GBOX 980nm Diode Laser for ENT Treatment from GIGAALASER

Clinical Application:
GBOX 980nm diode laser for ENT treatment from GIGAALASER

Clinic Explanation:
Dacryocystorhinostomy (DCR) is a surgical procedure to restore the flow of tears into the nose from the lacrimal sac when the nasolacrimal duct does not function.

Related Keywords:
DCR, lacrimal surgery, minimal invasive surgery, silicone stent intubation, transnasal approach

Medical device:
Gbox15w 980nm, 10-15w repeat pulse mode

Accessories:
400um fiber, ENT handpiece set

Operation procedure:
1. A complete ophthalmic examination and general anesthesia.
2. Used a Gbox 980nm diode laser, in repeat pulse mode. The laser settings were power 10w, pulse length 90ms, pause between pulses 50ms. And wearing safety goggles connect the fiber with device, then pass through the ENT handpiece with fibers.
3. Performed an infraction of the middle nasal concha in cases of limited view. Osteotomy was achieved by applying laser energy via an optic fiber and inserted into the lacrimal sac.
4. The size of osteotomy was controlled through the nasal endoscope. Once an opening of at least 5mm in diameter has been achieved, application of laser energy ceased.

Advantage:
1. The swelling resolved fast ( in a day or two).
2. 980nm laser short the procedure time, short the recovery time, decrease complication rate, avoid surgical skin and mucosal scars, and make the procedure possible on an outpatient basis.

Notice:
1. Irrigation with 0.9% saline solution of the endocanalicular probe was used to prevent overheating of the probe.
2. Tamponade of the nasal cavity was performed in cases of bleeding from the mucosa.