Abstract:
:Outpatient laser ablation of palatine tonsils is a very interesting procedure that has been recently introduced as a routine in head and neck surgery departments. The aim of this study was to describe a new strategy using a Doppler-guided fibre optic neodymium-yttrium-aluminium-garnet (YAG) laser to remove up to 80 % of tonsillar tissue, as assessed in the long-term postoperative clinical evaluation of the volume of the tonsils at the follow-up, and leaving the capsule in place, thus avoiding any haemorrhagic complication and minimize pain. A total of 20 patients (men, n=13; women, n=7), aged between 6 and 63, were recruited for the procedure. They were affected by chronic hypertrophic tonsillitis with a recurrent fever and other symptoms that were related to oral inflammation. Among the 20 patients, no serious adverse events, including haemorrhage-related complications, were observed. Treatment was well tolerated, even in patients displaying an overall low pain threshold. No dropout or uncompleted procedure occurred in the present study. Minor complications included sore throat, moderate oedema, mild acute pharynx inflammation, slight peritonsillar exudate and local burning. The postoperative pain, measured by Scott-Huskisson visual analogue scale, was between 5 and 40 mm and was easily counteracted by means of external ice packages and nonsteroidal anti-inflammatory drugs, according to the individual patient's need. During the 12-36-month follow-up patients showed improved symptoms (n=7) and complete recovery (n=13). A relapse episode was observed in two patients. This study supports fibre optic laser neodymium-YAG tonsil surgery, named "cribriform intracapsular tonsillectomy" or "Swiss-cheese laser tonsillectomy", as an effective alternative to the traditional cold knife approach or electrosurgery. This approach could become the gold standard for tonsil surgery in the third millennium for safety reasons, acceptable cost-benefit ratio, the precise targeting of the beam across the affected tissues and the short- and long-term recovery.
journal_name
Lasers Med Scijournal_title
Lasers in medical scienceauthors
Palmieri B,Iannitti T,Fistetto G,Rottigni Vdoi
10.1007/s10103-012-1140-1subject
Has Abstractpub_date
2013-05-01 00:00:00pages
865-9issue
3eissn
0268-8921issn
1435-604Xjournal_volume
28pub_type
临床试验,杂志文章abstract::In this study we compared the microleakage of conventional glass ionomer cement (GIC) restorations following the use of different methods of root caries removal. In vitro root caries were induced in 75 human root dentin samples that were divided in five groups of 15 each according to the method used for caries removal...
journal_title:Lasers in medical science
pub_type: 杂志文章
doi:10.1007/s10103-010-0840-7
更新日期:2012-01-01 00:00:00
abstract::Both high-intensity ultraviolet and narrowband ultraviolet B (NB-UVB) are important therapeutic options for vitiligo management, but high-intensity ultraviolet is more effective than NB-UVB. However, the underlying mechanisms have not been well investigated. Herein, we compare the effects of high-intensity ultraviolet...
journal_title:Lasers in medical science
pub_type: 杂志文章
doi:10.1007/s10103-014-1568-6
更新日期:2014-09-01 00:00:00
abstract::Low-level laser therapy (LLLT) has proved to have biostimulating effects on tissues over which they are applied, therefore accelerating the healing process. Most studies in implantology were focused on a reduction of the duration of osseointegration. There exist few articles analyzing the potential effects of these th...
journal_title:Lasers in medical science
pub_type: 杂志文章,评审
doi:10.1007/s10103-015-1860-0
更新日期:2016-02-01 00:00:00
abstract::To evaluate the efficacy of laser fibrotomy in patients with oral submucous fibrosis (OSMF) and also to correlate the habit variables causing OSMF. Thirty patients diagnosed clinically and histopathologically with OSMF were included in the study. Laser fibrotomy was done under local anesthesia using Zolar diode laser ...
journal_title:Lasers in medical science
pub_type: 临床试验,杂志文章
doi:10.1007/s10103-018-2531-8
更新日期:2018-11-01 00:00:00
abstract::Laser micromachining with ultrashort pulses has shown great promise for clean, safe surgical treatment of bone tissue. However, comparisons of performance and development of "best practice" have been hampered by the difficulty of comparing results across a wide variety of experimental approaches and under surgically i...
journal_title:Lasers in medical science
pub_type: 杂志文章
doi:10.1007/s10103-019-02899-x
更新日期:2020-08-01 00:00:00
abstract::The aim of this study was to evaluate the effect of cavity preparation with Er:YAG laser on dentin adjacent to restorations submitted to cariogenic challenge in situ, by subsuperficial microhardness analysis. Bovine incisors were sectioned, flattened, and polished, resulting in 40 dentin slabs. The slabs were randomly...
journal_title:Lasers in medical science
pub_type: 临床试验,杂志文章
doi:10.1007/s10103-016-2136-z
更新日期:2017-02-01 00:00:00
abstract::The aim of the present study was to investigate the effects of photobiomodulation (PBM) therapy on the expression of heat shock protein 70 (HSP70) and tissue repair in an experimental model of collagenase-induced Achilles tendinitis. Thirty Wistar rats (aged 12 weeks) were randomly distributed among control group (n =...
journal_title:Lasers in medical science
pub_type: 杂志文章
doi:10.1007/s10103-020-03155-3
更新日期:2020-10-10 00:00:00
abstract::Bacterial biofilms are often found in chronically infected wounds. Biofilms protect bacteria from antibiotics and impair wound healing. Surgical debridement is often needed to remove the biofilm from an infected wound. Laser-generated shockwave (LGS) treatment is a novel tissue-sparing treatment for biofilm disruption...
journal_title:Lasers in medical science
pub_type: 杂志文章
doi:10.1007/s10103-020-03171-3
更新日期:2020-10-27 00:00:00
abstract::High-intensity focused ultrasound (HIFU) can be applied noninvasively to create focused zones of tissue coagulation on various skin layers. We performed a comparative study of HIFU, evaluating patterns of focused tissue coagulation and ablation upon application thereof. A tissue-mimicking (TM) phantom was prepared wit...
journal_title:Lasers in medical science
pub_type: 杂志文章
doi:10.1007/s10103-015-1804-8
更新日期:2015-12-01 00:00:00
abstract::The influence of Er:YAG laser irradiation on periodontal tissues along the root surface and apical region during root canal preparation was histologically evaluated using experimentally infected root canals of rats. Eighty experimentally mesial infected root canals of mandibular first molars in rats were divided into ...
journal_title:Lasers in medical science
pub_type: 杂志文章
doi:10.1007/s10103-010-0804-y
更新日期:2011-11-01 00:00:00
abstract::A retrospective study was conducted to investigate the incidence of reported adverse responses after epilatory laser treatment to control the growth of facial hair in patients with polycystic ovary syndrome. Forty-eight patients received a median of 6 (range 2-11) treatments with an Aesculap ruby laser during a 704 da...
journal_title:Lasers in medical science
pub_type: 杂志文章
doi:10.1007/s10103-007-0451-0
更新日期:2008-01-01 00:00:00
abstract::Diabetes mellitus (DM) is associated with musculoskeletal damage. Investigations have indicated that healing of the surgically tenotomized Achilles tendon was considerably augmented following low-level laser therapy (LLLT) in non-diabetic, healthy animals. The aim of the present study was to evaluate the effect of LLL...
journal_title:Lasers in medical science
pub_type: 杂志文章
doi:10.1007/s10103-012-1074-7
更新日期:2013-02-01 00:00:00
abstract::The effect of the 488-nm wavelength of argon laser at different power densities and irradiation times on the degree of conversion (DC), temperature rise, water sorption, solubility, flexural strength, flexural modulus, and microhardness of bisphenole A glycol dimethacrylate and triethylen glycol dimethacrylate with a ...
journal_title:Lasers in medical science
pub_type: 杂志文章
doi:10.1007/s10103-007-0487-1
更新日期:2008-10-01 00:00:00
abstract::Photobiomodulation is a treatment that has been widely used in neurotrauma and neurodegenerative diseases. In the present study, low-level laser therapy was administered to patients with spinal cord injury. Twenty-five individuals were divided into two groups: placebo photobiomodulation plus physiotherapy and active p...
journal_title:Lasers in medical science
pub_type: 杂志文章,随机对照试验
doi:10.1007/s10103-018-2447-3
更新日期:2018-05-01 00:00:00
abstract::A limited number of studies have evaluated the efficacy and safety of electrode pin fractional radiofrequency (FRF) for periorbital wrinkle treatment in Asian patients, but none have measured noninvasive methodological objective parameters such as periorbital wrinkle area. This study aimed to investigate the efficacy ...
journal_title:Lasers in medical science
pub_type: 临床试验,杂志文章
doi:10.1007/s10103-016-2084-7
更新日期:2017-01-01 00:00:00
abstract::This study compares sensitivity reduction after dental restoration with and without prior diode laser (DL) irradiation for cervical dentine hypersensitivity (CDH) from non-carious cervical lesions (NCCLs) unresponsive to desensitizing agents. Eighty-eight teeth of 28 subjects (21 females; age 23-64 years), with CDH fr...
journal_title:Lasers in medical science
pub_type: 临床试验,杂志文章
doi:10.1007/s10103-016-2087-4
更新日期:2017-01-01 00:00:00
abstract::Epithelial cells play an important role in reparative events. Therefore, therapies that can stimulate the proliferation and metabolism of these cells could accelerate the healing process. To evaluate the effects of low-level laser therapy (LLLT), human keratinocytes were irradiated with an InGaAsP diode laser prototyp...
journal_title:Lasers in medical science
pub_type: 杂志文章
doi:10.1007/s10103-012-1057-8
更新日期:2013-02-01 00:00:00
abstract::The aims of this study were to evaluate the effects of Photogem®-mediated photosensitization on rat palatal mucosa and the biodistribution of the photosensitizer in this tissue. A solution of Photogem® (500 or 1000 mg/l) was applied to the palatal mucosa for 30 min and the exposure time to blue LED (460 nm) was 20 min...
journal_title:Lasers in medical science
pub_type: 杂志文章
doi:10.1007/s10103-011-0909-y
更新日期:2012-03-01 00:00:00
abstract::Oral lichen planus (OLP) is an inflammatory disease that can be painful, mainly in the atrophic and erosive forms. Numerous drugs have been used with dissimilar results, but most treatments are empirical. However, to date, the most commonly employed and useful agents for the treatment of OLP are topical corticosteroid...
journal_title:Lasers in medical science
pub_type: 临床试验,杂志文章
doi:10.1007/s10103-013-1313-6
更新日期:2014-01-01 00:00:00
abstract::Zirconia has been regarded as a promising material for dental implants, and Nd:YAG laser treatment has been proposed as a potential strategy to improve its bioactivity. The main aim of the present study was to evaluate the in vitro behavior of human fetal osteoblasts in contact with laser-textured zirconia implant sur...
journal_title:Lasers in medical science
pub_type: 杂志文章
doi:10.1007/s10103-020-03066-3
更新日期:2020-12-01 00:00:00
abstract::Macular amyloidosis (MA) is a common form of primary localized cutaneous amyloidosis, characterized by the eruption of brown pigments of the skin with a rippled pattern. MA can be of cosmetic concern for patients, and its treatment is challenging. In this study, we aimed to find new effective approaches for MA treatme...
journal_title:Lasers in medical science
pub_type: 临床试验,杂志文章
doi:10.1007/s10103-020-02954-y
更新日期:2020-07-01 00:00:00
abstract::The purpose of this study was to compare the effectiveness of 1470- and 980-nm lasers with regard to power output, complications, recanalization rates, and treatment response. We prospectively evaluated the effectiveness of endovenous laser ablation (EVLA) in a total of 152 great and small saphenous veins from 96 pati...
journal_title:Lasers in medical science
pub_type: 杂志文章
doi:10.1007/s10103-015-1768-8
更新日期:2015-07-01 00:00:00
abstract::In spinal cord injury (SCI), inflammation is a major mediator of damage and loss of function and is regulated primarily by the bone marrow-derived macrophages (BMDMs). Photobiomodulation (PBM) or low-level light stimulation is known to have anti-inflammatory effects and has previously been used in the treatment of SCI...
journal_title:Lasers in medical science
pub_type: 杂志文章
doi:10.1007/s10103-019-02941-y
更新日期:2020-09-01 00:00:00
abstract::Nonablative skin rejuvenation using laser, intense pulsed lights (IPLs), or radiofrequency techniques are becoming increasingly popular. In this paper, a novel protocol that integrates IPL sessions, low intense light and vitamin C, low-weight hyaluronic acid, betaglucan dermal injection versus IPL photorejuvenation as...
journal_title:Lasers in medical science
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s10103-007-0456-8
更新日期:2008-04-01 00:00:00
abstract::Liquid-assisted hard tissue ablation by infrared lasers has extensive clinical application. However, detailed studies are still needed to explore the underlying mechanism. In the present study, the dynamic process of bubble evolution induced by Ho:YAG laser under water without and with bone tissue at different thickne...
journal_title:Lasers in medical science
pub_type: 杂志文章
doi:10.1007/s10103-016-1931-x
更新日期:2016-07-01 00:00:00
abstract::Preclinical studies have shown that photodynamic therapy (PDT) enhances immune responses. To examine the role of the direct effects of PDT in liver cancer with regard to enhancement of the antitumor response, we injected PDT-generated H22 liver cancer cell lysate (as a tumor vaccine) intradermally into Kunming mice. I...
journal_title:Lasers in medical science
pub_type: 杂志文章
doi:10.1007/s10103-008-0609-4
更新日期:2009-07-01 00:00:00
abstract::Since the introduction of laser in clinical practice, different wavelengths have been used for oral surgery on the basis of the different characteristics and affinities of each one. The aim of this study was a comparison of different laser wavelengths in relation to both thermal increase and "histological quality" in ...
journal_title:Lasers in medical science
pub_type: 杂志文章
doi:10.1007/s10103-012-1081-8
更新日期:2013-02-01 00:00:00
abstract::The objective of this study was to describe the dynamics of water heating carried out by continuous laser radiation with wavelengths 1.47, 1.55, and 1.94 μm with different types of fibers used for endovenous laser coagulation. The study was conducted in water using high-speed surveying of the heating process through t...
journal_title:Lasers in medical science
pub_type: 杂志文章
doi:10.1007/s10103-020-03184-y
更新日期:2020-11-07 00:00:00
abstract::The aim of this study was to quantitatively evaluate the wettability of dentin after Yb:KYW thin-disk femtosecond-pulsed laser ablation by measuring the contact angle. Different laser parameters were used including different fluences (F), scanning speeds, and scanning line spacings. Crowns of 15 extracted human teeth ...
journal_title:Lasers in medical science
pub_type: 杂志文章
doi:10.1007/s10103-014-1655-8
更新日期:2015-08-01 00:00:00
abstract::Excimer laser recanalisation of in-stent restenosis may be a viable modality for improving coronary patency. However, the presence of arterial stents modifies the thermal properties of the irradiated area and may alter temperature patterns generated during ablation. The goal of this study was to evaluate, in vitro, te...
journal_title:Lasers in medical science
pub_type: 杂志文章
doi:10.1007/pl00011348
更新日期:2001-01-01 00:00:00