Picosecond infrared laser (PIRL): an ideal phonomicrosurgical laser?
A comparison of tissue cutting effects in excised cadaver human vocal folds after incisions with three different instruments [scalpel, CO 2 laser and the picosecond infrared laser—(PIRL)] was performed. In total, 15 larynges were taken from human cadavers shortly after death. After deep freezing and...
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| Veröffentlicht in: | European archives of oto-rhino-laryngology 2013-11, Vol.270 (11), p.2927-2937 |
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| container_title | European archives of oto-rhino-laryngology |
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| creator | Hess, Markus Hildebrandt, Michael Dominik Müller, Frank Kruber, Sebastian Kroetz, Peter Schumacher, Udo Reimer, Rudolph Kammal, Michael Püschel, Klaus Wöllmer, Wolfgang Miller, Dwayne |
| description | A comparison of tissue cutting effects in excised cadaver human vocal folds after incisions with three different instruments [scalpel, CO
2
laser and the picosecond infrared laser—(PIRL)] was performed. In total, 15 larynges were taken from human cadavers shortly after death. After deep freezing and thawing for the experiment, the vocal folds suspended in the hemilarynx were incised. Histology and environmental scanning electron microscopy (ESEM) analyses were performed. Damage zones after cold instrument cuts ranged from 51 to 135 μm, as compared to 9–28 μm after cutting with the PIRL. It was shown that PIRL incision had smaller zones of tissue coagulation and tissue destruction, when compared with scalpel and CO
2
laser cuts. The PIRL technology provides an (almost) atraumatic laser, which offers a quantum jump towards realistic ‘micro’-phonosurgery on a factual cellular dimension, almost entirely avoiding coagulation, carbonization, or other ways of major tissue destruction in the vicinity of the intervention area. Although not available for clinical use yet, the new technique appears promising for future clinical applications, so that technical and methodological characteristics as well as tissue experiments seem worthwhile to be communicated at this stage of development. |
| doi_str_mv | 10.1007/s00405-013-2561-6 |
| format | Article |
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2
laser and the picosecond infrared laser—(PIRL)] was performed. In total, 15 larynges were taken from human cadavers shortly after death. After deep freezing and thawing for the experiment, the vocal folds suspended in the hemilarynx were incised. Histology and environmental scanning electron microscopy (ESEM) analyses were performed. Damage zones after cold instrument cuts ranged from 51 to 135 μm, as compared to 9–28 μm after cutting with the PIRL. It was shown that PIRL incision had smaller zones of tissue coagulation and tissue destruction, when compared with scalpel and CO
2
laser cuts. The PIRL technology provides an (almost) atraumatic laser, which offers a quantum jump towards realistic ‘micro’-phonosurgery on a factual cellular dimension, almost entirely avoiding coagulation, carbonization, or other ways of major tissue destruction in the vicinity of the intervention area. Although not available for clinical use yet, the new technique appears promising for future clinical applications, so that technical and methodological characteristics as well as tissue experiments seem worthwhile to be communicated at this stage of development.</description><identifier>ISSN: 0937-4477</identifier><identifier>EISSN: 1434-4726</identifier><identifier>DOI: 10.1007/s00405-013-2561-6</identifier><identifier>PMID: 23708442</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Cadaver ; Cicatrix - prevention & control ; Head and Neck Surgery ; Humans ; Infrared Rays ; Laryngology ; Laser Therapy - instrumentation ; Lasers, Gas ; Medicine ; Medicine & Public Health ; Microscopy, Electron, Scanning ; Microsurgery - instrumentation ; Neurosurgery ; Otorhinolaryngology ; Surgical Instruments - statistics & numerical data ; Vocal Cords - pathology ; Vocal Cords - surgery ; Vocal Cords - ultrastructure ; Voice</subject><ispartof>European archives of oto-rhino-laryngology, 2013-11, Vol.270 (11), p.2927-2937</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c344t-eb032827c7df040074d4581f24ccb30cdbddad291b50f941a42da7d044d1b743</citedby><cites>FETCH-LOGICAL-c344t-eb032827c7df040074d4581f24ccb30cdbddad291b50f941a42da7d044d1b743</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00405-013-2561-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00405-013-2561-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23708442$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hess, Markus</creatorcontrib><creatorcontrib>Hildebrandt, Michael Dominik</creatorcontrib><creatorcontrib>Müller, Frank</creatorcontrib><creatorcontrib>Kruber, Sebastian</creatorcontrib><creatorcontrib>Kroetz, Peter</creatorcontrib><creatorcontrib>Schumacher, Udo</creatorcontrib><creatorcontrib>Reimer, Rudolph</creatorcontrib><creatorcontrib>Kammal, Michael</creatorcontrib><creatorcontrib>Püschel, Klaus</creatorcontrib><creatorcontrib>Wöllmer, Wolfgang</creatorcontrib><creatorcontrib>Miller, Dwayne</creatorcontrib><title>Picosecond infrared laser (PIRL): an ideal phonomicrosurgical laser?</title><title>European archives of oto-rhino-laryngology</title><addtitle>Eur Arch Otorhinolaryngol</addtitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><description>A comparison of tissue cutting effects in excised cadaver human vocal folds after incisions with three different instruments [scalpel, CO
2
laser and the picosecond infrared laser—(PIRL)] was performed. In total, 15 larynges were taken from human cadavers shortly after death. After deep freezing and thawing for the experiment, the vocal folds suspended in the hemilarynx were incised. Histology and environmental scanning electron microscopy (ESEM) analyses were performed. Damage zones after cold instrument cuts ranged from 51 to 135 μm, as compared to 9–28 μm after cutting with the PIRL. It was shown that PIRL incision had smaller zones of tissue coagulation and tissue destruction, when compared with scalpel and CO
2
laser cuts. The PIRL technology provides an (almost) atraumatic laser, which offers a quantum jump towards realistic ‘micro’-phonosurgery on a factual cellular dimension, almost entirely avoiding coagulation, carbonization, or other ways of major tissue destruction in the vicinity of the intervention area. Although not available for clinical use yet, the new technique appears promising for future clinical applications, so that technical and methodological characteristics as well as tissue experiments seem worthwhile to be communicated at this stage of development.</description><subject>Cadaver</subject><subject>Cicatrix - prevention & control</subject><subject>Head and Neck Surgery</subject><subject>Humans</subject><subject>Infrared Rays</subject><subject>Laryngology</subject><subject>Laser Therapy - instrumentation</subject><subject>Lasers, Gas</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Microscopy, Electron, Scanning</subject><subject>Microsurgery - instrumentation</subject><subject>Neurosurgery</subject><subject>Otorhinolaryngology</subject><subject>Surgical Instruments - statistics & numerical data</subject><subject>Vocal Cords - pathology</subject><subject>Vocal Cords - surgery</subject><subject>Vocal Cords - ultrastructure</subject><subject>Voice</subject><issn>0937-4477</issn><issn>1434-4726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1PwzAMhiMEYmPwA7igHseh4CRu03JBaHxNmsSEdo_SJB2d-jGS9cC_J2WDIydL9uNX9kPIJYUbCiBuPQBCEgPlMUtSGqdHZEyRY4yCpcdkDDkXMaIQI3Lm_QYAEsz5KRkxLiBDZGPyuKx0563uWhNVbemUsyaqlbcumi7n74vru0i1UWWsqqPtR9d2TaVd53u3rnRo_ZD35-SkVLW3F4c6Iavnp9XsNV68vcxnD4tYc8RdbAvgLGNCC1OGw0GgwSSjJUOtCw7aFMYow3JaJFDmSBUyo4QBREMLgXxCpvvYres-e-t3sqm8tnWtWtv1XlJEzrPhs4DSPToc650t5dZVjXJfkoIc3Mm9OxncycGdTMPO1SG-Lxpr_jZ-ZQWA7QEfRu3aOrnpeteGj_9J_QZivHhZ</recordid><startdate>20131101</startdate><enddate>20131101</enddate><creator>Hess, Markus</creator><creator>Hildebrandt, Michael Dominik</creator><creator>Müller, Frank</creator><creator>Kruber, Sebastian</creator><creator>Kroetz, Peter</creator><creator>Schumacher, Udo</creator><creator>Reimer, Rudolph</creator><creator>Kammal, Michael</creator><creator>Püschel, Klaus</creator><creator>Wöllmer, Wolfgang</creator><creator>Miller, Dwayne</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20131101</creationdate><title>Picosecond infrared laser (PIRL): an ideal phonomicrosurgical laser?</title><author>Hess, Markus ; Hildebrandt, Michael Dominik ; Müller, Frank ; Kruber, Sebastian ; Kroetz, Peter ; Schumacher, Udo ; Reimer, Rudolph ; Kammal, Michael ; Püschel, Klaus ; Wöllmer, Wolfgang ; Miller, Dwayne</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c344t-eb032827c7df040074d4581f24ccb30cdbddad291b50f941a42da7d044d1b743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Cadaver</topic><topic>Cicatrix - prevention & control</topic><topic>Head and Neck Surgery</topic><topic>Humans</topic><topic>Infrared Rays</topic><topic>Laryngology</topic><topic>Laser Therapy - instrumentation</topic><topic>Lasers, Gas</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Microscopy, Electron, Scanning</topic><topic>Microsurgery - instrumentation</topic><topic>Neurosurgery</topic><topic>Otorhinolaryngology</topic><topic>Surgical Instruments - statistics & numerical data</topic><topic>Vocal Cords - pathology</topic><topic>Vocal Cords - surgery</topic><topic>Vocal Cords - ultrastructure</topic><topic>Voice</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hess, Markus</creatorcontrib><creatorcontrib>Hildebrandt, Michael Dominik</creatorcontrib><creatorcontrib>Müller, Frank</creatorcontrib><creatorcontrib>Kruber, Sebastian</creatorcontrib><creatorcontrib>Kroetz, Peter</creatorcontrib><creatorcontrib>Schumacher, Udo</creatorcontrib><creatorcontrib>Reimer, Rudolph</creatorcontrib><creatorcontrib>Kammal, Michael</creatorcontrib><creatorcontrib>Püschel, Klaus</creatorcontrib><creatorcontrib>Wöllmer, Wolfgang</creatorcontrib><creatorcontrib>Miller, Dwayne</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European archives of oto-rhino-laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hess, Markus</au><au>Hildebrandt, Michael Dominik</au><au>Müller, Frank</au><au>Kruber, Sebastian</au><au>Kroetz, Peter</au><au>Schumacher, Udo</au><au>Reimer, Rudolph</au><au>Kammal, Michael</au><au>Püschel, Klaus</au><au>Wöllmer, Wolfgang</au><au>Miller, Dwayne</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Picosecond infrared laser (PIRL): an ideal phonomicrosurgical laser?</atitle><jtitle>European archives of oto-rhino-laryngology</jtitle><stitle>Eur Arch Otorhinolaryngol</stitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><date>2013-11-01</date><risdate>2013</risdate><volume>270</volume><issue>11</issue><spage>2927</spage><epage>2937</epage><pages>2927-2937</pages><issn>0937-4477</issn><eissn>1434-4726</eissn><abstract>A comparison of tissue cutting effects in excised cadaver human vocal folds after incisions with three different instruments [scalpel, CO
2
laser and the picosecond infrared laser—(PIRL)] was performed. In total, 15 larynges were taken from human cadavers shortly after death. After deep freezing and thawing for the experiment, the vocal folds suspended in the hemilarynx were incised. Histology and environmental scanning electron microscopy (ESEM) analyses were performed. Damage zones after cold instrument cuts ranged from 51 to 135 μm, as compared to 9–28 μm after cutting with the PIRL. It was shown that PIRL incision had smaller zones of tissue coagulation and tissue destruction, when compared with scalpel and CO
2
laser cuts. The PIRL technology provides an (almost) atraumatic laser, which offers a quantum jump towards realistic ‘micro’-phonosurgery on a factual cellular dimension, almost entirely avoiding coagulation, carbonization, or other ways of major tissue destruction in the vicinity of the intervention area. Although not available for clinical use yet, the new technique appears promising for future clinical applications, so that technical and methodological characteristics as well as tissue experiments seem worthwhile to be communicated at this stage of development.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>23708442</pmid><doi>10.1007/s00405-013-2561-6</doi><tpages>11</tpages></addata></record> |
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| subjects | Cadaver Cicatrix - prevention & control Head and Neck Surgery Humans Infrared Rays Laryngology Laser Therapy - instrumentation Lasers, Gas Medicine Medicine & Public Health Microscopy, Electron, Scanning Microsurgery - instrumentation Neurosurgery Otorhinolaryngology Surgical Instruments - statistics & numerical data Vocal Cords - pathology Vocal Cords - surgery Vocal Cords - ultrastructure Voice |
| title | Picosecond infrared laser (PIRL): an ideal phonomicrosurgical laser? |
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