CO₂ Laser in Laryngeal Surgery: Precision, Efficiency and Innovation

Scanning-assisted CO₂ laser systems with their dedicated high-precision focusing accessories, play a crucial role in terms of cutting and ablating procedures. They guarantee minimal thermal damage, high reproducibility and enhanced safety. In addition to allowing wider, bloodless endoscopic excisions with significantly reduced post-operative edema and easier and quicker recovery, these features ensure a better intraoperative understanding of healthy and pathologic tissues and give the post-operative evaluation of surgical margins the utmost prognostic significance. Better excision performance also means less post-operative morbidity, shorter hospitalisation and significant cost-savings. ¹

The DEKA SmartXide CO₂ Laser is deemed as an excellent example of a Scanning-assisted CO₂ Laser. It encompasses leading technology features at a competitive price.

Innovation in CO₂ Laser Technology.

1. Ultra-Pulse Technology: Unmatched Precision and Minimal Thermal Spread

One of the key features of the Deka SmartXide TRIO is its Ultra-Pulse mode as standard. SuperPulse and UltraPulse are pulsed waves with a high peak of power delivered in millisecond pulses or less. UltraPulse adjusts its pulse energy automatically such that it is always above ablation threshold.  This is not the case with SuperPulse. SuperPulse is cone shaped and this sort of energy goes into tissue and heats it up more. UltraPulse is very rectangular. Thus, there may be slightly more thermal damage with SuperPulse than with UltraPulse.²

2. Hollow Wave Guide Fibre Delivery

The relatively recent advent of CO₂ Hollow Wave Guide Fibre Delivery enables Surgeons to reach difficult to access anatomy via the delivery of a Hollow Wave Guide. As well as providing handpieces for these fibres, DEKA also include, within the purchase of a Laser, a Robotic Introducer for use in laser assisted TORS.

3. Cloverleaf Scanning Pattern (Interpolated Ellipse): Efficient and Uniform Ablation

The Cloverleaf scanning pattern, also referred to as an interpolated ellipse, provides very superficial ablation especially as the scanning speed (dwell time) can be set to extremely high speeds to ensure very minimal penetration.

Conclusion

For ENT surgeons performing laryngeal surgery, the Deka SmartXide TRIO CO₂ laser presents a game-changing tool. With ultra-pulse technology, an ergonomic counter-weighted arm and the Cloverleaf scanning pattern, this system ensures unparalleled precision, reduced thermal damage and improved patient outcomes.

1. Scanning Super/Ultrapulsed CO₂ Laser Efficacy in Laryngeal Malignant Lesions
2. Current state of scanning micromanipulator applications with the Carbon Dioxide Laser,