The document discusses different types of lasers used in medical procedures, including argon lasers, CO2 lasers, KTP lasers, and YAG lasers. It provides details on their advantages and uses in procedures like otosclerosis surgery, tracheobronchial treatments, and middle ear surgery.
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Argon Laser: Advantages in Otosclerosis Surgery
The document discusses different types of lasers used in medical procedures, including argon lasers, CO2 lasers, KTP lasers, and YAG lasers. It provides details on their advantages and uses in procedures like otosclerosis surgery, tracheobronchial treatments, and middle ear surgery.
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*Laser energy occurs when a high energy atom collides with a photon leading to an accelerated
transition to a low energy state.
Argon Laser
Can be used for Otosclerosis surgery
Can be emitted through fiberoptic cables
*Advantages in Otosclerosis surgery:
-Bloodless fenestra
-Reduced risk of footplate subluxation
-Precise cuts in the footplate without disturbing the Otosclerotic focus.
CO2 Laser (Visible)
-CO2 laser emits a beam of light of 10.6 mm – infrared
-Can seal BVs up to 0.5 mm -Cannot be transmitted via fiberoptic cables. -When used you need to have the inspired O2 less than 40% during endotracheal intubation to avoid ignition -Not the best for wound healing -High surgical precision in the tracheobronchial tree -Can be used as a small dot
-Used for Recurrent respiratory papillomatosis
-Can be used in subglottic hemangioma -CO2 laser can be used to provide precise dermabrasion in the treatment of rhinophyma -Used in amyloid of the larynx KTP/ >
Can be used for polyposis to reduce blood loss
Zenker Diverticulum Endonasal laser assisted DCR Used in middle ear surgery, directed via a prism
YAG > (Visible)
Can be delivered through fiberoptic cables
For subglottic hemangioma (Photocoagulation of vascular lesions)
For Osler Weber Syndrome Palliation of obstructing tracheobronchial lesions
Gregory T. Absten BSC, MA, Stephen N. Joffe BSC, MB, CHB, MD, FRCS (Edinburgh and Glasgow), FCS (South Africa), FACS (Auth.) - Lasers in Medicine - An Introductory Guide-Springer US (1985