Thermal damage during thulium laser dissection of laryngeal soft tissue is reduced with air cooling: ex vivo calf model study.
Identifieur interne : 000604 ( PubMed/Corpus ); précédent : 000603; suivant : 000605Thermal damage during thulium laser dissection of laryngeal soft tissue is reduced with air cooling: ex vivo calf model study.
Auteurs : James A. Burns ; James B. Kobler ; James T. Heaton ; Gerardo Lopez-Guerra ; R Rox Anderson ; Steven M. ZeitelsSource :
- The Annals of otology, rhinology, and laryngology [ 0003-4894 ] ; 2007.
English descriptors
- KwdEn :
- Animals, Burns (complications), Burns (pathology), Cattle, Disease Models, Animal, Glottis (pathology), Glottis (surgery), Larynx (pathology), Larynx (surgery), Laser Therapy (adverse effects), Laser Therapy (methods), Postoperative Complications, Vocal Cords (pathology), Vocal Cords (surgery), Voice Disorders (etiology), Voice Disorders (pathology).
- MESH :
- adverse effects : Laser Therapy.
- complications : Burns.
- etiology : Voice Disorders.
- methods : Laser Therapy.
- pathology : Burns, Glottis, Larynx, Vocal Cords, Voice Disorders.
- surgery : Glottis, Larynx, Vocal Cords.
- Animals, Cattle, Disease Models, Animal, Postoperative Complications.
Abstract
The 2-microm-wavelength thulium laser has recently been shown to be an effective cutting instrument in endolaryngeal surgery, although there is increased thermal trauma as compared with the carbon dioxide laser. This study investigated temperature changes and thermal trauma during thulium laser dissection of laryngeal tissue, with and without air cooling, in an ex vivo model.
PubMed: 18074672
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pubmed:18074672Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Thermal damage during thulium laser dissection of laryngeal soft tissue is reduced with air cooling: ex vivo calf model study.</title><author><name sortKey="Burns, James A" sort="Burns, James A" uniqKey="Burns J" first="James A" last="Burns">James A. Burns</name><affiliation><nlm:affiliation>Department of Surgery, Harvard Medical School, Boston, Massachusetts, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Kobler, James B" sort="Kobler, James B" uniqKey="Kobler J" first="James B" last="Kobler">James B. Kobler</name></author><author><name sortKey="Heaton, James T" sort="Heaton, James T" uniqKey="Heaton J" first="James T" last="Heaton">James T. Heaton</name></author><author><name sortKey="Lopez Guerra, Gerardo" sort="Lopez Guerra, Gerardo" uniqKey="Lopez Guerra G" first="Gerardo" last="Lopez-Guerra">Gerardo Lopez-Guerra</name></author><author><name sortKey="Anderson, R Rox" sort="Anderson, R Rox" uniqKey="Anderson R" first="R Rox" last="Anderson">R Rox Anderson</name></author><author><name sortKey="Zeitels, Steven M" sort="Zeitels, Steven M" uniqKey="Zeitels S" first="Steven M" last="Zeitels">Steven M. Zeitels</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2007">2007</date><idno type="RBID">pubmed:18074672</idno><idno type="pmid">18074672</idno><idno type="wicri:Area/PubMed/Corpus">000604</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000604</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Thermal damage during thulium laser dissection of laryngeal soft tissue is reduced with air cooling: ex vivo calf model study.</title><author><name sortKey="Burns, James A" sort="Burns, James A" uniqKey="Burns J" first="James A" last="Burns">James A. Burns</name><affiliation><nlm:affiliation>Department of Surgery, Harvard Medical School, Boston, Massachusetts, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Kobler, James B" sort="Kobler, James B" uniqKey="Kobler J" first="James B" last="Kobler">James B. Kobler</name></author><author><name sortKey="Heaton, James T" sort="Heaton, James T" uniqKey="Heaton J" first="James T" last="Heaton">James T. Heaton</name></author><author><name sortKey="Lopez Guerra, Gerardo" sort="Lopez Guerra, Gerardo" uniqKey="Lopez Guerra G" first="Gerardo" last="Lopez-Guerra">Gerardo Lopez-Guerra</name></author><author><name sortKey="Anderson, R Rox" sort="Anderson, R Rox" uniqKey="Anderson R" first="R Rox" last="Anderson">R Rox Anderson</name></author><author><name sortKey="Zeitels, Steven M" sort="Zeitels, Steven M" uniqKey="Zeitels S" first="Steven M" last="Zeitels">Steven M. Zeitels</name></author></analytic><series><title level="j">The Annals of otology, rhinology, and laryngology</title><idno type="ISSN">0003-4894</idno><imprint><date when="2007" type="published">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Animals</term><term>Burns (complications)</term><term>Burns (pathology)</term><term>Cattle</term><term>Disease Models, Animal</term><term>Glottis (pathology)</term><term>Glottis (surgery)</term><term>Larynx (pathology)</term><term>Larynx (surgery)</term><term>Laser Therapy (adverse effects)</term><term>Laser Therapy (methods)</term><term>Postoperative Complications</term><term>Vocal Cords (pathology)</term><term>Vocal Cords (surgery)</term><term>Voice Disorders (etiology)</term><term>Voice Disorders (pathology)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Laser Therapy</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Burns</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Voice Disorders</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Laser Therapy</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Burns</term><term>Glottis</term><term>Larynx</term><term>Vocal Cords</term><term>Voice Disorders</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Glottis</term><term>Larynx</term><term>Vocal Cords</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Animals</term><term>Cattle</term><term>Disease Models, Animal</term><term>Postoperative Complications</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The 2-microm-wavelength thulium laser has recently been shown to be an effective cutting instrument in endolaryngeal surgery, although there is increased thermal trauma as compared with the carbon dioxide laser. This study investigated temperature changes and thermal trauma during thulium laser dissection of laryngeal tissue, with and without air cooling, in an ex vivo model.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">18074672</PMID><DateCreated><Year>2007</Year><Month>12</Month><Day>13</Day></DateCreated><DateCompleted><Year>2008</Year><Month>01</Month><Day>03</Day></DateCompleted><Article PubModel="Print"><Journal><ISSN IssnType="Print">0003-4894</ISSN><JournalIssue CitedMedium="Print"><Volume>116</Volume><Issue>11</Issue><PubDate><Year>2007</Year><Month>Nov</Month></PubDate></JournalIssue><Title>The Annals of otology, rhinology, and laryngology</Title><ISOAbbreviation>Ann. Otol. Rhinol. Laryngol.</ISOAbbreviation></Journal><ArticleTitle>Thermal damage during thulium laser dissection of laryngeal soft tissue is reduced with air cooling: ex vivo calf model study.</ArticleTitle><Pagination><MedlinePgn>853-7</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">The 2-microm-wavelength thulium laser has recently been shown to be an effective cutting instrument in endolaryngeal surgery, although there is increased thermal trauma as compared with the carbon dioxide laser. This study investigated temperature changes and thermal trauma during thulium laser dissection of laryngeal tissue, with and without air cooling, in an ex vivo model.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A continuous-wave thulium laser (400-microm fiber, 4-W continuous power, 4-second duration) was used to incise 10 calf vocal folds. Paired cooled and uncooled cuts were made in each fold with a dermatologic cooling device. A thermistor inserted into the glottic subepithelium was used to measure tissue temperatures. Thermal damage was analyzed histologically by measuring the depth of the zone of lactate dehydrogenase inactivation surrounding the mucosal incision.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The initial vocal fold temperature averaged 24.3 degrees C without cooling and 4.4 degrees C with cooling. The peak temperature during cutting averaged 59.1 degrees C without cooling and 28.0 degrees C with cooling. The thermal damage zone surrounding the cooled incisions was approximately 27% less than that surrounding the uncooled incisions.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Air cooling can reduce the extent of thermal trauma associated with thulium laser surgery of the vocal folds, and the high-temperature plume generated during laser cutting is effectively cleared.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Burns</LastName><ForeName>James A</ForeName><Initials>JA</Initials><AffiliationInfo><Affiliation>Department of Surgery, Harvard Medical School, Boston, Massachusetts, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kobler</LastName><ForeName>James B</ForeName><Initials>JB</Initials></Author><Author ValidYN="Y"><LastName>Heaton</LastName><ForeName>James T</ForeName><Initials>JT</Initials></Author><Author ValidYN="Y"><LastName>Lopez-Guerra</LastName><ForeName>Gerardo</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Anderson</LastName><ForeName>R Rox</ForeName><Initials>RR</Initials></Author><Author ValidYN="Y"><LastName>Zeitels</LastName><ForeName>Steven M</ForeName><Initials>SM</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Ann Otol Rhinol Laryngol</MedlineTA><NlmUniqueID>0407300</NlmUniqueID><ISSNLinking>0003-4894</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000818">Animals</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D002056">Burns</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000150">complications</QualifierName><QualifierName MajorTopicYN="N" UI="Q000473">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D002417">Cattle</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D004195">Disease Models, Animal</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005931">Glottis</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000473">pathology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D007830">Larynx</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000473">pathology</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D053685">Laser Therapy</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000009">adverse effects</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011183">Postoperative Complications</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014827">Vocal Cords</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000473">pathology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014832">Voice Disorders</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000209">etiology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000473">pathology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2007</Year><Month>12</Month><Day>14</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2008</Year><Month>1</Month><Day>4</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2007</Year><Month>12</Month><Day>14</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">18074672</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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