Carbon debris and fiber cleaving: Effects on potassium‐titanyl‐phosphate laser energy and chorioallantoic membrane model vessel coagulation

Objectives/Hypothesis Photoangiolytic precision afforded by the 532‐nm potassium‐titanyl‐phosphate (KTP) laser relies on predictable energy delivery. Inadequate energy output can cause vessel rupture, and excessive energy can cause thermal damage. The quality of the cleaved surface and carbon deposi...

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Bibliographic Details
Published in:The Laryngoscope 2019-10, Vol.129 (10), p.2244-2248
Main Authors: Tracy, Lauren F., Kobler, James B., Van Stan, Jarrad H., Burns, James A.
Format: Article
Language:English
Subjects:
Blood Coagulation - radiation effects
Blood Vessels - chemistry
Carbon
Carbon - analysis
chorioallantoic membrane
Chorioallantoic Membrane - blood supply
Chorioallantoic Membrane - surgery
coagulation
endoscopic laryngeal laser surgery
Energy
Humans
Laser fiber
Lasers
Lasers, Solid-State - therapeutic use
Models, Anatomic
Potassium
potassium‐titanyl‐phosphate laser
Surface Properties
transoral laser surgery
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Summary:Objectives/Hypothesis Photoangiolytic precision afforded by the 532‐nm potassium‐titanyl‐phosphate (KTP) laser relies on predictable energy delivery. Inadequate energy output can cause vessel rupture, and excessive energy can cause thermal damage. The quality of the cleaved surface and carbon deposits from ablated tissue are two factors that could negatively impact fiber performance. The effects of these on energy output and blood vessel coagulation were assessed using a chorioallantoic membrane (CAM) model. Study Design Comparative analysis. Methods Laser fibers with carbon debris, optimal fiber cleaving, and suboptimal cleaving were inspected at three times magnification, and the light dispersion pattern of each fiber was rated. The average energy output from consecutive pulses through each fiber configuration was recorded. The effect of these fiber conditions on clinical efficacy was estimated by measuring vessel coagulation versus rupture in the CAM model. Repeated measures analysis of variance compared results. Results Carbon debris and suboptimal cleaving resulted in decreased energy output in comparison to optimal cleaving ([−Δ244 mJ, d = 4.31, P
ISSN:0023-852X
1531-4995
DOI:10.1002/lary.27948