Smart532
™
Clinical Guide
UM-1151440EN, Rev. C, May 2016 A-21
Note
Users should be aware of general laser warnings, precautions,
and adverse effects listed in General Information in this chapter.
The laser is indicated in procedures where color-specific absorption, small
spot size, and high power densities are required. The laser beam may be
used to photocoagulate, vaporize, or cut tissue by utilizing the appropriate
beam delivery accessory and varying spot size, output power, and pulse
duration.
● The laser is indicated in procedures where color-specific absorption,
small spot size, and high power densities are required. The laser beam
may be used to photocoagulate, vaporize, or cut tissue by utilizing the
appropriate beam delivery accessory and varying spot size, output
power, and pulse duration.
● The laser has been shown to achieve satisfactory results in
stapedotomy, stapedectomy, tympanoplasty with fascia graft
26
,
myringotomies
27
, control of bleeding, lysis of adhesions, and soft
tissue adhesion (“spot welding”)
28
.
● One investigator reported that the laser was not indicated in the
removal or vaporization of cortical bone or dense bone as found in
obliterative otosclerosis
26
.
● Uninflamed mastoid cases, such as endolymphatic sac surgery and
cochlear implants do not benefit from the laser.
● The laser is indicated in both micro- and macro-otologic procedures.
● The selective absorption of the laser wavelength by color permits the
surgeon to work on closely-approximated soft tissue which is colored
red, but the laser is reflected and/or transmitted by adjacent non-red
tissue.
● The laser may be used for procedures done in the hospital for in-
patient or out-patient procedures. The use of the laser is not a
26
L.H. Escudero L, A.O. Castro, M. Drumond, S.P. Portom D.G. Bozinis, A.F.
Penna, and E. Gallego Lluesma, "Argon Laser in Human Tympanoplasty", Arch
Otolaryngol 105(5):252-3, 1979
27
J.R. DiBartolomeo, and M. Ellis, "The Argon Laser in Otology", Laryngoscope
90(11 Pt 1):1786-96, 1980
28
T.M. McGee, "The Argon Laser in Surgery for Chronic Ear Disease and
Otosclerosis", Laryngoscope 93(9):1177-82, 1983
Throat (ENT) Laser
Applications
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