Long-Term Histologic Effects of Inferior Turbinate Laser Surgery

2001 ◽  
Vol 124 (4) ◽  
pp. 459-463 ◽  
Author(s):  
David B. Wexler ◽  
Gilead Berger ◽  
Ari Derowe ◽  
Dov Ophir
Keyword(s):  
Laser Treatment ◽  
Laser Surgery ◽  
Laser Energy ◽  
Inferior Turbinate ◽  
Surface Epithelium ◽  
Marked Diminution ◽  
Connective Tissue Matrix ◽  
Tissue Matrix ◽  
Histologic Changes

OBJECTIVE: In this study we sought to define the histologic changes produced by laser treatment of inferior turbinates. STUDY DESIGN: Eight inferior turbinates with prior laser treatment (mean, 26.8 months) were analyzed by light microscopy after turbinectomy for relief of refractory nasal obstruction. Histologic findings were compared with those of a group of 8 hypertrophic inferior turbinates that had no previous laser surgery. RESULTS: Laser-treated areas of the inferior turbinates demonstrated a histologically bland appearance, with marked diminution of seromucinous glands and relative preponderance of connective tissue matrix. Prominence of venous sinusoids was also significantly reduced in the laser-treated areas. Surface epithelium including goblet cells was reconstituted over the areas of laser application. CONCLUSION: Clinical laser surgery of the inferior turbinate produces striking long-term histologic changes. SIGNIFICANCE: The data suggest a differential response of turbinate histologic components to application of laser energy, with the glandular component being particularly sensitive. Further correlative study is needed to clarify the clinical significance of laser-induced histologic changes in inferior turbinates.

Comparison of Carbon Dioxide and Neodymium: Yttrium-Aluminum-Garnet Lasers in Surgery of the Inferior Turbinate

1997 ◽  
Vol 106 (12) ◽  
pp. 1036-1042 ◽  
Author(s):  
Burkard M. Lippert ◽  
Jochen A. Werner
Keyword(s):  
Carbon Dioxide ◽  
Energy Density ◽  
Yttrium Aluminum Garnet ◽  
Laser Energy ◽  
Inferior Turbinate ◽  
Long Term Results ◽  
Laser Energy Density ◽  
Laser Technique ◽  
Yag Laser

At the Department of Otorhinolaryngology—Head and Neck Surgery of the University of Kiel, 533 patients with hyperplastic inferior turbinates were treated between 1987 and 1994 with various carbon dioxide (CO2) and neodymium:yttrium-aluminum-garnet (Nd:YAG) laser techniques. We report on the therapeutic results of both types of laser turbinectomy and compare their long-term results with those of submucosal diathermy. Among the different techniques, we preferred the following approaches. The CO2 laser technique involved the application of a few laser spots (laser energy density 6,100 J/cm2 per lesion) to the head of the turbinate under the operating microscope. In the Nd: YAG laser procedure, diffuse, low-power irradiation (laser energy density < 53 kJ/cm2) of the entire concha was performed under endoscopic control. The CO2 laser procedure involved little bleeding and hardly any pain. It produced a positive effect after only a few days and required no follow-up treatment. The success of Nd: YAG laser treatment, by contrast, only became evident after weeks or months, due to the slow scarring process. Compared to submucosal diathermy, both laser methods produced better long-term results. Two years postoperatively, the overall success rate, as defined by patient satisfaction, was 79.6% for the CO2 laser, 68.3% for the Nd: YAG laser, and 36% for submucosal diathermy.

Experiment and simulation of biotissue surface thermal damage during laser surgery

2015 ◽  
Vol 231 (3) ◽  
pp. 581-589 ◽  
Author(s):  
YL Su ◽  
KT Chen ◽  
CJ Chang ◽  
K Ting
Keyword(s):  
Surface Temperature ◽  
Laser Treatment ◽  
Laser Surgery ◽  
Thermal Damage ◽  
Laser Energy ◽  
Irradiation Time ◽  
Damage Zone ◽  
Bioheat Transfer ◽  
Laser Source ◽  
Porcine Liver

In medical cosmetology, laser energy must be properly controlled to avoid unnecessary thermal damage of normal tissue due to excessive irradiation. When a laser source is applied to a specific target that is very close to the surface tissue, residual heat can damage the surface tissue even after the laser treatment is halted. This study aims to determine the proper conditions for the laser treatment and the prediction of the thermal damage of surface tissue after the laser is applied. An 810 nm diode laser was used to irradiate porcine liver and the surface temperature was measured using infrared thermography for different laser application processes. The Pennes bioheat transfer equation was solved using the ANSYS software package to simulate the surface temperature and thermal damage zone in laser surgery. The double ellipsoid function represented the laser source term in the heat transfer simulation. The results of the simulation were compared with the experimental data. Finally, a transient analysis of the estimations of thermal damage after laser surgery was conducted for different conditions of power, laser irradiation time, and laser depth under the surface of the porcine liver.

scholarly journals Long-Term Results after Carbon Dioxide Laser Surgery of the Inferior Turbinate for Perennial Allergic Rhinitis

2011 ◽  
Vol 50 (1) ◽  
pp. 7-12
Author(s):  
Sachio Takeno ◽  
Yousuke Nakashimo ◽  
Takashi Ishino ◽  
Nobuyuki Miyahara ◽  
Keishin Goh ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
Allergic Rhinitis ◽  
Laser Surgery ◽  
Carbon Dioxide Laser ◽  
Inferior Turbinate ◽  
Long Term Results ◽  
Perennial Allergic Rhinitis

Hemorrhoidal Laser procedure (HeLP) and Hemorrrrhoidal Laser procedure + mucopexy (HeLPexx) and other Emerging Technologies

2020 ◽  
Vol 15 ◽  
Author(s):  
Paolo Giamundo
Keyword(s):  
Laser Treatment ◽  
Dentate Line ◽  
Mucosal Prolapse ◽  
Daily Activities ◽  
Common Goal ◽  
Superior Rectal Artery ◽  
Doppler Probe ◽  
The Common ◽  
Probe Set

Background: Minimally-invasive treatments for hemorrhoids should be encouraged as they cause low morbidity, reasonable discomfort and quicker return to work. According to the “vascular theory” hemorrhoidal disease is mainly caused by blood overflow into hemorrhoidal plexus deriving from the superior hemorrhoidal arteries. Introduction: Many different procedures have been described in the literature with the common goal of reducing the blood flow into the hemorrhoidal piles. ‘HeLP’ (Hemorrhoids Laser Procedure) is a novel form of dearterialization to treat patients suffering from symptomatic hemorrhoids. Methods: The procedure consists of the closure of the terminal branches of the superior rectal artery approximately 2-3 cm above the dentate line by means of laser shots originated by a diode laser platform. The arteries, at that level, have variable location and distribution. Therefore, a doppler probe set at the frequency of 20MHz helps identifying the arteries that would be missed otherwise. The laser beam is well tolerated by patients. For this reason, anesthesia is not required in most cases and the procedure allows a quick return to daily activities. In case of concomitant severe mucosal prolapse, the laser treatment can be combined with suture mucopexy. Three to six running sutures allow a complete lifting of hemorrhoidal piles, securing long-term resolution of symptoms. Results and Conclusions: ‘HeLP’ is indicated in patients with symptomatic hemorrhoids where conservative treatment failed and when mucosal prolapse is scarce or not symptomatic. The addition of mucopexy to laser treatment (HeLPexx) contributes to overall resolution of symptoms when mucosal prolapse is an issue, Emborrhoid is another novel, ‘hi-tech’ form of selective dearterialization used in selected case of hemorrhoids where main symptom is bleeding. It is generally used in cases where surgery is contraindicated due to severe concomitant diseases.

scholarly journals The Role of Quantic Molecular Resonance (QMR) in the Treatment of Inferior Turbinate Hypertrophy (ITH): Our Experience With Long-Term Follow-Up in Allergic and Nonallergic Rhinitis Refractory to Medical Therapy. Preliminary Results

2021 ◽  
pp. 014556132110015
Author(s):  
Filippo Ricciardiello ◽  
Davide Pisani ◽  
Pasquale Viola ◽  
Raul Pellini ◽  
Giuseppe Russo ◽  
...  
Keyword(s):  
Nasal Obstruction ◽  
Inferior Turbinate ◽  
Nonallergic Rhinitis ◽  
Turbinate Hypertrophy ◽  
Group A ◽  
Group B ◽  
Inferior Turbinate Hypertrophy ◽  
Molecular Resonance

Objective: The aim of this study was to assess the long-term effectiveness of quantic molecular resonance (QMR) in the treatment of inferior turbinate hypertrophy (ITH) in allergic and nonallergic rhinitis refractory to medical therapy. Methods: This study enrolled 281 patients, 160 males (56.9%) and 121 females (43.1%), mean age 37.8 ± 4.1 years, range 18 to 71. Fifty-four patients have been lost to follow up and have been therefore excluded from the final analysis. Based on skin prick test results, 69 patients were considered allergic (group A) and 158 nonallergic (group B). All subjects underwent before surgery (T0) and 3 (T1), 12 (T2), 24 (T3), and 36 months (T4) after QMR treatment to: 4-phase rhinomanometric examination, nasal endoscopy evaluation, and visual analogue scale to quantify the subjective feelings about nasal obstruction. Results: Subjective and objective parameters showed statistically significant improvement in both groups. Group B parameters not changed during follow-up, while group A showed significant worsening between T1 and subsequent assessments. T4 outcome indicates a better result in nonallergic patients. Conclusions: In accordance with the literature, our preliminary data validate QMR treatment as a successful therapeutic option for nasal obstruction due to ITH. Nonallergic patients had a very good T4 outcome. Allergic patients showed a worsening trend after 1 year probably due to other causes.

scholarly journals Subthreshold Micropulse Laser Modulates Retinal Neuroinflammatory Biomarkers in Diabetic Macular Edema

2021 ◽  
Vol 10 (14) ◽  
pp. 3134
Author(s):  
Luisa Frizziero ◽  
Andrea Calciati ◽  
Giulia Midena ◽  
Tommaso Torresin ◽  
Raffaele Parrozzani ◽  
...  
Keyword(s):  
Macular Edema ◽  
Laser Treatment ◽  
Diabetic Macular Edema ◽  
Metabolic Pathways ◽  
Treatment Method ◽  
Micropulse Laser ◽  
Subthreshold Micropulse Laser ◽  
Inflammatory Processes ◽  
Standardized Parameters

Subthreshold micropulse laser treatment has become a recognized option in the therapeutic approach to diabetic macular edema. However, some yet undefined elements pertaining to its mechanism of action and most effective treatment method still limit its clinical diffusion. We reviewed the current literature on subthreshold micropulse laser treatment, particularly focusing on its effects on the modulation of retinal neuroinflammation. Subthreshold micropulse laser treatment seems to determine a long-term normalization of specific retinal neuroinflammatory metabolic pathways, contributing to the restoration of retinal homeostasis and the curtailing of local inflammatory processes. Optimized and standardized parameters ensure effective and safe treatment.

Argon Plasma Surgery for Treatment of Inferior Turbinate Hypertrophy: A Long-Term Follow-Up in 157 Patients

ORL ◽  
2003 ◽  
Vol 65 (4) ◽  
pp. 206-210 ◽  
Author(s):  
E. Ferri ◽  
E. Armato ◽  
S. Cavaleri ◽  
P. Capuzzo ◽  
F. Ianniello
Keyword(s):  
Argon Plasma ◽  
Inferior Turbinate ◽  
Turbinate Hypertrophy ◽  
Long Term Follow Up ◽  
Inferior Turbinate Hypertrophy

Annual Meeting of the Section on Pediatric Urology

PEDIATRICS ◽  
1985 ◽  
Vol 76 (6) ◽  
pp. 1000-1003
Author(s):  
KENNETH I. GLASSBERG
Keyword(s):  
Animal Models ◽  
Annual Meeting ◽  
Testicular Torsion ◽  
Cell Damage ◽  
Basic Research ◽  
Testicular Biopsy ◽  
Pediatric Urology ◽  
Prepubertal Boys ◽  
Histologic Changes

The Section of Urology of the American Academy of Pediatrics met for three days in conjunction with the 53rd annual meeting of the Academy in Chicago. Papers and panel discussions that would be of interest to the pediatrician are summarized herein according to topic. As there has been an increasing number of basic research papers presented in recent years, the Section, this year, initiated a prize for basic research. Also new to the meeting was the awarding of the first annual Pediatric Urology Medal, which was given to Harry Spence for contributions made to the field. TESTICULAR TORSION Recent reports of unilateral testicular torsion have suggested that adverse effects may occur to the contralateral testicle, if the ischemic testicle is treated by surgical detorsion and left in place rather than removed.1-4 Three authors addressed this problem by investigating animal models. Animal Models In prepubertal rats undergoing experimentally produced testicular torsion, Rabinowitz and associates found histologic changes in the contralateral testicle. The changes in the contralateral testicle were dependent upon the duration of torsion and were significantly greater when the ischemic testicle was detorsed and left in place. The degree of histologic changes in the ischemic testicle, especially the degree of germ cell damage, was the best prediction of long-term damage to the contralateral testicle. In the animal model, these changes could be averted by removing the ischemic testicle. Although not going as far to recommend orchiectomy as the treatment of choice for all cases of torsion, Dr. Rabinowitz did suggest that a testicular biopsy in prepubertal boys with testicular torsion may be a reliable index to subsequent long-term contralateral damage if the ischemic testicle is detorsed and pexed rather than removed.

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