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 language | English |
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Pages (from-to) | 114-118 |
Number of pages | 5 |
Journal | Proceedings of SPIE - The International Society for Optical Engineering |
Volume | 2970 |
DOIs | |
State | Published - 1997 |
Externally published | Yes |
Event | Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems VII - San Jose, CA, United States Duration: 8 Feb 1997 → 8 Feb 1997 |
Keywords
- Application system
- Fiber
- Histology
- IR laser
- Laser-tissue interaction
- Tympanic membrane