The CO₂ Laser in the Treatment of Lesions of the Eyelids and Periorbital Region

Abstract

The CO2 laser can be used for the treatment of various lesions of the eyelids and peri-orbital region with the advantage over other modalities of precise, controllable, hemostatic, non contact atraumatic ablation with the reduction of post-operative pain and improved cosmetic results. Its application in palpabral and peri-orbital surgery is recommended.

Non-Thermal, Non-Ablative CO2 Laser Therapy (NACLT): A New Approach to Relieve Pain in Some Painful Oral Diseases

“…Some investigators who used the classical thermal effects of CO 2 laser (vaporization, cutting and coagulation) reported less post-operative pain following CO 2 laser surgery, and a reduced requirement for post-operative analgesics (Duncavage and Ossoff 1986;Colvard and Kuo 1991;Demidov, Rykov et al 1992;Chia, Darzi et al 1995;Kaplan, Kott et al 1996;Andre 2003). …”

“…Kaplan stated that laser surgery and laser therapy should be regarded as two sides of the same coin (Kaplan, Kott et al 1996;.…”

Relieving Pain in Oral Lesions of Pemphigus Vulgaris Using the Non-ablative, Non-thermal, CO2 Laser Therapy (NTCLT): Preliminary Results of a Novel Approach

“…19 It should be noticed that some researchers who used the conventional, thermal effects of CO 2 laser in surgery (for cutting, ablation, destruction and coagulation of the lesions) reported less postoperative pain following CO 2 laser surgery. [19][20][21][22] Kaplan et al explained the lower postoperative pain experienced with CO 2 laser surgery to the concurrent low level laser phototherapeutic (photobiomodulative) effects of high power CO 2 laser surgery. 14,19,23 Kaplan et al stated that: "Laser surgery and low level laser therapy should be regarded as two sides of the same coin. "…”

“…[19][20][21][22] Kaplan et al explained the lower postoperative pain experienced with CO 2 laser surgery to the concurrent low level laser phototherapeutic (photobiomodulative) effects of high power CO 2 laser surgery. 14,19,23 Kaplan et al stated that: "Laser surgery and low level laser therapy should be regarded as two sides of the same coin. " 14,19,23 In fact, the analgesic effects of thermal CO 2 laser treatment in Bhardwaj study can be explained by the concurrent low power laser therapeutic (photobiomodulative) effects of CO 2 laser surgery.…”

“…14,19,23 Kaplan et al stated that: "Laser surgery and low level laser therapy should be regarded as two sides of the same coin. " 14,19,23 In fact, the analgesic effects of thermal CO 2 laser treatment in Bhardwaj study can be explained by the concurrent low power laser therapeutic (photobiomodulative) effects of CO 2 laser surgery. Certainly, NTCLT as a non-thermal, low intensity (photobiomodulative) laser procedure is quite different from using surgical, thermal CO 2 laser irradiation in Bhardwaj study.…”