Advances in carbon dioxide laser surgery

Fitzpatrick, Richard; Goldman, Mitchel P.

doi:10.1016/0738-081x(94)00025-w

Cited by 100 publications

(83 citation statements)

References 140 publications

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“…The next three 2-× 2-cm squares (sites [3][4][5] were treated in such a way as to mimic potential ''mistakes'' in clinical practice. First, a pass was made in the usual fashion with no contiguous overlap of 0.2-sec scans.…”

Section: Methodsmentioning

confidence: 99%

Effects of overlap and pass number in CO2 laser skin resurfacing: A study of residual thermal damage, cell death, and wound healing

et al. 1999

Lasers Surg. Med.

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Section: Methodsmentioning

confidence: 99%

Effects of overlap and pass number in CO2 laser skin resurfacing: A study of residual thermal damage, cell death, and wound healing

et al. 1999

Lasers Surg. Med.

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“…The CO 2 and excimer lasers offer the advantage of a smoother and more regular wound surface compared to the erbium:YAG laser. The CO 2 laser inflicted the largest thermal damage with a coagulation depth of 70–100 µm which compares well to the modern ultrapulsed CO 2 laser [46,47,48]. However, this may not necessarily limit the success of surgery as reported by Beckman [40], who discussed wound healing after thermal injury after CO 2 laser ablation.…”

Section: Discussionmentioning

confidence: 77%

CO<sub>2</sub>, Excimer and Erbium:YAG Laser in Deep Sclerectomy

et al. 2008

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Purpose: Deep sclerectomy is a non-penetrating filtering procedure that is not generally accepted, as tissue dissection is difficult and varying success rates have been reported. The purpose of the present study was to compare the use of CO₂, excimer and erbium:YAG lasers in dissection of the deep corneoscleral lamella. Methods: In enucleated porcine eyes a superficial lamellar scleral flap of 5 × 5 mm was surgically dissected. The deep lamella was removed using a pulsed erbium:YAG, a CO₂ or an excimer laser (10 eyes/group). All eyes were analysed histologically and 3 in each group by scanning electron microscopy (SEM). Results: It is feasible to ablate the deep corneoscleral lamella with the CO₂, excimer and erbium:YAG lasers without perforating the anterior chamber. The following histology and SEM showed a smoother surface after dissection with the CO₂ and excimer lasers compared to the erbium:YAG laser. There was no thermal damage after excimer laser treatment, compared to a damage zone of 10–30 µm using the erbium laser and one of 70–100 µm with the CO₂ laser. Conclusions: Excimer,erbium:YAG and CO₂ lasers allow the microsurgical dissection of the deep lamella. The excimer and CO₂ lasers achieve a more regular and smoother tissue surface. The excimer laser has the advantage to dissect without thermal tissue damage.

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“…6,14 This attribute has applications in microsurgery for the expedi- tious skin deepithelialization of free flaps, recipient sites, or for minimizing donor site deformities. The continuouswave CO 2 laser has been used for skin deepithelialization for over a decade with no adverse effects on free flap survival or ultimate wound healing.…”

Section: Discussionmentioning

confidence: 99%

Value in microsurgery of the ultrapulse carbon dioxide laser for rapid skin deepithelialization

Hallock

2000

Microsurgery

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Although laser technology continues to evolve, its role in microsurgery is limited to minor adjunctive applications including skin deepithelialization. In the past, continuous-wave carbon dioxide (CO(2)) lasers were the best for performing skin deepithelialization. The newer ultrapulse CO(2) lasers also show promise in this regard. They have become readily available and are very popular for aesthetic skin resurfacing. Their use for skin deepithelialization is an essential part of microsurgical procedures for free flap contouring, flap onlay at the recipient site, and revision of skin grafted free flap donor sites. Complications are essentially nonexistent and competency in using this modality is straightforward for any microsurgeon.

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Advances in carbon dioxide laser surgery

Cited by 100 publications

References 140 publications

Effects of overlap and pass number in CO2 laser skin resurfacing: A study of residual thermal damage, cell death, and wound healing

Effects of overlap and pass number in CO2 laser skin resurfacing: A study of residual thermal damage, cell death, and wound healing

CO<sub>2</sub>, Excimer and Erbium:YAG Laser in Deep Sclerectomy

Value in microsurgery of the ultrapulse carbon dioxide laser for rapid skin deepithelialization

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