title: [Holmium:YAG laser surgery. Possibilities for use in inflammatory paranasal sinus diseases].
abstract: A pulsed Holmium: YAG laser (lambda = 2120 nm) was used during functional endoscopic endonasal surgery in ten patients with recurrent chronic inflammation of the paranasal sinuses. The Holmium: YAG laser energy was coupled to a 600 microns core diameter nylon fiber. Power settings of 950 mJ per 2.5 microseconds pulse at 5 pulses per second were used. Tissue responses to treatment were examined by light microscopy. The photoablative mechanism of the laser-tissue interaction led to bone and soft tissue ablation with only a minor thermal component in the target zone. In comparison with other laser types available clinically, there was no carbonization zone after use of the Holmium-YAG laser. The area of tissue damage produced was significantly smaller (370-520 microns only) and wound healing proceeded without complication. The physical settings of the laser equipment are described with regard to their significance in photoablation when using flexible light-conducting fibers. The possible role of the Holmium: YAG laser in clinical surgery is discussed on the basis of the present experience.
authors.affiliation: II. Universitäts-HNO-Klinik Wien.
authors.forename: M
authors.initials: M
authors.lastname: Kautzky
authors.forename: W
authors.initials: W
authors.lastname: Bigenzahn
authors.forename: M
authors.initials: M
authors.lastname: Steurer
authors.forename: M
authors.initials: M
authors.lastname: Susani
authors.forename: P
authors.initials: P
authors.lastname: Schenk
mesh_terms: D000328:Adult; D000368:Aged; D002908:Chronic Disease; D019723:Endoscopes; D005260:Female; D006801:Humans; D053685:Laser Therapy / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D010255:Paranasal Sinus Neoplasms / Q000601:surgery*; D011127:Polyps / Q000601:surgery*; D012852:Sinusitis / Q000601:surgery*
vernacular_title: Holmium: YAG-Laserchirurgie. Anwendungsmöglichkeiten bei entzündlichen Nasennebenhöhlenerkrankungen.