Transoral laser microsurgery of benign and malignant lesions:
Gespeichert in:
| Weitere Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Stuttgart [u.a.]
Thieme
2016
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Includes bibliographical references and index |
| Beschreibung: | XXIV, 299 S. zahlr. Ill., graph. Darst. |
| ISBN: | 3131723912 9783131723918 |
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| 245 | 1 | 0 | |a Transoral laser microsurgery of benign and malignant lesions |c [ed. by] Manuel Bernal-Sprekelsen ... |
| 264 | 1 | |a Stuttgart [u.a.] |b Thieme |c 2016 | |
| 300 | |a XXIV, 299 S. |b zahlr. Ill., graph. Darst. | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 500 | |a Includes bibliographical references and index | ||
| 650 | 4 | |a Head and Neck Neoplasms | |
| 650 | 4 | |a Laser Therapy | |
| 650 | 4 | |a Microsurgery | |
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Datensatz im Suchindex
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|---|---|
| adam_text | Contents
Preface............................................................. xvii
Acknowledgments...................................................... xix
Contributors......................................................... xxi
Part 1 Materials and Methods
1 History of Laser Application in Surgery of the Upper
Aerodigestive Tract........................................................... 2
Eduardo Breda
1.1 Introduction 2 1.2.2 Minimally Invasive Laryngeal Surgery— 2
1.2.3 Introduction of Laser Surgery 2
1.2 History of Laryngeal Surgery 2 References 6
1.2.1 Laryngectomy 2
2 Physical Properties of Lasers: Introduction to Laser Physics for
Medical Personnel Carsten M. Philipp 8
2.1 Introduction 8 2.4.1 The Laser 11
2.4.2 Articulated Arm: Transmission by
2.2 Physical Basics 8 Mirrors 12
2.4.3 Handpiece 12
2.2.1 Wavelength 8 2.4.4 Micromanipulators 13
2.2.2 Energy, Power, and Spot Size 9 2.4.5 Scanners 13
2.2.3 Duration 10 2.4.6 Fiber-Guided Transmission 14
2.3 Technical Developments of the C02 2.5 Tissue Effects of the C02 Laser 14
Laser System 11 References 16
2.4 Components of the C02 Laser 11
3 Flexible Fiber C02 Laser and Transoral Robotic Surgery 17
Abie Mendelsohn and Marc Remade
3.1 introduction 17 3.3 C02 Flexible Fiber Guides 18
3.2 Cutting and Ablative Instruments 17 References 19
4 Equipment and Instrumentation for Transoral
Laser Microsurgery Martin Con/s and Wolfgang Steiner 21
4.1 Introduction 21 4.2.2 Microscope 21
4.2.3 Eye Protection and Laser Safety 21
4.2 Equipment 21 4.3 Instrumentation 21
4.2.1 C02 Laser 21
4.3.1 Laryngopharyngoscopes
4.3.2 Endoscopes............
4.3.3 Grasping Instruments..,
4.3.4 Coagulation Forceps —
4.3.5 Suction...............
5 Anesthesia for Transoral Laser Microsurgery............................................ 26
Angeles Ayuso, Mercè Lu/s, and Marina Vendrell
5.1 Introduction 26 5.4 Anesthesia Aspects Associated with Laser Laryngeal Microsurgery 29
5.2 Initial Considerations 26 5.4.1 Risks Derived from C02 Laser on the Upper
5.3 Airway Management and Difficult Airway 29
Intubation 26 5.4.2 Safety Measures During Laser Surgery— 32
5.3.1 Preoperative Identification of the Difficult Airway 26 5.5 Postoperative Period 33
5.3.2 Intubation Management in Upper Airway 5.5.1 In the Operating Room 33
Pathology 27 5.5.2 In the Postanesthesia Care Unit 33
5.3.3 Mechanic Ventilation Modalities 27
References.............................. 33
Part 2 Treatment of Benign Lesions and Disorders of the Upper Aerodigestive Tract
6 Endoscopic Treatment of Laryngeal, Subglottic, and Tracheal Stenosis................. 36
Primitivo Ortega del Alamo, Consuelo Ortega Fernández, jorge Duque Silva with the collaboration of javier
Cervera Escario
6.1 Introduction 36 6.4 Subglottic and Tracheal Stenosis .. 43
6.2 Supraglottic Stenosis 36 6.4.1 Etiology 43
6.4.2 Classification .. 43
6.3 Glottic Stenosis 36 6.4.3 Endoscopic Treatment .. 44
6.3.1 Anterior Glottic Stenosis 36 References .. 46
6.3.2 Posterior Glottic Stenosis 40
6.3.3 Vocal Cord Paralysis in Children 42
6.3.4 Posterior Glottic Commissure Scarring ... 42
7 C02 Laser Surgery for Benign Pharyngeal Lesions: Snoring, Hypopharyngeal
(Zenker) Diverticulum, Palatine and Lingual Tonsils............................ 48
Nicholas S. Mastronikolis, Marc Remade, and Devora Kiagiadaki
7.1 Introduction ,... 48 7.4 Cricopharyngeal Dysfunction 52
7.2 Snoring .... 48 7.4.1 Endoscopic C02 Laser-Assisted Cricopharyngeal Myotomy 53
7.2 A Surgical Treatment for Snoring ,... 48 7.5 Palatine Tonsils 53
7.3 Zenker Diverticulum .... 50 7.5.1 Laser-Assisted Tonsillectomy 54
7.3.1 Surgical Treatment for Zenker 7.5.2 Laser-Assisted Tonsillotomy 54
Diverticulum .... 50 7.5.3 C02 Laser Hollow Waveguide for Tonsil Ablations 54
21 4.3.6 Clipping Instruments
23 4.3.7 Protecting Shields........................ 25
23
24 References............................. 25
24
7.6
Lingual Tonsils
55
References
58
7.6.1 Surgical Treatment of Lingual Tonsils. 56
8 Benign and Premalignant Lesions of the Larynx
Nicholas S. Mastronikolis, Marc Remade, and Devora Kiagiadaki
59
8.1 Introduction 59 8.2.8 Recurrent Respiratory Papillomatosis 61
8.2.9 Leukoplakia 62
8.2 Benign Glottic Lesions 59 8.2.10 Bilateral Vocal Fold Paralysis 62
8.2.1 Polyps 59 8.3 Management of Benign Glottic Lesions 62
8.2.2 Nodules 59
8.2.3 Reinke Edema 59 8.3.1 Laser-Assisted Surgery for Benign Lesions
8.2.4 Vocal Fold Cysts 59 of the Larynx 63
8.2.5 Sulcus 60
8.2.6 Scar 60 References 65
8.2.7 Glottic Webs 61
9 Premalignant Lesions of the Oral Cavity 66
Michael W.S. Ho and Richard j. Shaw
9.1 Introduction 66 9.3.1 C02 Laser Surgery for Premalignant Oral
Lesions 66
9.2 Premalignant Lesions of the Oral
Cavity: Oral Epithelial Dysplasia and 9.4 Acknowledgments 70
Malignant Transformation 66
References 70
9.3 Management of Oral Epithelial
Dysplasia 66
Part 3 Treatment of Malignant Tumors of the Upper Aerodigestive Tract
10 Principles of the Gottingen Concept for Transoral Laser Microsurgery of the
Upper Aerodigestive Tract Cancer............................................ 74
Wolfgang Steiner and David Howard
10.1 Introduction 74 10.5 Microsurgical Technique and Histopathologic Processing 82
10.2 Therapeutic Concept 74 10.5.1 Re-resection 82
10.2.1 Neck Dissection 74 10.6 Prerequisites of TLM 84
10.3 Oncologic and Functional Principles of TLM 75 10.7 Preconditions for Organ Preservation . 84
10.4 Diagnostic and Operative Procedures . 79 10.8 Limitations of TLM 84
10.4.1 Human Papillomavirus 79 10.8.1 Very Advanced Tumors with Risk of Severe
10.4.2 Imaging 79 Persisting Aspiration 84
10.4.3 Narrow Band Imaging 79
10.4.4 Anesthesia 79 10.9 Risks of TLM 85
10.4.5 Operative Procedure 80 10.10 Postoperative Complications 85
10.11 Advantages of TLM over Standard Conventional Surgery 85 Recommended Literature 87
10.12 Conclusion 86
11 ELS Classification of Transoral Resections 88
Marc Remade and Nayla Motor
11.1 Introduction 88 11.3.1 Impact of the ELS Classification of Cordectomies on Publications Related to
11.2 Presentation of the ELS Classifications Outcomes 89
of Transoral Resections 88 11.3.2 Impact of the ELS Classifications of Supraglottic Laryngectomies on
11.2.1 ELS Classification of Cordectomies 88 Publications Related to Outcomes 92
11.2.2 ELS Classification of Supraglottic Laryngectomies 89 11.4 Conclusion 92
11.3 Impact of the ELS Classifications on Publications Related to Outcomes 89 References 92
12 Technical Details for Transoral Laser Microsurgery in the Oral Cavity and Oropharynx, Base of the Tongue, Hypopharynx, Glottis and Anterior Commissure, and Supraglottis: Tips and Tricks to Improve Exposure David Howard, Wolfgang Steiner, Isabel Vilaseca, Martin Conis, and Manuel Bernal-Sprekelsen 93
12.1 Introduction 93 12.4.8 Operative Procedure 102
12.2 Surgical Technique 93 12.5 Transoral Laser Microsurgery for Tumors of the Supraglottis 102
12.3 Transoral Laser Microsurgery for Tumors of the Oral Cavity and 12.5.1 Tumors of the Suprahyoid Epiglottis 102
Oropharynx 93 12.5.2 Infrahyoid Epiglottis 102
12.5.3 T2, T3, and T4 Supraglottic Tumors 103
12.3.1 Tumors of the Floor of the Mouth 93
12.3.2 Tumors of Buccal Mucosa and Palate 94 12.6 Transoral Laser Microsurgery for
12.3.3 Tumors of the Oropharynx 94 Tumors of the Hypopharynx 103
12.4 Transoral Laser Microsurgery for 12.6.1 Pyriform Fossa Tumors 104
Laryngeal Carcinoma 95 12.6.2 Postcricoid Tumors 105
12.6.3 Posterior Pharyngeal Wall Tumors 105
12.4.1 Glottic Carcinoma in situ. “Small” Tla Carcinoma 95 12.7 Exposure 105
12.4.2 Unexpected Deep Invasion of the Vocal Fold 96 12.7.1 Common Principles 105
12.4.3 Tla “Large, T1 b Glottic Carcinoma 96 12.7.2 Tips and Tricks to Improve Exposure 106
12.4.4 Tib Tumor of Both Vocal Folds 98
12.4.5 T2a, T2b, T3, T4 Glottic Carcinoma 101 Recommended Literature 110
12.4.6 Involvement of the Arytenoid Mucosa.... 101
12.4.7 The Paraglottic Space 102
13 The Study of Biopsies Taken by Laser Microsurgery: The Pathologist’s View
and the ENT View.............................................................................. ill
Llucia Aids, Miguel Caballero, Jose L. Blanch, and Manuel Bernol-Sprekelsen
13.1
Introduction
111 13.2 Coals of Histopathologic Studies
13.3 Problems of the Evaluation of Margins Ill 13.5 Conclusion 114
13.4 Results of Tumor Margin Assessment.. 112 References 114
14 The Role of Neck Dissection in Transoral Laser Microsurgery 115
Petro Ambrosch
14.1 Introduction and General Remarks 115 14.6 Extent of SND 117
14.2 Classification of Lymph Nodes and 14.7 Elective Treatment of the Neck 118
Neck Dissection 115 14.8 Therapeutic SND 119
14.3 Clinical Staging of the Neck 116 14.9 Adjuvant Treatment 119
14.4 Accuracy of Pathological Assessment of the Neck 116 14.10 Conclusion 120
14.5 Special Aspects of Neck Dissection in Transoral Laser Microsurgery 117 References 120
14.5.1 Simultaneous or Staged Neck Dissection? 117
Part 4 Results
15 Transoral Laser Microsurgery of the Oral Cavity 124
Peter James Thomson
15.1 Introduction 124 15.4 Clinical Outcome Following Laser Surgery 128
15.2 Applied Anatomy of the Oral Cavity ... 124 15.4.1 Potentially Malignant Disorders 128
15.3 C02 Laser Techniques in the Oral Cavity 124 15.4.2 Oral Squamous Cell Carcinoma 129
15.5 Complications of Oral Laser Surgery... 129
15.3.1 Treatment of Benign Mucosal Disease .... 126
15.3.2 Oral Potentially Malignant Disorders 127 15.6 Conclusion 129
15.3.3 Oral Squamous Cell Carcinoma 128 References 130
16 Transoral Laser Microsurgery of the Oropharynx 131
Terry M. Jones
16.1 Introduction 131 16.4 Conclusion 132
16.2 TLM for Early and Intermediate OPSCC 131 References 132
16.3 TLM for Advanced OPSCC 131
16.3.1 Survival 132
17 Transoral Laser Microsurgery of the Base of the Tongue................................ 134
Brittany £ Howard and Michael L. Hinni
17.1
Introduction
134 17.2 Oncologic Outcomes
134
17.2.1 Local Recurrence 136 17.4 Prognostic Factors 138
17.2.2 Regional Recurrence 136 138
17.2.3 Distant Metastasis and Second Primaries . 137 17.5 Conclusion
17.2.4 Disease Survival 137 References 138
17.3 Complications 137
18 Transoral Laser Microsurgery for Hypopharyngeal
Carcinomas 140
Isabel Vilaseca and Manuel Bernal-Sprekelsen
18.1 Introduction 140 18.4.1 Advantages 141
18.4.2 Disadvantages 141
18.2 Transoral Laser Microsurgery for Hypopharyngeal Carcinoma 140 18.5 Conclusion 144
18.3 Patient Selection 141 References 151
18.4 Advantages and Disadvantages of TLM 141
19 Transoral Laser Microsurgery for Early Glottic Tumors
(Tis, T1a,T1b,andT2) Isabel Vilaseca and Manuel Bernal-Sprekelsen 153
19.1 Introduction 153 19.4 Advantages of TLM 164
19.2 Oncologic Outcomes of TLM in Early 19.5 Conclusion 166
Glottic Tumors 158 References 166
19.3 TLM Versus Radiotherapy 164
20 Transoral Laser Microsurgery of the Anterior
Commissure of the Larynx................................................................... 168
¡ose L Blanch, Cristobal Langdon, Manuel Bernal-Sprekelsen, and Isabel Vilaseca
20.1 Introduction........................ 168 20.4 Technical Aspects of Transoral Laser
Resection............................. 170
20.2 Diagnosis........................... 168
20.5 Conclusion............................. 172
20.3 Treatment Options for Tumors
Originating in the ACL............. 169 References............................. 175
21 Transoral Laser Microsurgery for Advanced
Glottic Tumors............................................................................. 176
Manuel Bernal-Sprekelsen, Isabel Vilaseca, and ¡ose L Blanch
21.1 Introduction........................ 176 21.4 Complications.......................... 189
21.2 Oncologic Outcomes.................. 178 21.5 Conclusion............................. 190
21.2.1 Outcomes with TLM................... 178 References............................. 190
21.2.2 Other Organ Preservation Strategies. 182
21.3 Functional Outcomes
184
22
192
Laser Salvage Surgery after Failed Radiotherapy
Miquel Quer and Xavier Leon
22.1 Introduction 192 22.4 Our Experience . 194
22.2 Advantages and Limitations of Laser 22.5 Conclusion . 195
Salvage Surgery 192 References . 196
22.3 Indications and Results 192
23 Transoral Laser Microsurgery for Early Supraglottic Tumors . 197
Hans Edmund Eckel
23.1 Introduction 197 23.3 Follow-up after Curative Surgery . 203
23.1.1 Basic Considerations for the Surgical Treatment of Supraglottic Carcinomas 197 23.4 Conclusion . 203
23.1.2 Preoperative Assessment 197 References . 203
23.1.3 Indications for Surgery 198
23.2 Oncologic and Functional Results 199
24 Advanced Supraglottic Tumors: T3 and Selected T4 . 205
Manuel Bernal-Sprekelsen, Isabel Vilaseca, and Martin Canis
24.1 Introduction 205 24.4 Perioperative and Long-Term Complications . 214
24.2 Oncologic Outcomes 206 24.5 Conclusion . 217
24.3 Functional Outcomes 210 References . 217
Part 5 Postoperative Management, Complications, Rehabilitation, and Adjuvant
Therapy
25 Immediate Postoperative Management . 220
Paula T. Bradley, Ahmed Chishti, and Vinidh Paleri
25.1 Introduction 220 25.4.3 Fluid Management . 223
25.4.4 Rare Issues . 223
25.2 Emergence from Anesthesia 220 25.5 Management on the Ward . 223
25.3 Considerations during the Recovery Period after Anesthesia 221 25.6 Nutritional and Swallowing Issues ... . 223
25.4 Complications in the Recovery Period 221 25.7 Conclusion . 224
25.4.1 Airway 221 References . 224
25.4.2 Bleeding 222
26 Complications of Transoral Laser Microsurgery of Malignant Tumors of the
Larynx and Hypopharynx.......................................................... 225
Isabel Vilaseca and Manuel Bernal-Sprekelsen
26.1
Introduction
225 26.2 Intraoperative Complications
225
26.3 Postoperative Complications 226 26.3.6 Tracheotomies 233
26.3.7 Learning Curve 233
26.3.1 Postoperative Hemorrhage 226
26.3.2 Dyspnea 230 26.4 Conclusion 234
26.3.3 Cervical Emphysema 230
26.3.4 Local Infection 231 References 234
26.3.5 Pneumonia 232
27 Deglutition after Laser Surgery.. 235
Manuel Bemal-Sprekelsen and Isabel Vilaseca
27,1 Introduction 235 27.2.4 Level of Experience and Learning Curve .. 238
27.2 Results 235 27.3 Discussion 240
27.2.1 Nasogastric Feeding Tube 235 27.4 Conclusion 241
27.2.2 Aspirations and Aspiration Pneumonia ... 236
27.2.3 Tracheostomy 237 References 243
28 Rehabilitation of Deglutition 244
C.jaume Bauza, Tomás Barberán, and R. Rodriguez Villalva
28.1 Introduction 244 28.3.2 Swallowing Maneuvers 248
28.3.3 Specific Exercises 248
28.2 Fiberoptic Endoscopic Evaluation of
Swallowing 244 28.4 Swallowing and Aspiration after TLM 250
28.2.1 FEES Technique 244 28.5 Conclusion 251
28.2.2 Other Factors Affecting Swallowing 245
References 251
28.3 Rehabilitation 247
28.3.1 Adaptation Strategies 247
29 Voice Outcome in Glottic Tumors.................................................. 253
Isabel Vilaseca, Ana María Femández-Píanas, and Manuel Bemal-Sprekelsen
29.1 Introduction 253 29.5 Voice Quality after TLM in Locally Advanced Tumors 260
29.2 Voice Assessment 253 29.6 Surgical Voice Restoration after TLM .. 260
29.3 Voice Quality after TLM in Locally Early Tumors 254 29.7 Conclusion 262
29.4 Radiation Therapy Versus TLM 256 References 263
30 Voice Rehabilitation Arno Oithoff 265
30.1 Introduction 265 30.2.3 Objective Evaluation 266
30.2.4 Questionnaires 266
30.2 Evaluation of Voice Quality 265 30.3 Phonosurgery 266
30.2.1 Endoscopic Findings 265
30.2.2 Perceptive Evaluation 265 30.3.1 Medialization 266
30.3.2 Augmentation 267 30.5 Conclusion . 267
30.4 Voice Therapy 267 References . 268
30.4.1 Methods and Aims 267
31 Transoral C02 Laser Resection for Arytenoid Edema and Posterior
Glottic Stenosis . 269
Giorgio Pereiti, Renzo Mora, and Francesco Mora
31.1 Introduction 269 31.3.2 Grade and Extent of PGS . 273
31.2 Differential Diagnosis 271 31.4 Treatment . 274
31.2.1 Trauma 271 31.4.1 Medical . 274
31.2.2 Endotracheal Intubation 272 31.4.2 Intralesional Injections . 274
31.2.3 Surgery 272 31.4.3 Transoral and Open Procedures . 274
31.2.4 Inhalation Injuries 272
31.2.5 Caustic Ingestion 272 31.5 Discussion . 276
31.2.6 Infection 272
31.2.7 Bilateral Vocal Fold Palsy 272 31.5.1 Edema . 276
31.5.2 Stenosis . 276
31.3 Evaluation of Patients with Arytenoid Edema and PCS 273 31.6 Conclusion . 277
31.3.1 Diagnostic Workup 273 References . 277
32 Quality of Life after Transoral Laser Microsurgery . 279
Isabel Vilaseca, Manuel Bernal-Sprekelsen, and Jose L Blanch
32.1 Introduction 279 32.4 Conclusion . 284
32.2 QOL in Laryngeal Tumors 279 References . 284
32.3 QOL in Pharyngeal Tumors 284
33 The Learning Curve in Transoral Laser Microsurgery . 286
Manuel Bernal-Sprekelsen, Elena Rioja, and Isabel Vilaseca
33.1 Introduction 286 33.3.2 Locally Advanced Tumors (T3 and T4)... . 287
33.2 Material and Methods 286 33.4 Discussion . 289
33.3 Results 286 33.5 Conclusion . 294
33.3.1 Small Tumors (T1-T2) 286 References . 294
Index
296
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| id | DE-604.BV042635477 |
| illustrated | Illustrated |
| indexdate | 2024-07-10T07:06:25Z |
| institution | BVB |
| isbn | 3131723912 9783131723918 |
| language | English |
| lccn | 015022321 |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-028067969 |
| oclc_num | 915139217 |
| open_access_boolean | |
| owner | DE-355 DE-BY-UBR DE-578 |
| owner_facet | DE-355 DE-BY-UBR DE-578 |
| physical | XXIV, 299 S. zahlr. Ill., graph. Darst. |
| publishDate | 2016 |
| publishDateSearch | 2016 |
| publishDateSort | 2016 |
| publisher | Thieme |
| record_format | marc |
| spelling | Transoral laser microsurgery of benign and malignant lesions [ed. by] Manuel Bernal-Sprekelsen ... Stuttgart [u.a.] Thieme 2016 XXIV, 299 S. zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Includes bibliographical references and index Head and Neck Neoplasms Laser Therapy Microsurgery Atemwege (DE-588)4068903-7 gnd rswk-swf Operationstechnik (DE-588)4215428-5 gnd rswk-swf Mikrochirurgie (DE-588)4114590-2 gnd rswk-swf Tumor (DE-588)4078460-5 gnd rswk-swf Laserchirurgie (DE-588)4132393-2 gnd rswk-swf Atemwege (DE-588)4068903-7 s Tumor (DE-588)4078460-5 s Mikrochirurgie (DE-588)4114590-2 s Laserchirurgie (DE-588)4132393-2 s Operationstechnik (DE-588)4215428-5 s DE-604 Bernal-Sprekelsen, Manuel (DE-588)1011777266 edt Erscheint auch als Online-Ausgabe 978-3-13-172411-3 Digitalisierung UB Regensburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028067969&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Transoral laser microsurgery of benign and malignant lesions Head and Neck Neoplasms Laser Therapy Microsurgery Atemwege (DE-588)4068903-7 gnd Operationstechnik (DE-588)4215428-5 gnd Mikrochirurgie (DE-588)4114590-2 gnd Tumor (DE-588)4078460-5 gnd Laserchirurgie (DE-588)4132393-2 gnd |
| subject_GND | (DE-588)4068903-7 (DE-588)4215428-5 (DE-588)4114590-2 (DE-588)4078460-5 (DE-588)4132393-2 |
| title | Transoral laser microsurgery of benign and malignant lesions |
| title_auth | Transoral laser microsurgery of benign and malignant lesions |
| title_exact_search | Transoral laser microsurgery of benign and malignant lesions |
| title_full | Transoral laser microsurgery of benign and malignant lesions [ed. by] Manuel Bernal-Sprekelsen ... |
| title_fullStr | Transoral laser microsurgery of benign and malignant lesions [ed. by] Manuel Bernal-Sprekelsen ... |
| title_full_unstemmed | Transoral laser microsurgery of benign and malignant lesions [ed. by] Manuel Bernal-Sprekelsen ... |
| title_short | Transoral laser microsurgery of benign and malignant lesions |
| title_sort | transoral laser microsurgery of benign and malignant lesions |
| topic | Head and Neck Neoplasms Laser Therapy Microsurgery Atemwege (DE-588)4068903-7 gnd Operationstechnik (DE-588)4215428-5 gnd Mikrochirurgie (DE-588)4114590-2 gnd Tumor (DE-588)4078460-5 gnd Laserchirurgie (DE-588)4132393-2 gnd |
| topic_facet | Head and Neck Neoplasms Laser Therapy Microsurgery Atemwege Operationstechnik Mikrochirurgie Tumor Laserchirurgie |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028067969&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT bernalsprekelsenmanuel transorallasermicrosurgeryofbenignandmalignantlesions |