The Advantages And Disadvantages Of CO2 Lasers

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CO2 laser is the standard type of laser for the transoral endoscopic laryngeal surgeries. Diode laser devices have the advantage of being relatively less expensive, lighter in weight and smaller than most other medical lasers. They require less maintenance and can be portable. They have the advantage over the CO2 laser of being readily delivered through fibers allowing easy use with endoscope to reach subglottic and tracheal lesions when needed. 21,22,29-31,35,37,200
CO2 laser produces invisible light in the infrared spectrum with a wavelength of 10.6 microns, which is readily absorbed by water in the tissues. It has a limited penetration of 0.1 mm. Diode laser devices on the other hand can produce light at different wavelengths, commonly between …show more content…

The 980 nm diode laser has good water absorption. 31
The advantages of laser excisions are that the procedures are minimally invasive, time saving and recovery is potentially faster. The specific advantage of the diode laser is that it is an economic contact laser delivered via a fine glass fiber. Like other fiber optically delivered lasers, this allows the surgeon to hold the fiber in a pencil-like holder (or guidance instrument) and manipulate the fiber tip accurately. 21,188
Surgeon can achieve great accuracy with a hand-held fiber carrier and rigid endoscope to visualize the treatment area. The fiber tip can be directed ‘around corners’ and into lesions providing a much easier manipulated laser than the commonly used CO2 laser, delivered in a straight line via a micromanipulator. 21
In their invitro study on oral soft tissues Goharkhay et al. found that Incision depth and width correlated strongly with average powers, but not with laser parameters or the used tips in the range between 0.5–4.5 W. 36
During our review of literature, we found only few studies on the use of diode laser in laryngeal surgery in humans.

I- Pathological effects of diode laser on the

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