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Proceedings Paper

Ablation of skin tissue by holmium:YAG laser
Author(s): Wei R. Chen; Andrew Holt; Robert E. Nordquist
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Paper Abstract

Surface epithelial damage by Ho:YAG laser and recovery were studied using histology and electron microscopy. Rabbit skin was irradiated with fluence varying from 55 J/cm2 to 680 J/cm2. Laser damage was determined by histological measurement of three major injury indicators: surface lesion width, depth of photocoagulation, and depth of thermal damage. When the fluence increased, the surface lesion widened and the photocoagulation zone extended deeper into the dermis. The thermally damaged zone (60 degree(s)C < T < 100 degree(s)C) remained at a relatively unchanged depth (about 1 mm) throughout our fluence range. The muscle and nerve tissues appeared to remain intact under most of our irradiance except at 500 J/cm2 and greater. Thermally injured tissues began recovery within a short period and eventually returned to normal; electron microscopic findings indicated that severe swelling occurred in the individual collagen fibrils, but they were not disrupted and usually recovered to appear normal. A layer of new epithelium started growing underneath the photocoagulated zone around day 3. After 7 days, most photocoagulated tissue was partially, in some cases completely, separated from the skin by the new epithelium. The damage and recovery parameters established should aid in the clinical use of Holmium laser in treating lesions, benign or malignant, in hollow tubular organs and on surface epithelia.

Paper Details

Date Published: 17 August 1994
PDF: 10 pages
Proc. SPIE 2134, Laser-Tissue Interaction V; and Ultraviolet Radiation Hazards, (17 August 1994); doi: 10.1117/12.182953
Show Author Affiliations
Wei R. Chen, Oklahoma School of Science and Mathematics and Univ. of Oklahoma (United States)
Andrew Holt, Dean A. McGee Eye Institute (United States)
Robert E. Nordquist, Dean A. McGee Eye Institute (United States)

Published in SPIE Proceedings Vol. 2134:
Laser-Tissue Interaction V; and Ultraviolet Radiation Hazards
Steven L. Jacques; David H. Sliney; Michael Belkin, Editor(s)

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