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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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