Onychoplasty with 1064-nm Laser: Matrixectomy for Treatment of Ingrown Toenails

2019 ◽  
Vol 109 (5) ◽  
pp. 401-406
Author(s):  
Lluís Castillo Sánchez ◽  
Antonio Jesús Zalacaín-Vicuña
Keyword(s):  
Carbon Dioxide ◽  
Postoperative Pain ◽  
Surgical Procedures ◽  
Daily Living ◽  
Carbon Dioxide Laser ◽  
Postoperative Recurrence ◽  
Surgical Approaches ◽  
Surgical Removal ◽  
Great Toe ◽  
Ingrown Toenails

Onychocryptosis is a common pathology treated by podiatry medical services, and in a considerable percentage, surgical procedures are required to achieve a solution. There are multiple surgical approaches for ingrown toenails, both incisional procedures and nonincisional procedures, such as chemical matrixectomies and physical matrixectomies using carbon dioxide laser. This study presents a surgical procedure for onychocryptosis using a physical matrixectomy with a 1064-nm laser applied by means of a 400-μm optical fiber and surgical removal of the posterior cauterized tissue to achieve healing by primary intention. This technique was performed on 30 patients with onychocryptosis affecting the great toe (Mozena stages I and IIa), and all of the patients were followed up postoperatively for 12 months. The patients reported minimal postoperative pain, quicker surgical postoperative healing, rapid return to activities of daily living, and minor postoperative recurrence compared with previous studies using incisional procedures and chemical matrixectomies.

Onychoplasty with Carbon Dioxide Laser Matrixectomy for Treatment of Ingrown Toenails

2005 ◽  
Vol 95 (2) ◽  
pp. 175-179 ◽  
Author(s):  
Tara Farley-Sakevich ◽  
John F. Grady ◽  
Emil Zager ◽  
Timothy M. Axe
Keyword(s):  
Carbon Dioxide ◽  
Co2 Laser ◽  
Carbon Dioxide Laser ◽  
Surgical Approaches ◽  
A New Technique ◽  
Good Cosmesis ◽  
Ingrown Toenails ◽  
Methods Of Treatment ◽  
Co2 Laser Ablation ◽  
Return To Activity

Ingrown toenails are one of the most common pathologic conditions encountered in podiatric medical practice. Many methods of treatment for ingrown toenails have been used and studied, including chemical matrixectomies, surgical approaches, and CO2 laser ablation. This study is a retrospective review of a new technique that consists of resection of the involved nail matrix using a No. 15 blade and controlled cauterization using a CO2 laser. The technique was performed on 381 painful ingrown toenails, and all of the patients were followed up postoperatively for an average of 34 months. The results showed minimal pain, a low recurrence rate, rapid return to activity, and good cosmesis. (J Am Podiatr Med Assoc 95(2): 175–179, 2005)

scholarly journals Evidence that Taste Buds are not Present on the Human Adult Uvula

2002 ◽  
Vol 81 (7) ◽  
pp. 456-457 ◽  
Author(s):  
Bryan T. Ambro ◽  
Edmund A. Pribitkin ◽  
Linda Wysocki ◽  
Joseph G. Brand ◽  
William M. Keane
Keyword(s):  
Carbon Dioxide ◽  
Surgical Procedures ◽  
Carbon Dioxide Laser ◽  
Adenosine Triphosphatase ◽  
Taste Buds ◽  
Taste Perception ◽  
Taste Receptors ◽  
High Concentration ◽  
Human Adult ◽  
Membrane Bound

We conducted a study to investigate whether taste buds are present on the human adult uvula. Our impetus was to determine whether surgical procedures that involve removal of the uvula can affect taste perception. Five human uvulae were removed via a modified carbon dioxide laser-assisted uvulopalatoplasty in an outpatient office setting. The uvulae were serially sectioned and stained with a solution specific for membrane-bound calcium-modulated adenosine triphosphatase, a high concentration of which is found in taste receptors. Examination of the stained sections under light microscopy failed to show that any taste receptors were present in any of the uvulae. This finding suggests that the taste disturbances noted after surgical procedures involving removal of the uvula are not attributable to a loss of taste receptors.

scholarly journals Correlation between CGRP Levels and the Neuropathic and Inflammatory Component of Postoperative Pain

Folia Medica ◽  
2020 ◽  
Vol 62 (2) ◽  
pp. 365-371
Author(s):  
Deyan Neychev ◽  
Tanya Sbirkova ◽  
Maria Ivanovska ◽  
Ralitsa Raycheva ◽  
Mariana Murdjeva ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Surgical Procedures ◽  
Surgical Procedure ◽  
Sensory Nerves ◽  
Surgical Removal ◽  
Strong Positive Correlation ◽  
Third Molars ◽  
Significant Difference ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars

Introduction: In surgical procedures, tissue damage results in the release of a number of bioactive substances. Calcitonin gene-related peptide (CGRP) is a peptide released from sensory nerves, which determines its role in pain sensation. Its distribution in tissues deter­mines its role as a primary afferent neurotransmitter. Aim: To determine the effect of CGRP on postoperative pain and reactive inflammatory process after surgical removal of impacted mandibular third molars, as well as the factors that have influence upon the perception of pain. Materials and methods: Forty patients with bilaterally impacted mandibular third molars were included in the study. Venous blood samples were collected before and 24 hours after the surgical procedure in order to test their serum levels of CGRP and procalcitonin. Two weeks later the procedure was repeated. The difficulty of the surgical procedure, its duration and complications were assessed in all patients. Results: The influence of some of the studied factors upon postoperative pain was established. Differences in the sensation of pain between the two sexes were found when comparing pain intensity reported by the patients. Significant difference between pain inten­sity after the 1st and 2nd surgical procedures (6 hours) was found in females (Z=2.63, p=0.009;), whereas in males the difference was observed at 24 hours (Z=1.99; p=0.047). Regarding the existence of sex-related association, а significant, strong positive correlation between CGRP levels after the 1st and 2nd surgical procedures (24 hours) was found in males (rxy=0.78; p=0.004), whereas in females this correlation was also significant, although moderately significant (rxy=0.44; p=0.020). CGRP levels at the first and second extractions were generally similar in males, and not as much in females. We proved significantly moderate positive association between CGRP and pulse levels measured before the second surgery (rxy=0.37, p=0.021). Conclusion: The results of our study suggest a significant role of CGRP in reactive (neurogenic) inflammation.

scholarly journals An anatomical perspective on clinicopathological characteristics and treatment outcomes of dorsal and ventrolateral tongue leukoplakia after carbon dioxide laser surgery

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shih-Wei Yang ◽  
Yun-Shien Lee ◽  
Liang-Che Chang ◽  
Cheng-Han Yang ◽  
Cheng-Ming Luo
Keyword(s):  
Carbon Dioxide ◽  
Treatment Outcomes ◽  
Malignant Transformation ◽  
Laser Surgery ◽  
Carbon Dioxide Laser ◽  
Postoperative Recurrence ◽  
Clinicopathological Characteristics ◽  
Transformation Rate ◽  
Dorsal Tongue ◽  
Transformation Rates

Abstract Background The tongue has been identified as a high-risk site for malignant transformation of oral leukoplakia. The purpose of this study was to investigate the clinicopathological characteristics and treatment outcomes of the dorsal and ventrolateral tongue leukoplakia. Methods Demographic data and pathological results of patients who underwent carbon dioxide laser surgery for tongue leukoplakia from 2002 to 2019 were retrospectively reviewed and analyzed statistically. Results Of the 111 patients enrolled, 80 were males and 31 females, with a mean age of 51.86 ± 11.84 years. The follow-up time was 3.74 ± 4.19 years. Fifteen patients had a postoperative recurrence (13.51%). Four (3.6%) patients developed malignant transformation. Annual transformation rate was 1.08%. There were no differences in the time to develop carcinoma (3.19 ± 1.94 vs. 3.51 ± 2.12 years, P = 0.83), overall cumulative malignant transformation rates (7.41% vs. 2.25%, P = 0.12), and annual transformation rates (2.32% vs. 0.64%, P = 0.099). The prevalence of the ventrolateral tongue leukoplakia was higher than that of the dorsal tongue leukoplakia (P < 0.001). The results of multivariate logistic regression analysis showed that the degree of pathology was the only independent prognostic factor related to postoperative malignant transformation (P = 0.045). Conclusions Dorsal tongue leukoplakia is not as frequently encountered clinically as ventrolateral tongue leukoplakia. The response of the dorsal tongue and ventrolateral tongue leukoplakia to laser therapy of are comparable in postoperative recurrence and postoperative malignant transformation. Clinicians should take a more aggressive attitude toward oral tongue leukoplakia with higher grade of dysplasia.

Carbon-Dioxide-Laser-Assisted Lower Facelift: A Preliminary Report

1992 ◽  
Vol 9 (2) ◽  
pp. 159-169 ◽  
Author(s):  
David M. Morrow ◽  
Linda B. Morrow
Keyword(s):  
Carbon Dioxide ◽  
Postoperative Pain ◽  
Operating Room ◽  
Laser Surgery ◽  
Preliminary Report ◽  
Carbon Dioxide Laser ◽  
Flap Necrosis ◽  
Room Fires

This report describes our experience over a 36-month period with 110 lower facelift surgeries using the CO2 laser as the primary or only cutting and undermining instrument. Carbon dioxide laser surgery was safe and effective in these 110 cases. Using the laser provided excellent hemostasis, absence of postoperative pain, and minimal postoperative bruising and swelling. There were no complications specific to the laser. There were no operating room fires and no laser accidents to the skin, eyes, or other tissues of the patients or operative personnel. Postoperatively there were no hematomas, no infections, no unusual scarring, no flap necrosis, and no dehiscence of incision lines.

Surgical Removal of Lower Eyelid Fat Using the Carbon Dioxide Laser

1992 ◽  
Vol 9 (2) ◽  
pp. 149-152 ◽  
Author(s):  
M. A. Trelles ◽  
J. Sanchez ◽  
P. Sala ◽  
S. Elspas
Keyword(s):  
Carbon Dioxide ◽  
Recovery Time ◽  
Laser Surgery ◽  
Carbon Dioxide Laser ◽  
Lower Eyelid ◽  
Postoperative Recovery ◽  
Surgical Removal ◽  
Cosmetic Results ◽  
Risk Of Hemorrhage

The CO2 laser, used for lower eyelid blepharoplasty, presented here according to David's technique, approaches the lower eyelid fat via the transconjunctival route. This technique avoids the possible sequelae associated with conventional surgical blepharoplasty, such as scarring and lower lid retraction. Postoperative recovery time is extremely rapid and associated with very little or no discomfort. CO2 laser surgery helps to prevent the risk of hemorrhage and infection, and keeps edema, when it occurs, to a minimum. The cosmetic results are excellent.

The Use of Carbon Dioxide Laser for the Ablation of Meibomian Gland Adenomas in Dogs

2005 ◽  
Vol 41 (4) ◽  
pp. 227-234 ◽  
Author(s):  
Martin Bussieres ◽  
Sheryl G. Krohne ◽  
Jean Stiles ◽  
Wendy M. Townsend
Keyword(s):  
Carbon Dioxide ◽  
Co2 Laser ◽  
Carbon Dioxide Laser ◽  
Complete Removal ◽  
Meibomian Gland ◽  
Surgical Removal ◽  
Corneal Disease ◽  
Cosmetic Appearance ◽  
Carbon Dioxide Co2 ◽  
Co2 Laser Ablation

Twelve eyelid meibomian gland adenomas in dogs were surgically ablated using the carbon dioxide (CO2) laser. The laser site was not sutured. All procedures resulted in complete removal of the adenoma with no recurrences at 6 months. In addition, no dogs developed corneal disease secondary to the procedure, and the cosmetic appearance of the eyelid margins was good at the end of the 6-month study. Based on results of this study, CO2 laser ablation of canine meibomian gland adenomas is an effective alternative to standard surgical removal.

Sign in / Sign up

Export Citation Format

Share Document