Abstract

The history of lasers in otolarygngolgoy-head and neck surgery (ORL) demonstrates the advances seen in the application of laser energies. This paper is the beginning of our review of the five pillars which support the long and mutually-beneficial relationship between laser technologies and ORL: (1) "necessity is the mother of invention" -- organ systems which require innovative approaches for diagnosis and treatment; (2) clinicians who seek and incorporate new technologies; (3) "feedback" effect of technology leading to changes in clinical care which may obviate the need for that technology itself; (4) "right place, right time" -- the close collaboration between corporate, clinical and basic science realms, and (5) financial. These principles provide the context for following the progressive application of laser energy in ORL for ablation, tissue-altering and most recently, sensing.

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