgery,
University Clinic Benjamin Franklin,
Hindenburgdamm 30, D-12200 Berlin, Germany
WALKER, M. L.
Division of Pediatric Neurosurgery,
Primary Children's Medical Center,
100 N. Medical Drive, Salt Lake City, ur 84113-110, USA
WELCH,A.J.
Bio-Medical Engineering Laboratory,
rx
Engineering-Science Building 61O,Austin, 78712, USA
The History of Laser Application
in Pediatrics Surgery
P. P. SCHMITTENBECHER
Introduction
Over the past 30 years, the laser has become a helpful instrument in numerous
medical specialities, especially in ophthalmology, ENT, dermatology, gastro
enterology, gynecology, urology, and neurosurgery. However, as Gans and Aus
tin mentioned in 1988 [23], pediatric surgery lagged behind in the use oflasers.
This statement is correct for all aspects of pediatric medical care.
In a scientific literature search using Medline and the index words "laser"
and "child .. :', one can find 769 articles in 15 different subspecialities between
1971 and 1996. Up to 25 papers per year from 1971 to 1980 are presented. An in
crease then took place with a peak of 85 reports in 1985, followed by a decrease
to 21 in 1991 (Fig. 1). The majority of the reports is concerned with ophthalmol
ogy, followed by papers about dermatology and plastic surgery and about ENT
and the tracheobronchial tree (Fig. 2). Ophthalmological laser application was
also the earliest routine use of this tool in children starting in the mid-1970S.
Around 1980, lasers were introduced into the field of pediatric dermatology
and were increasingly used in upper airway obstructions and ENT problems. In
N
100 --------------------------------------------------,
85
80
63
60 "" ------_.--' _. _. ... .. --_. 55-
40 ... -'
20
0-----·
71 73 75 77 79 '81 '83 '85 '87 '89 '91 '93 '95 Year
Fig. I. Papers about"lasers in children;'1971-1996 (n = 769), (According to Medline analysis)