Effects of different IR laser systems on the tympanic membrane

Benedikt W. Sedlmaier, Alexander Bloedow, Sergije Jovanovic, Lev Nagli, Hans Georg Eberle

Research output: Contribution to journalConference articlepeer-review

3 Scopus citations

Abstract

Lasers suitable for myringotomy are the erbium:YAG laser (2940 nm) and the carbon-dioxide laser (10600 nm). The study examines the laser-tissue interaction with tympanic membranes of guinea-pigs, horses and formalin-fixed human tympanic membranes and the effects demonstrated by light-microscopy and scanning-electron-microscopy. The minimum energy densities for a perforation with the erbium:YAG laser in guinea-pig ear drums and formalin-fixed human tympanic membranes are 8 J/cm2 and 16 J/cm2 respectively. There are no thermic side effects. With the carbon-dioxide laser thermic side effects only occur with energy transmission via silver halide polycrystalline fiber. The minimum power density for perforation is 400 W/cm2 (pulse duration 50 ms). With the microslad 719 micromanipulator (Sharplan, Israel, Tel Aviv), the minimum power densities for perforation of guinea-pig and horse eardrums and for formalin-fixed human tympanic membranes are 150 W/cm 2, 300 W/cm2 and 600 W/cm2 (pulse duration: 50 ms) respectively. The minimum power density to achieve a perforation with the SwiftLaseTM 757 scanner (Sharplan, Israel, Tel Aviv), is 250 W/cm2 in guinea-pig eardrums (pulse duration: 100 ms). A prototype of a hand-held carbon-dioxide laser otoscope is suitable for performing laser myringotomies in formalin-fixed human tympanic membranes.

Original languageEnglish
Pages (from-to)114-118
Number of pages5
JournalProceedings of SPIE - The International Society for Optical Engineering
Volume2970
DOIs
StatePublished - 1997
Externally publishedYes
EventLasers in Surgery: Advanced Characterization, Therapeutics, and Systems VII - San Jose, CA, United States
Duration: 8 Feb 19978 Feb 1997

Keywords

  • Application system
  • Fiber
  • Histology
  • IR laser
  • Laser-tissue interaction
  • Tympanic membrane

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