The role of ktp laser in revision stapedectomy

McGee, T. Manford; Diaz-Ordaz, Ernesto A.; Kartush, Jack M.

doi:10.1177/019459989310900510

Cited by 45 publications

(44 citation statements)

References 14 publications

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“…McGee et al (1993) reported on 185 KTP laser revision stapedotomy cases, of which 77 involved actual removal of an existing prosthesis. The surgery also involved the creation of a fresh, new fenestra and the placement of a prosthesis.…”

Section: Sensorineural Hearing Lossmentioning

confidence: 99%

Chapter 9 Lasers in Otosclerosis

Souza¹,

Glasscock²

2004

Otosclerosis and Stapedectomy Diagnosis, Management, and Complications

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As the fluence increases, so does the volume of affected tissue. The thermal energy having an impact on tissue rises dramatically as the time of exposure increases.There are four factors that determine laser-tissue interactions:1. The laser wavelength (frequency) 2.The absorption characteristics of the tissue 3. The temporal parameters of the laser energy delivered The mechanism of the laser deliveryThis document was downloaded for personal use only. Unauthorized distribution is strictly prohibited.An incident beam of laser radiation on tissue can have one of the following effects: Reflection Absorption Scattering TransmissionThe ideal qualities of a laser for use during a stapedectomy are the following:1. Precise optics are required to focus the laser beam at the place required. 2.The laser should be able to vaporize either the bone or the collagen at the oval window in a predictable manner. 3.The thermal footprint of the laser should not be beyond (deeper than) the site of application. If it did penetrate beyond the site of application, it would cause thermal damage to the utricle and the saccule beneath. 4.The laser should not heat the perilymph.

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Section: Sensorineural Hearing Lossmentioning

confidence: 99%

Chapter 9 Lasers in Otosclerosis

Souza¹,

Glasscock²

2004

Otosclerosis and Stapedectomy Diagnosis, Management, and Complications

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“…Argon, KTP, and carbon dioxide lasers have all been reported to be very useful in revision stapedectomy (Lesinski and Stein 1989;McGee et al 1993;Palva and Ramsey 1990).…”

Section: Revision Stapedectomymentioning

confidence: 99%

Chapter 15 Bilateral Otosclerosis and Revision Stapedectomy

Souza¹,

Glasscock²

2004

Otosclerosis and Stapedectomy Diagnosis, Management, and Complications

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“…At the moment it is widely used in the vaporization of prostatic tumours (11-13) and in otolaryngological surgery of the larynx and epiglottis therapy of papillomatosis. tonsillectomies, naso-farinx tumours and ear-nose small bones operations (14-18). …”

Section: Introductionmentioning

confidence: 99%

Low energy KTP laser in oral soft tissue surgery: A 52 patients clinical study

Fornaini

Rocca²,

Merigo³

et al. 2012

Med Oral

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Objectives: Since 1962 laser appliances have been used for soft tissues surgery of oral cavity with significant advantages compared to the traditional instruments: excellent bleeding control, possibility to avoid the use of suture, good patient compliance thanks to a decrease of intra- and post-operative discomfort and biostimulating effect. Unfortunately, the wavelengths so far used have been seen to cause, in association with an excellent ablation capacity, heat damage of the tissues that can decrease healing process and cause a greater discomfort to patients. The aim of this study was to evaluate the laser-assisted KTP laser surgery at low power in terms of characteristics of intervention and patients compliance. Study design: In this study, we describe the application of a new and recently introduced in dentistry wavelength, the KTP laser (532 nm), used with low power (1 Watt - CW), evaluating the time of interventions and, by a Numerical Rating Scale, the intra and postoperative pain. Results: KTP laser used at low power permits to obtain good pain control during operations that were carried out with only a topic anaesthetic (EMLA, Astratech), as shown in VAS tests. Good healing with limited or absent burning areas in treated portion of tissue. Conclusions: These preliminary study allows us to affirm that KTP laser with low parameters permits to perform oral surgery with good pain control and good wound healing. A greater number of clinical cases are however necessary to confirm the result obtained. Key words: Laser, KTP, oral surgery, thermal increase.

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The role of ktp laser in revision stapedectomy

Cited by 45 publications

References 14 publications

Chapter 9 Lasers in Otosclerosis

Chapter 9 Lasers in Otosclerosis

Chapter 15 Bilateral Otosclerosis and Revision Stapedectomy

Low energy KTP laser in oral soft tissue surgery: A 52 patients clinical study

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