Transcanalicular THC:YAG dacryocystorhinostomy.
Identifieur interne : 000128 ( Ncbi/Checkpoint ); précédent : 000127; suivant : 000129Transcanalicular THC:YAG dacryocystorhinostomy.
Auteurs : R Z Silkiss ; R N Axelrod ; A G Iwach ; A. Vassiliadis ; D R HenningsSource :
- Ophthalmic surgery [ 0022-023X ] ; 1992.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- chemical : Silicone Elastomers.
- methods : Dacryocystorhinostomy, Laser Therapy.
- surgery : Lacrimal Apparatus.
- Humans, Prostheses and Implants.
Abstract
Chromium-sensitized and thulium- and holmium-doped YAG lasers (THC:YAG laser) were used to create a nasal bony ostium in the area of the lacrimal sac fossa in four fresh frozen bisected human cadaver heads. The lasers-long pulsed (300 milliseconds), compact, self-contained, and solid state--operate in the near infrared (2.1 microns). The opening was created by passing the 320-micrometer laser fiber across the canalicular system. Pulse energies of 250 to 900 mJ were used with a repetition rate of 5 to 15 pulses per second. Energy levels ranging from 1.25 to 9 W produced a full-thickness bony ostium approximately 3 to 4 mm in diameter. Silicone tubing was then threaded through the superior and inferior canaliculus system in the standard fashion. This technique may simplify conventional dacryocystorhinostomy as well as endonasal laser dacryocystorhinostomy procedures.
PubMed: 1603538
Affiliations:
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pubmed:1603538Le document en format XML
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<author><name sortKey="Iwach, A G" sort="Iwach, A G" uniqKey="Iwach A" first="A G" last="Iwach">A G Iwach</name>
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<author><name sortKey="Vassiliadis, A" sort="Vassiliadis, A" uniqKey="Vassiliadis A" first="A" last="Vassiliadis">A. Vassiliadis</name>
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<author><name sortKey="Hennings, D R" sort="Hennings, D R" uniqKey="Hennings D" first="D R" last="Hennings">D R Hennings</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Transcanalicular THC:YAG dacryocystorhinostomy.</title>
<author><name sortKey="Silkiss, R Z" sort="Silkiss, R Z" uniqKey="Silkiss R" first="R Z" last="Silkiss">R Z Silkiss</name>
<affiliation><nlm:affiliation>Summit Medical Center, Oakland, Calif.</nlm:affiliation>
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<author><name sortKey="Iwach, A G" sort="Iwach, A G" uniqKey="Iwach A" first="A G" last="Iwach">A G Iwach</name>
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<author><name sortKey="Vassiliadis, A" sort="Vassiliadis, A" uniqKey="Vassiliadis A" first="A" last="Vassiliadis">A. Vassiliadis</name>
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<author><name sortKey="Hennings, D R" sort="Hennings, D R" uniqKey="Hennings D" first="D R" last="Hennings">D R Hennings</name>
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<series><title level="j">Ophthalmic surgery</title>
<idno type="ISSN">0022-023X</idno>
<imprint><date when="1992" type="published">1992</date>
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<term>Humans</term>
<term>Lacrimal Apparatus (surgery)</term>
<term>Laser Therapy (methods)</term>
<term>Prostheses and Implants</term>
<term>Silicone Elastomers</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Appareil lacrymal ()</term>
<term>Dacryo-cysto-rhinostomie ()</term>
<term>Humains</term>
<term>Prothèses et implants</term>
<term>Siloxane élastomère</term>
<term>Thérapie laser ()</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Silicone Elastomers</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dacryocystorhinostomy</term>
<term>Laser Therapy</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lacrimal Apparatus</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
<term>Prostheses and Implants</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Appareil lacrymal</term>
<term>Dacryo-cysto-rhinostomie</term>
<term>Humains</term>
<term>Prothèses et implants</term>
<term>Siloxane élastomère</term>
<term>Thérapie laser</term>
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<front><div type="abstract" xml:lang="en">Chromium-sensitized and thulium- and holmium-doped YAG lasers (THC:YAG laser) were used to create a nasal bony ostium in the area of the lacrimal sac fossa in four fresh frozen bisected human cadaver heads. The lasers-long pulsed (300 milliseconds), compact, self-contained, and solid state--operate in the near infrared (2.1 microns). The opening was created by passing the 320-micrometer laser fiber across the canalicular system. Pulse energies of 250 to 900 mJ were used with a repetition rate of 5 to 15 pulses per second. Energy levels ranging from 1.25 to 9 W produced a full-thickness bony ostium approximately 3 to 4 mm in diameter. Silicone tubing was then threaded through the superior and inferior canaliculus system in the standard fashion. This technique may simplify conventional dacryocystorhinostomy as well as endonasal laser dacryocystorhinostomy procedures.</div>
</front>
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<name sortKey="Hennings, D R" sort="Hennings, D R" uniqKey="Hennings D" first="D R" last="Hennings">D R Hennings</name>
<name sortKey="Iwach, A G" sort="Iwach, A G" uniqKey="Iwach A" first="A G" last="Iwach">A G Iwach</name>
<name sortKey="Silkiss, R Z" sort="Silkiss, R Z" uniqKey="Silkiss R" first="R Z" last="Silkiss">R Z Silkiss</name>
<name sortKey="Vassiliadis, A" sort="Vassiliadis, A" uniqKey="Vassiliadis A" first="A" last="Vassiliadis">A. Vassiliadis</name>
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