Understanding Kashima's Procedure: A Detailed Explanation of It's History and Medical Significance

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Kashima's Procedure or Kashima's Surgery or Co2 laser-assisted glottis widening which is a surgical invention primarily used to treat Bilateral Vocal Fold Paralysis. This condition occurs where both vocal folds are immobile. This problem can lead to severe airway obstruction, difficulty in breathing and significant voice changes.

Cordotomy Incision


Historical Significance of Kashima's Procedure:

Dr. Tsutomu Kashima, a pioneering otolaryngologist behind the development of the CO2 laser-assisted glottis widening procedure, commonly known as Kashima's procedure. His work has had a profound impact on the treatment of bilateral vocal fold paralysis, offering a less invasive and more effective solution compared to traditional methods.

Development:

Innovative Approach:

a) Dr. Kashima's procedure involves the use of a CO2 laser to perform precise incisions on the vocal folds. This method helps to widen the glottis (the space between the vocal folds), improving airflow and alleviating breathing difficulties caused by bilateral vocal fold paralysis.

b) The CO2 laser's precision allows for controlled removal of tissue, minimizing damage to surrounding structures and preserving as much vocal function as possible.


Procedure Steps:

a)The surgery begins with careful mapping of the vocal fold area to identify the optimal sites for laser incisions.

b)The CO2 laser is then used to make targeted cuts, removing a portion of the vocal folds to create a larger airway passage.

c)Postoperative care includes monitoring for complications, voice rest, and possibly speech therapy to enhance recovery and vocal quality.


At Ghosh ENT Foundation:

Eminent ENT/Otorhinolaryngologist Dr. Tushar Kanti Ghosh (Founder/Director of Ghosh ENT Foundation) and his expertise team has successfully performed "Kashima's Procedure" with CO2 Laser at Ghosh ENT Foundation with utmost dedication, compassion and determination. It was the case of treating Bilateral Vocal Cord Paralysis. 

Kashima's Procedure

Kashima's Procedure

Kashima's Procedure

Kashima's Surgery

Kashima's Procedure


Conclusion:

Dr. Kashima's legacy continues to inspire advancements in surgical techniques, solidifying his place as a pioneering figure in modern medicine.



Location: Kolkata, West Bengal, India

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