Use of the 2-μm continuous wave thulium laser for the resection of oral squamous cell carcinomas does not impair pathological assessment

A.J. Pothen, J. Evenboer, J.E. Swartz, S.M. Willems, E.M. van Cann, L.M. Janssen, G.J.M.G. van der Heijden, W. Grolman

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND AND OBJECTIVE: Current resection modalities for oral squamous cell carcinomas (OSCC) vary from cold steel over CO2 laser to monopolar electro-surgery (MO). We compared thulium laser (TL) as a new modality with MO with regards to pathological assessment.

STUDY DESIGN/MATERIALS AND METHODS: Forty-two patients who were treated for OSCC by either TL or MO were included. All resected specimens were assessed with special attention to margin interpretation and thermal damage.

RESULTS: Depth of thermal damage ranged from 1.0 to 3.5 mm in the TL group compared to 1.0-4.0 mm in the MO group without interfering with the pathological assessment. The percentage of positive margin resections was three times higher in the MO group compared with the TL group.

CONCLUSIONS: This study shows resections done by TL do not impair pathological assessment when compared to MO resections.

Original languageEnglish
Pages (from-to)608-613
Number of pages6
JournalLasers in Surgery and Medicine
Volume46
Issue number8
DOIs
Publication statusPublished - 2014

Keywords

  • Aged
  • Carcinoma, Squamous Cell
  • Female
  • Humans
  • Laser Therapy
  • Male
  • Middle Aged
  • Mouth Neoplasms
  • Neck Dissection
  • Neoplasm Invasiveness
  • Neoplasm Staging
  • Risk Factors
  • Thulium
  • Treatment Outcome

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