Bone Ablation without Thermal or Acoustic Mechanical Injury via a Novel Picosecond Infrared Laser (PIRL)

Abstract

Ablation of cortical bone using the PIRL generates negligible and significantly less heat than EYL ablation while preserving cortical microstructure. This novel laser has great potential in advancing surgical techniques where precision osseous manipulation is required.

Überblick der Cochleostomieverfahren mit Fokussierung auf neue Laserablationstechniken

“…Die hier aufgezeigten Ansätze sind aber nach Ansicht der Autoren allesamt vielversprechend und sollten unter Berücksichtigung der Weiterentwicklung von Lasern, z. B. dem Picosecond Infrared Laser (PIRL) [2,9], weiterhin durchgeführt werden. Inclusion criteria for this study was the use of a laser to ablate the bone respectively the opening of Cochlear in terms of Cochleostomy.…”

Laser-induced breakdown spectroscopy as a potential tool for autocarbonization detection in laserosteotomy

“…Over the past several years, there has been a particular interest in the development of laser surgery systems due to the advantages offered by laser-based cutting, including minimal invasiveness, noncontact interaction, precise and small cuts, functional cut geometry as well as less trauma. [1][2][3][4][5][6] Moreover, in comparison to other mechanical procedures, such as conventional surgery, bone showed faster healing after interventions with laserosteotomes. 7 Studying the effect of different laser parameters on quality and efficiency of laser cutting in both soft and hard tissues is a topic of present interest.…”

Differentiation of femur bone from surrounding soft tissue using laser-induced breakdown spectroscopy as a feedback system for smart laserosteotomy

“…In comparison to well established mechanical instruments for cutting bone, laserosteotomes provide several important benefits like functional cuts, minimal invasiveness, non-contact interaction, and accelerated healing [1][2][3][4][5][6][7][8][9][10]. At the same time, they still suffer from a lack of feedback on the type and properties of the tissue being cut; as a result, critical structures of the body under the laser line are prone to iatrogenic damage [11][12][13][14][15].…”