ENT

Laser Solutions
for ENT Surgery

biolitec key visual for ENT. The key visual shows a head with a glass-like appearance, with the neck, nose, and ear area highlighted in white.

Minimally invasive laser surgery in the ENT field: ear, head, neck, and larynx

For many ENT surgeons, the use of laser technology is one of the primary choices in their daily practice. The wide range of procedures allows safe, bloodless tissue resection, coagulation, and vaporization in sensitive areas.

Preparation for outpatient surgery

Benefits of the technology

Minimally invasive laser procedures are a gentle, fast, and efficient option for a wide range of indications in the ENT field, especially for the nose and oropharynx.

From a large number of operations performed, the wavelength combination of 1470 nm and 980 nm has proven to be the most effective and reliable. With the dual-wavelength technology, clinicians can direct the laser beam onto or into specific tissue with a high water content and bleeding tendency.

This minimizes procedure times and post-operative side effects.

 

Advantages of laser surgery

  • Simultaneous cutting, coagulation, or vaporization thanks to dual wavelengths
  • Precise procedure in a non-bleeding environment
  • Best-in-class hemostasis
  • Fast ROI thanks to significantly lower procedure costs and low maintenance

Advantages of the bare fiber

Our bare fibers are manufactured from premium-grade quartz glass, ensuring outstanding mechanical and thermal stability under high-power conditions in tissue contact mode. This allows surgeons to perform precise and efficient procedures in the ENT field.

Before & after pictures of
the main ENT laser procedures

Turbinate Hyperplasia (Conchotomy)

To address the primary cause of snoring, the surgeon reduces and shrinks the hyperplastic tissue of the inferior and middle turbinates. The key principle in endonasal surgery is the preservation of the surrounding mucosal lining. The laser fiber enables an atraumatic entry into the turbinate tissue. Vaporization is performed interstitially with an excellent hemostatic effect. The procedure is carried out on an outpatient basis under local anesthesia.

Septal Spur / Septal Deformity

Resection of a septal spur or deformity can be performed during the same session using contact mode.

Epistaxis

Epistaxis is an excellent indication for diode laser use. The laser coagulates the main blood vessels around the bleeding site in a near non-contact manner with a bare fiber until nose bleeding stops completely. This is an ambulatory outpatient procedure performed under local anesthesia.

Myringotomy

A single-shot perforation is created in the eardrum using contact mode with a bare fiber, allowing evacuation of fluid from the middle ear. Due to the carbonization effect, the laser-created opening remains patent longer, ensuring ventilation and promoting faster resolution of the inflammation. This is an ambulatory outpatient procedure.

Oropharynx / Tonsillotomy

The most frequently performed diode laser procedure is tonsillotomy in children (ages 2–8 years). It involves the partial resection of “kissing tonsils” on both sides with minimal risk of postoperative bleeding, while preserving tonsillar parenchyma. The procedure is performed on an outpatient basis under general anesthesia.

Oropharynx / LAUPP

Laser-Assisted Uvulopalatoplasty (LAUPP) strengthens the uvula and shortens the soft palate through partial resection using a diode laser bare fiber. It is a minimally invasive option that significantly reduces snoring. The procedure is performed on an outpatient basis under local anesthesia.

Larynx

Main indications can be treated using bare fiber technique in both contact and non-contact modes: vaporization and resection of tumors, stenosis, papillomas and removal of vocal cord polyps. These procedures are performed under general anesthesia with microscope control in the operating room, with almost no bleeding.

Products

Our user-friendly diode lasers for ENT applications provide a fast ROI thanks to low maintenance costs, affordability, and the much faster procedures resulting from the use of the technology. They are very versatile and can be used for many different procedures in the ENT field.

LEONARDO® DUAL 45 / LEONARDO® DUAL Mini

Compact and affordable laser that offers the power you need, operating with the ideal wavelength combination of 1470 nm and 980 nm.

LEONARDO® Mini Blue

Compact diode laser with a wavelength of 445 nm. The wavelength is triggering a photoangiolytic effect, which leads to highly selective absorption in oxyhemoglobin.

The laser offers both contact and non-contact cutting options, as well as a coagulation effect with extremely limited collateral damage and excellent protection of the surrounding epithelium.
Main applications: Larynx surgery and Otology

Bare fibers

Our bare fibers are ideal for both contact and non-contact applications in ENT surgery. We offer disposable fibers as well as reusable, autoclavable fibers.

A range of handpieces is available for secure and convenient fixation of the bare fibers.

For approximately 30 years and in more than 30,000 outpatient procedures, I have been using the diode laser from biolitec. This acquisition has sustainably and positively transformed my daily practice and operating routine. Outpatient laser procedures in my practice and in the operating center have resulted in very high patient satisfaction and a significant increase in efficiency.

Dr. Jürgen Ramming

Frequent Questions

What are the main applications of minimally invasive lasers in the ENT field?
  • Reduction of turbinate hyperplasia (CONCHOTOMY)
  • Resection of septum spur / deformation
  • Tonsillotomy in children
  • Myringotomy
  • Epistaxis
  • Polyp vaporization
  • LAUPP
What are the main applications of minimally invasive lasers in laryngeal surgery?
  • Resection & ablation of tumor and stenosis
  • Removal of vocal cord polyps
  • Vaporization / coagulation of papilloma  
  • Cyst resection
  • Stapes operation
  • Shape memory prosthesis for stapedotomy
Which type of laser should be preferred for larynx laser surgery?

We recommend a wavelength of 445nm, using the photoangiolytic effect. Our Leonardo MINI Blue laser is ideal for the job.

Can laser procedures in the ENT field also be performed on an outpatient (ambulatory) basis?

ENT laser surgery can be performed on an outpatient basis. It is mostly done under local anaesthesia.

As a surgeon, how can I learn ENT laser surgery?

biolitec® regularly organizes international workshops and online webinars with our main laser experts, teaching both theoretical and practical fundamentals. They are designed to assist physicians learn the procedure faster and apply it in a safe way.

What is the difference between contact and non-contact fibers/laser applications in the ENT field?

Contact fibers (such as our bare fibers) are applied directly to the tissue and are used for cutting. They are ideally suited for ENT surgery. Non-contact techniques are also successfully employed in the ENT field: the fiber is held at a distance above the tissue, allowing the laser beam to reach the target without physical contact. The non-contact approach is primarily used for ablation, vaporization, and coagulation.

What are the advantages of nasal diode laser surgery from the perspective of the surgeon?
  • Micro-surgical precision
  • Performed under local anesthesia (Ultracain/Cocain)
  • Outpatient procedures, sitting position of the patient
  • Microscopic or endoscopic approach
  • Tactile feedback via laser fiber
  • Good hemostasis provides optimal in situ overview
  • Optimal preservation of surrounding mucosal tissue
  • Rapid re-epitheliazation of opened bone areas
  • Very low complication rate and short recovery period for the patient
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More information
and getting in touch

info@biolitec.com

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