Laser Surgery in Children

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H.-P. Berlien P.-P. Schmittenbecher (Eds.) Laser Surgery in Children

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H.-P. Berlien P. P. Schmittenbecher (Eds.) Laser Surgery in Children With 143 figures and 15 tables Springer

Professor Dr. med. H.-P. Berlien Department of Laser Medicine Hospital N euk611n Rudower Str. 48 D-12313 Berlin Dr. med. P. P. Schmittenbecher Department of Pediatric Surgery Dr. von Hauners Children Hospital, University of Munich Lindwurmstr.4 D-80337 Munich Library of Congress Cataloging-in-Publication Data Laser surgery in children II H.-P. Berlien, P.P. Schmittenbecher (eds.). p. cm. Includes bibliographical references and index. ISBN-13:978-3-642-6433 1-6 DOT: I 0.1 007/978-3-642-60276-4 e-isbn - I 3 :978-3-642-602 76-4 1. Children--Surgery. 2. Lasers in surgery. I. Berlien, H.-P. (Hans-Peter) II. Schmittenbecher, P.P. (Peter P.), 1958- [DNLM: 1. Laser Surgery--in infancy & childhood. WO 511 L3432 1998] RD 137.L.324 1998 617.9'8--dc21 DNLM/DLC for Library of Congress 97-18416 CIP This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other ways, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer-Verlag. Violations are liable for prosecution under the German Copyright Law. Springer-Verlag Berlin Heidelberg 1998 Softcover reprint of the hardcover 1 st edition 1998 The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publisher cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Typesetting: Michael Kusche, Goldener Schnitt SPIN: 10087151 24/3135-543210 - Printed on acid-free paper

Table of Contents The History of Laser Application in Pediatric Surgery P. P. SCHMITTENBECHER.... Laser Physics and Laser Tissue Interaction J. F. BEEK, F. W. VAN DER MEULEN, G. H. M. GIJSBERS, A. J. WELCH, W. HOGERVORST, and M. J. C. VAN GEMERT 10 Electron Microscopic Investigations After Laser Radiation R. R. LEHMANN........................................ 50 Clinical Features and Classification of Congenital Vascular Disorders M. POETKE, C. PHILIPP, and H. P. BERLIEN... 72 Ten Years of Laser Treatment of Hemangiomas and Vascular Malformations: Techniques and Results M. POETKE, C. PHILIPP, and H. P. BERLIEN... 82 Diagnosis and Therapy of Pediatric Airway Obstructions J. ENGERT............................................. 92 Laser Treatment of Recurrent Respiratory Papillomatosis C. DESLOOVERE and C. VON ILBERG... 123 The Treatment of Laryngeal Papillomas with the Aid of Photodynamic Laser Therapy J. FEYH and P. P. SCHMITTENBECHER... 133 Laser Treatment of Tracheoesophageal Fistulae P. P. Schmittenbecher and K. Mantel... 138 Endoscopic Laser Therapy in Pediatric Gastrointestinal Disorders P. SPINELLI, M. DAL FANTE, A. MANCINI, and G. CASELLA... 147 Lasers in Childhood: Laparoscopic Applications J. WALDSCHMIDT... 155

VI Table of Contents Basics of Laser Resection in Parenchymatous Organs C. PHILIPP, M. POETKE, and H. P. BERLIEN... 170 Tumor Removal by Laser S. L. GANS 181 The Use of Lasers in Pediatric Neurosurgery M. L. WALKER... 187 Subject Index.......................................... 201

List of Contributors BEEK,J.F. Laser Centre, Academic Medical Centre, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands BERLIEN, H. P. Department of Laser Medicine, Hospital Neuk511n, Rudower Str. 48, D-12313 Berlin, Germany CASELLA,G. Division of Diagnostic and Surgical Endoscopy, National Cancer Institute, Via Venezia 1,1-20133 Milan, Italy DAL FANTE, M. Division of Diagnostic and Surgical Endoscopy, National Cancer Institute, Via Venezia 1, 1-20133 Milan, Italy DEsLoovERRE, C ENT Department, University Clinics K. V. Leuven, Kapucisnenvoer, 33, B-3000 Leuven, Belgium ENGERT, J. Clinic of Pediatric Surgery, Ruhr-UniversiHit Bochum Marienhospital Herne, Widumerstr. 8, D-44627 Herne, Germany FEYH, J. Clinic and Policlinic for Oto-Rhino-Laryngology, Klinikum GroBhadern der Universitat Munich, Marchioninistr.15, 80377 Munich, Germany GANS, S. 1. (t) 717, North Rexford Drive, Beverly Hills, CA 90210, USA GIJSBERS, G. H. M. Laser Centre, Academic Medical Centre, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands

VIII List of Contributors HOGERVORST, W. Laser Centre, Department of Physics, Free University, de Boelelaan 1081, 1081 HV Amsterdam, The Netherlands LEHMANN, R. R. Vesaliusweg 2-4, D-48I49 Munster, Germany MANCINI,A. Divison of Diagnostic and Surgical Endoscopy, National Cancer Institut, Via Venezia 1, 1-20133 Milan, Italy MANTEL,K. Division of Pediatric Anaesthesia, Dr. von Hauners Children Hospital, University of Munich, Lindwurmstr. 4, D-80337 Munich, Germany PHILIPP,C. Department of Laser Medicine, Hospital Neukolln, Rudower Str. 48, D-I23I3 Berlin, Germany POETKE,M. Department of Laser Medicine, Hospital Neukolln, Rudower Str. 48, D-I23I3 Berlin, Germany SCHMITTENBECHER, P. P. Department of Pediatric Surgery, Dr. von Hauners Children Hospital, University of Munich, Lindwurmstr. 4, D-80337 Munich, Germany SPINELLI, P. Division of Diagnostic and Surgical Endoscopy, National Cancer Institute, Via Venezia 1,1-20133 Milan, Italy VAN DER MEULEN, F. W. Laser Centre, Academic Medical Centre, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands VAN GEMERT, M. J. c. Laser Centre, Academic Medical Centre, Meibergdreef 9,1105 AZ, Amsterdam, The Netherlands VON ILLBERG, C. ENT Department, University Clinics K. V. Leuven, Kapucisnenvoer, 33, B-3000 Leuven, Belgium

List of Contributors IX WALDSCHMIDT, J. Department of Pediatric-Surgery, University Clinic Benjamin Franklin, Hindenburgdamm 30, D-12200 Berlin, Germany WALKER, M. L. Division of Pediatric Neurosurgery, Primary Children's Medical Center, 100 N. Medical Drive, Salt Lake City, ur 84113-110, USA WELCH,A.J. Bio-Medical Engineering Laboratory, Engineering-Science Building 61O,Austin, rx 78712, USA