Features of anesthesia during laryngeal surgery using a laser

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Abstract

Laryngeal cancer has been occupying one of the leading positions in the structure of malignant neoplasms of the head and neck for many years. In the treatment of localized processes (T1–2), preference is given to endolaryngeal laser resections of the larynx.

This article presents an overview of the literature covering the features and challenges of anesthesia administration during endolaryngeal operations using a laser. Various methods of respiratory support are used during laryngeal surgery, their advantages and disadvantages are described and compared. Methods for preventing the development of complications and schemes for providing emergency care are also considered.

About the authors

E. N. Novozhilova

RUDN University; Moscow City Oncological Hospital No. 62, Moscow Healthcare Department

Email: bitsaeva_av@pfur.ru
ORCID iD: 0000-0001-8553-3487
Russian Federation, 6 Miklukho-Maklaya St., Moscow 117198; 27 Istra, Moscow Region 143515

V. I. Popadyuk

RUDN University

Email: bitsaeva_av@pfur.ru
ORCID iD: 0000-0003-3309-4683
Russian Federation, 6 Miklukho-Maklaya St., Moscow 117198

A. Zh. Hoteev

Moscow City Oncological Hospital No. 62, Moscow Healthcare Department

Email: bitsaeva_av@pfur.ru
ORCID iD: 0009-0009-1678-8756
Russian Federation, 27 Istra, Moscow Region 143515

E. G. Akhtyrskaya

Moscow City Oncological Hospital No. 62, Moscow Healthcare Department

Email: bitsaeva_av@pfur.ru
ORCID iD: 0009-0007-2330-9376
Russian Federation, 27 Istra, Moscow Region 143515

K. I. Chudakov

Moscow City Oncological Hospital No. 62, Moscow Healthcare Department

Email: bitsaeva_av@pfur.ru
ORCID iD: 0009-0005-3919-1232
Russian Federation, 27 Istra, Moscow Region 143515

I. F. Chumakov

Moscow City Oncological Hospital No. 62, Moscow Healthcare Department

Email: bitsaeva_av@pfur.ru
ORCID iD: 0009-0004-6127-8230
Russian Federation, 27 Istra, Moscow Region 143515

A. I. Chernolev

RUDN University

Email: bitsaeva_av@pfur.ru
ORCID iD: 0000-0003-3082-3182
Russian Federation, 6 Miklukho-Maklaya St., Moscow 117198

A. V. Bitsaeva

RUDN University

Author for correspondence.
Email: bitsaeva_av@pfur.ru
ORCID iD: 0000-0003-3941-3729
Russian Federation, 6 Miklukho-Maklaya St., Moscow 117198

A. N. Melisheva

RUDN University

Email: bitsaeva_av@pfur.ru
ORCID iD: 0009-0001-0545-0161
Russian Federation, 6 Miklukho-Maklaya St., Moscow 117198

References

  1. The state of oncological care for the Russian population in 2023. Ed. by A.D. Kaprin, V.V. Starinsky, A.O. Shakhzadova. Moscow: MNIOI im. P.A. Gertsena – filial FGBU “NMITS radiologii” Minzdrava Rossii, 2024. (In Russ.).
  2. Novozhilova E.N., Popadyuk V.I., Baranov A.N. et al. Rational rehabilitation of patients in the clinic of head and neck tumors using modern IT-technologies and artificial intelligence. Otorinolaringologiya. Vostochnaya Evropa = Otorhinolaryngology. Eastern Europe 2025;15(1):54–64. (In Russ.). doi: 10.34883/PI.2025.15.1.030
  3. Popadyuk V.I., Novozhilova E.N., Chernolev A.I., Bitsaeva A.V. Treatment of patients with tumors of the larynx and pharynx using a robotic laser system. Folia Otorhinolaryngologiae et Pathologiae Respiratoriae 2023;29(3):79–85. (In Russ.). doi: 10.33848/foliorl23103825-2023-29-3-79-85
  4. Laryngeal cancer. Clinical recommendations of the Russian Ministry of Health. 2024. Available at: https://oncology-association.ru/wp-content/uploads/2024/11/rak-gortani_02.07.24_final.pdf
  5. Daikhes N.A., Vinogradov V.V., Kim I.A. et al. Modern methods of early diagnosis of laryngeal and pharyngeal tumors. Vestnik otorinolaringologii = Bulletin of Otorhinolaryngology 2021;86(3):46–51. (In Russ.). doi: 10.17116/otorino20218603146
  6. Novozhilova E.N., Fedotov A.P., Chumakov I.F. et al. The opportunities of robotized CO2-laser application for surgery on larynx and pharynx via transoral approach. Golova i sheya = Head and Neck. Russian Journal 2015;1:42–8. (In Russ.).
  7. Sokolov V.V. Endoscopic diagnosis and treatment of early forms of cancer of the respiratory tract and digestive tract. In: Handbook of Oncology. Ed. by V.I. Chissov and S.L. Daryalova, Moscow: Meditsinskoe informatsionnoe agentstvo, 2008. (In Russ.).
  8. Sokolov V.V., Gladyshev A.A., Telegina L.V. et al. The possibilities of flexible video endoscopic techniques in endolaryngeal surgery for precancerous and early laryngeal cancer. Golova i sheya = Head and Neck. Russian Journal 2014;2:26–33. (In Russ.).
  9. Novozhilova E.N., Fedotov A.P., Chumakov I.F. et al. Experience with robotic Lumenis CO laser in endoscopic laryngeal surgery. Opukholi golovy i shei = Head and Neck Tumors 2014;2:14–8. (In Russ.). doi: 10.17650/2222-1468-2014-0-2-14-18
  10. Mudunov A.M., Bolotin M.V. Endolaryngeal laser resection of larynx. Opukholi golovy i shei = Head and Neck Tumors 2016; 6(3):34–7. (In Russ.). doi: 10.17650/2222-1468-2016-6-3-34-37
  11. Novozhilova E.N., Popadyuk V.I., Melisheva A.N. et al. The difficulties of voice prosthetics, or Via trita via tuta (the beaten path is safe). Opukholi golovy i shei = Head and Neck Tumors 2025;15(3):140–6. (In Russ.). doi: 10.17650/2222-1468-2025-15-3-140-146
  12. Zislin B.D., Kontorovich M.B., Badaev F.I. Some aspects of the use of high-frequency ventilation in modern conditions. Vestnik intensivnoj terapii = Bulletin of Intensive Care 2002;1:22–4. (In Russ.).
  13. Pavlov V.E. Features of anesthetic aids in endoscopic surgical treatment of laryngeal diseases. Rossiyskaya otorinolaringologiya = Russian Otorhinolaryngology 2009;1:103–8 (In Russ.).
  14. Anesthesiology and intensive care medicine: textbook for universities. Ed. by O.A. Dolina. 3rd edn. Moscow: GEOTAR-Media, 2007. 576 p. (In Russ.).
  15. Morgan E.J. Jr., Mikhail M.S. Anesthesiology. Translated from English. Ed. by A.A. Bunyatyan, A.M. Tseitlin. Moscow: Binom Nevsky Dialect, 2003. (In Russ.).
  16. Verro B., Greco G., Chianetta E., Saraniti C. Management of early glottic cancer treated by CO2 laser according to surgical-margin status: a systematic review of the literature. Int Arch Otorhinolaryngol 2021;25(2):301–8. doi: 10.1055/s-0040-1713922
  17. Daikhes N.A., Vinogradov V. V., Reshulsky S.S. et al. The effect of surgical access on functional and oncological results of resections in laryngeal cancer T2N0M0. Opukholi golovy i shei = Head and Neck Tumors 2024;14(2):57–64. (In Russ.). doi: 10.17650/2222-1468-2024-14-2-57-64
  18. Perepelitsa S.A., Kuzovlev A.N. High-frequency ventilation in the treatment of acute respiratory failure. Fizicheskaya i reabilitacionnaya meditsina, meditsinskaya reabilitatsiya = Physical and Rehabilitation Medicine, Medical Rehabilitation 2021;3(1): 63–73. (In Russ.). doi: 10.36425/rehab63248
  19. Novozhilova E.N., Olshanskaya O.V., Khoteev A.Zh. et al. Accompanying therapy in patients after endoscopic laryngeal surgery. Opukholi golovy i shei = Head and Neck Tumors 2014;3:22–5. (In Russ.). doi: 10.17650/2222-1468-2014-0-3-22-25
  20. Pillai A., Daga V., Lewis J. et al. High-fl ow humidifi ed nasal oxygenation vs. standard face mask oxygenation. Anaesthesia 2016;71(11):1280–3. doi: 10.1111/anae.13607
  21. Huang H.W., Sun X.M., Shi Z.H. et al. Effect of high-flow nasal cannula oxygen therapy versus conventional oxygen therapy and noninvasive ventilation on reintubation rate in adult patients aft erextubation: A systematic review and meta-analysis of randomized controlled trials. J Intensive Care Med 2018;33(11):609–23. doi: 10.1177/0885066617705118
  22. Lyubimenko V.A., Mostovoy A.V., Ivanov S.L. High-frequency artifi cial ventilation lung diseases in neonatology. Moscow, 2002. 126 p. (In Russ.).
  23. Raiten J., Elkassabany N., Mandel J.E. The use of highfrequency jet ventilation for out of operating room anesthesia. Curr Opin Anaesthesiol 2012;25(4):482–5. doi: 10.1097/ACO.0b013e3283554375
  24. Klapsing P., Moerer O., Wende C. et al. High-frequency oscillatory ventilation guided by transpulmonary pressure in acute respiratory syndrome: an experimental study in pigs. Crit Care 2018;22(1):121. doi: 10.1186/s13054-018-2028-7
  25. Sánchez-Luna M., González-Pacheco N., Santos-González M., Tendillo-Cortijo F. High-frequency ventilation. Clin Perinatol 2021;48(4):855–68. doi: 10.1016/j.clp.2021.08.003

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Copyright (c) 2026 Novozhilova E.N., Popadyuk V.I., Hoteev A.Z., Akhtyrskaya E.G., Chudakov K.I., Chumakov I.F., Chernolev A.I., Bitsaeva A.V., Melisheva A.N.

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