Laser-assisted surgery with different wavelengths: a preliminary ex vivo study on thermal increase and histological evaluation View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2012-04-14

AUTHORS

Elisabetta Merigo, Fabio Clini, Carlo Fornaini, Aldo Oppici, Carlo Paties, Adriano Zangrandi, Matteo Fontana, Jean-Paul Rocca, Marco Meleti, Maddalena Manfredi, Luigi Cella, Paolo Vescovi

ABSTRACT

Since the introduction of laser in clinical practice, different wavelengths have been used for oral surgery on the basis of the different characteristics and affinities of each one. The aim of this study was a comparison of different laser wavelengths in relation to both thermal increase and “histological quality” in a model of soft tissue surgery procedures. Thermal evaluation was realized, during laser-assisted surgery excision performed on a bovine tongue, by a thermal camera device to evaluate thermal increase on the surface of the sample and with four thermocouples to evaluate thermal increase on the depth of the specimen; temperature was recorded before starting surgical procedure and at the peak of every excision. The quality of excision, in terms of tissue damage and regularity, was realized by two blind examiners on the basis of established criteria. The highest superficial thermal increase was recorded for Superpulse 5-W CO2 laser, the lowest one for Er:YAG laser. The highest in depth thermal increase was recorded for 5 W Diode laser, the lowest one for Er:YAG laser. The best quality of incision was obtained with a 3-W CO2 laser and 3-W diode laser; epithelial, stromal, and vascular damages were evaluated with different degrees for all the used wavelengths with the best result, in terms of “tissue respect,” for Er:YAG laser. In all the surgical procedures performed, thermal increase was evaluated until the end of the procedure; at remaining tissue level, thermal decrease was evaluable in the few seconds after surgery. The Er:YAG laser was the device with a lower influence on thermal increase; CO2 and diode lasers revealed a good histological quality. Further studies may be necessary to test the reliability of laser devices for the excision of all the types of specimens needing histological evaluation and diagnosis. More... »

PAGES

497-504

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10103-012-1081-8

DOI

http://dx.doi.org/10.1007/s10103-012-1081-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1045811985

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22526970


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24 schema:description Since the introduction of laser in clinical practice, different wavelengths have been used for oral surgery on the basis of the different characteristics and affinities of each one. The aim of this study was a comparison of different laser wavelengths in relation to both thermal increase and “histological quality” in a model of soft tissue surgery procedures. Thermal evaluation was realized, during laser-assisted surgery excision performed on a bovine tongue, by a thermal camera device to evaluate thermal increase on the surface of the sample and with four thermocouples to evaluate thermal increase on the depth of the specimen; temperature was recorded before starting surgical procedure and at the peak of every excision. The quality of excision, in terms of tissue damage and regularity, was realized by two blind examiners on the basis of established criteria. The highest superficial thermal increase was recorded for Superpulse 5-W CO2 laser, the lowest one for Er:YAG laser. The highest in depth thermal increase was recorded for 5 W Diode laser, the lowest one for Er:YAG laser. The best quality of incision was obtained with a 3-W CO2 laser and 3-W diode laser; epithelial, stromal, and vascular damages were evaluated with different degrees for all the used wavelengths with the best result, in terms of “tissue respect,” for Er:YAG laser. In all the surgical procedures performed, thermal increase was evaluated until the end of the procedure; at remaining tissue level, thermal decrease was evaluable in the few seconds after surgery. The Er:YAG laser was the device with a lower influence on thermal increase; CO2 and diode lasers revealed a good histological quality. Further studies may be necessary to test the reliability of laser devices for the excision of all the types of specimens needing histological evaluation and diagnosis.
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33 ER
34 Further studies
35 Superpulse 5
36 YAG laser
37 affinity
38 aim
39 basis
40 better results
41 blind examiner
42 bovine tongue
43 camera device
44 characteristics
45 clinical practice
46 comparison
47 criteria
48 damage
49 decrease
50 degree
51 depth
52 depth thermal increase
53 devices
54 diagnosis
55 different characteristics
56 different degrees
57 different laser wavelengths
58 different wavelengths
59 diode laser
60 end
61 evaluation
62 ex vivo study
63 examiners
64 excision
65 good histological quality
66 good quality
67 highest superficial thermal increase
68 histological evaluation
69 histological quality
70 incision
71 increase
72 influence
73 introduction
74 introduction of lasers
75 laser
76 laser devices
77 laser wavelength
78 laser-assisted surgery
79 laser-assisted surgery excision
80 levels
81 low influence
82 model
83 oral surgery
84 peak
85 practice
86 preliminary ex vivo study
87 procedure
88 quality
89 quality of excision
90 regularity
91 relation
92 reliability
93 respect
94 results
95 samples
96 seconds
97 soft tissue surgery procedures
98 specimen
99 specimens
100 study
101 superficial thermal increase
102 surface
103 surgery
104 surgery excision
105 surgery procedures
106 surgical procedures
107 temperature
108 terms
109 thermal camera device
110 thermal decrease
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113 thermocouples
114 tissue damage
115 tissue levels
116 tissue respect
117 tissue surgery procedures
118 tongue
119 types
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