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Karpishchenko S.A.

Kafedra otorinolaringologii s klinikoĭ

Riabova M.A.

Kafedra otorinolaringologii s klinikoĭ Sankt-Peterburgskogo meditsinskogo universiteta im. akad. I.P. Pavlova

Ulupov M.Yu.

I.P. Pavlov Saint-Petersburg First State Medical University, Russian Ministry of Health, Saint-Petersburg, Russia, 197022

Shumilova N.A.

I.P. Pavlov Saint-Petersburg First State Medical University, Russian Ministry of Health, Saint-Petersburg, Russia, 197022;
I.P. Pavlov Saint-Petersburg First State Medical University, Russian Ministry of Health, Saint-Petersburg, Russia, 197022

Portnov G.V.

I.P. Pavlov Saint-Petersburg First State Medical University, Russian Ministry of Health, Saint-Petersburg, Russia, 197022;
I.P. Pavlov Saint-Petersburg First State Medical University, Russian Ministry of Health, Saint-Petersburg, Russia, 197022

The choice of parameters for the laser application in ENT surgery

Authors:

Karpishchenko S.A., Riabova M.A., Ulupov M.Yu., Shumilova N.A., Portnov G.V.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2016;81(4): 14‑18

DOI: 10.17116/otorino201681414-18

Views: 2631

Downloaded: 148

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Table of contents

THE CHOICE OF PARAMETERS FOR THE LASER APPLICATION IN ENT SURGERY
THE CHOICE OF PARAMETERS FOR THE LASER APPLICATION IN ENT SURGERY

To cite this article:

Karpishchenko SA, Riabova MA, Ulupov MYu, Shumilova NA, Portnov GV. The choice of parameters for the laser application in ENT surgery. Russian Bulletin of Otorhinolaryngology. 2016;81(4):14‑18. (In Russ.)
https://doi.org/10.17116/otorino201681414-18

Подписка 2025-2 (Russian Bulletin of Otorhinolaryngology)
 
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The authors present the results and describe the methods of the experimental studies aimed at the evaluation of the biological effects of laser-assisted treatment of ENT pathologies at the wavelengths of 810 nm, 980 nm, and 1470 nm in comparison with the results obtained with the use of a radiofrequency scalpel in biological tissues having different optical and mechanical properties.Special emphasis is placed on the peculiarities of the action of laser irradiation and healing of radiation-induced wounds depending on the treatment regimens, viz. contact, remote, pulsed and continuous ones. The results of the analysis of the experience gained during the study and of the experimental findings provided a basis on which the main principles of the choice of the optimal parameters of the laser radiation action on the biological tissues have been formulated.

Keywords:

laser
vaporization
ablation
coagulation

Authors:

Karpishchenko S.A.

Kafedra otorinolaringologii s klinikoĭ

Riabova M.A.

Kafedra otorinolaringologii s klinikoĭ Sankt-Peterburgskogo meditsinskogo universiteta im. akad. I.P. Pavlova

Ulupov M.Yu.

I.P. Pavlov Saint-Petersburg First State Medical University, Russian Ministry of Health, Saint-Petersburg, Russia, 197022

Shumilova N.A.

I.P. Pavlov Saint-Petersburg First State Medical University, Russian Ministry of Health, Saint-Petersburg, Russia, 197022;
I.P. Pavlov Saint-Petersburg First State Medical University, Russian Ministry of Health, Saint-Petersburg, Russia, 197022

Portnov G.V.

I.P. Pavlov Saint-Petersburg First State Medical University, Russian Ministry of Health, Saint-Petersburg, Russia, 197022;
I.P. Pavlov Saint-Petersburg First State Medical University, Russian Ministry of Health, Saint-Petersburg, Russia, 197022

List of references:

  1. Merseburger AS, Herrmann TR, Liatsikos E. Lasers and laser technology. European urologists association. 2011. Available at: http://uroweb.org/wp-content/uploads/21_Lazer.pdf . Accessed February 11, 2016. (In Russ.).
  2. Havel MA, Sroka R,  Leunig A. А double-blind, randomized, intra-individual controlled feasibility trial comparing the use of 1,470 and 940 nm diode laser for the treatment of hyperplastic inferior nasal turbinates. Lasers in Surgery and Medicine. 2011; 9(43):881-886. doi: 10.1002/lsm.21128
  3. Shumilova N. Laser procedure selection for nasal polypotomy. Rossiiskaya otorinolaringologiya. 2015;1:135-140. (In Russ.).
  4. Karpishchenko S, Ryabova M, Shumilova N. Comparative evaluation of biological effects of laser radiation, radiofrequency devices, and electrocautery. Folia Otorhinolaryngologiae et Pathlogiae Respiratoriae. 2011;2:55-64. (In Russ.).
  5. Shumilova N, Fedotova Yu, Ryabova M. Comparison of biological effects of contact action of semiconductor lasers with a wavelength of 1470 and 810 nm in the experiment. Sovremennye tekhnologii v meditsine. 2014;4(6):62-67. (In Russ.).
  6. Vogel А, Venugopalan V. Mechanisms of pulsed laser ablation of biological tissues. Chemical Reviews. 2003;103(2):577–644. doi: 10.1021/cr010379n
  7. Nevorotin A. Vvedenie v lazernuyu khirurgiyu. Uchebnoe posobie. SPb.: SpetsLit; 2000.
  8. Ryabova M, Shumilova N. Laser polypotomy nose at a power of 20 W. Folia Otorhinolaryngologiae et Pathlogiae Respiratoriae. 2015;2(21):102-103. (In Russ.).
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  11. Ryabova M. The role of studying the effects of laser radiation on biological tissue in the development of methods of laser surgery in otolaryngology. Vestnic of otorhinolaryngology. 2008;4:13-17. (In Russ.).
  12. Wezel F, Wendt-Nordahl G, Huck N. New alternatives for laser vaporization of the prostate: experimental evaluation of a 980-, 1,318- and 1,470-nm diode laser device. World Journal of Urology. 2010;2(28):181-186. doi: 10.1007/s00345-009-0499-5 
  13. Seitz М. Preliminary evaluation of a novel side-fire diode laser emitting light at 940 nm, for the potential treatment of benign prostatic hyperplasia: ex-vivo and in-vivo investigations. BJU International. 2009;103:770-775. doi: 10.1111/j.1464-410x.2008.08066.x 
  14. Ulupov M, Portnov G, Golland V. Distant bone vaporisation using 970 μm semiconductor laser in experiment. Rossiiskaya otorinolaringologiya. 2014;1(68):210-214. (In Russ.).

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