{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T09:03:01Z","timestamp":1780131781866,"version":"3.54.0"},"reference-count":72,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,3]]},"abstract":"\n OBJECTIVE<\/jats:title>\n \n The CO\n 2<\/jats:sub>\n laser has been used on an intermittent basis in the microsurgical resection of brain tumors for decades. These lasers were typically cumbersome to use due to the need for a large, bulky design since infrared light cannot be transmitted via fiber-optic cables. Development of the OmniGuide cable, which is hollow and lined with an omnidirectional dielectric mirror, has facilitated the reintroduction of the CO\n 2<\/jats:sub>\n laser in surgical use in a number of fields. This device allows for handheld use of the CO\n 2<\/jats:sub>\n laser in a much more ergonomically favorable configuration, holding promise for microneurosurgical applications. This device was introduced into the authors\u2019 practice for use in the microsurgical resection of skull base tumors, including vestibular schwannomas.\n <\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n \n The authors reviewed the initial 41 vestibular schwannomas that were treated using the OmniGuide CO\n 2<\/jats:sub>\n laser during an 8-month period from March 2010 to October 2010. The laser was used for all large tumors, and select medium-sized tumors were treated via both the translabyrinthine and retrosigmoid approaches. The estimated time of tumor resection and estimated blood loss were obtained from operating room records. Data regarding complications, facial nerve and hearing outcomes, and further treatment were collected from hospital and clinic records, MRI reports, and direct review of MR images. Time of resection and blood loss were compared to a control group (n = 18) who underwent surgery just prior to use of the laser.\n <\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n A total of 41 patients with vestibular schwannomas were surgically treated. The median estimated time of tumor resection was 150 minutes, and the median estimated blood loss was 300 ml. The only operative complication was 1 CSF leak. Thirty-eight patients had normal facial nerve function at late follow-up. The median MRI follow-up was 52 months, and, during that time, only 1 patient required further treatment for regrowth of a residual tumor.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS<\/jats:title>\n \n The OmniGuide CO\n 2<\/jats:sub>\n laser is a useful adjunct in the resection of large vestibular schwannomas. This device was used primarily as a cutting tool rather than for tumor vaporization, and it was found to be of most use for very large and\/or firm tumors. There were no laser-associated complications, and the results compared favorably to earlier reports of vestibular schwannoma resection.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/2017.12.focus17592","type":"journal-article","created":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T03:36:48Z","timestamp":1519875408000},"page":"E6","source":"Crossref","is-referenced-by-count":7,"title":["Use of a flexible hollow-core carbon dioxide laser for microsurgical resection of vestibular schwannomas"],"prefix":"10.3171","volume":"44","author":[{"given":"Marc S.","family":"Schwartz","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of California, San Diego; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory P.","family":"Lekovic","sequence":"additional","affiliation":[{"name":"Neurosurgery, House Clinic, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Robot Surg","first-page":"157","article-title":"Robot-assisted laparoscopic myomectomy and adenomyomectomy with a flexible CO2 laser device","volume":"7","author":"Barton SE","year":"2013","unstructured":"Barton SE, Gargiulo AR: Robot-assisted laparoscopic myomectomy and adenomyomectomy with a flexible CO2 laser device. 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Neurosurgery 12:286\u2013290, 1983"},{"key":"b27","series-title":"Otol Neurotol","first-page":"1694","article-title":"CO2 laser myringoplasty: a minimally invasive technique for treating tympanic membrane atelectasis","volume":"34","author":"Ryan M","year":"2013","unstructured":"Ryan M, Kaylie D: CO2 laser myringoplasty: a minimally invasive technique for treating tympanic membrane atelectasis. Otol Neurotol 34:1694\u20131698, 2013"},{"issue":"3","key":"b28","series-title":"Neurosurg Focus","first-page":"E6","article-title":"Aura of technology and the cutting edge: a history of lasers in neurosurgery","volume":"27","author":"Ryan RW","year":"2009","unstructured":"Ryan RW, Spetzler RF, Preul MC: Aura of technology and the cutting edge: a history of lasers in neurosurgery. Neurosurg Focus 27(3):E6, 2009"},{"key":"b29","series-title":"J Neurosurg","first-page":"434","article-title":"Application of a flexible CO2 laser fiber for neurosurgery: laser-tissue interactions","volume":"112","author":"Ryan RW","year":"2010","unstructured":"Ryan RW, Wolf T, Spetzler RF, Coons SW, Fink Y, Preul MC: Application of a flexible CO2 laser fiber for neurosurgery: laser-tissue interactions. J Neurosurg 112:434\u2013443, 2010"},{"key":"b30","series-title":"Neurosurgery","first-page":"684","article-title":"Management of 1000 vestibular schwannomas (acoustic neuromas): the facial nerve\u2014preservation and restitution of function","volume":"40","author":"Samii M","year":"1997","unstructured":"Samii M, Matthies C: Management of 1000 vestibular schwannomas (acoustic neuromas): the facial nerve\u2014preservation and restitution of function. Neurosurgery 40:684\u2013695, 1997"},{"key":"b31","series-title":"Otol Neurotol","first-page":"1456","article-title":"Evaluation of the increased use of partial resection of large vestibular schwanommas: facial nerve outcomes and recurrence\/regrowth rates","volume":"34","author":"Schwartz MS","year":"2013","unstructured":"Schwartz MS, Kari E, Strickland BM, Berliner K, Brackmann DE, House JW, : Evaluation of the increased use of partial resection of large vestibular schwanommas: facial nerve outcomes and recurrence\/regrowth rates. Otol Neurotol 34:1456\u20131464, 2013"},{"key":"b32","series-title":"Lateral Skull Base Surgery: The House Clinic Atlas","first-page":"47","article-title":"The translabyrinthine approach to the skull base","author":"Slattery WH","year":"2012","unstructured":"Slattery WH: The translabyrinthine approach to the skull base, in Friedman RA, Slattery WH, Brackmann JN, Schwartz MS (eds): Lateral Skull Base Surgery: The House Clinic Atlas. New York: Thieme, 2012, pp 47\u201366"},{"key":"b33","series-title":"Laryngoscope","first-page":"817","article-title":"Transoral robot-assisted CO2 laser supraglottic laryngectomy: experimental and clinical data","volume":"117","author":"Solares CA","year":"2007","unstructured":"Solares CA, Strome M: Transoral robot-assisted CO2 laser supraglottic laryngectomy: experimental and clinical data. Laryngoscope 117:817\u2013820, 2007"},{"key":"b34","series-title":"Med Biol Eng","first-page":"549","article-title":"Experimental studies with the carbon dioxide laser as a neurosurgical instrument","volume":"8","author":"Stellar S","year":"1970","unstructured":"Stellar S, Polanyi TG, Bredemeier HC: Experimental studies with the carbon dioxide laser as a neurosurgical instrument. Med Biol Eng 8:549\u2013558, 1970"},{"key":"b35","series-title":"Neurosurg Rev","first-page":"135","article-title":"The carbon dioxide laser surgical unit as an instrument for surgery of brain tumours\u2014its advantages and disadvantages","volume":"7","author":"Takizawa T","year":"1984","unstructured":"Takizawa T: The carbon dioxide laser surgical unit as an instrument for surgery of brain tumours\u2014its advantages and disadvantages. Neurosurg Rev 7:135\u2013144, 1984"},{"key":"b36","series-title":"Nature","first-page":"650","article-title":"Wavelength-scalable hollow optical fibres with large photonic bandgaps for CO2 laser transmission","volume":"420","author":"Temelkuran B","year":"2002","unstructured":"Temelkuran B, Hart SD, Benoit G, Joannopoulos JD, Fink Y: Wavelength-scalable hollow optical fibres with large photonic bandgaps for CO2 laser transmission. 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