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Adly AS, Adly MS, Cuisinier F, Egea JC, Panayotov I, Adly AS, Malthiery E. Laser-Induced Blood Coagulation for Surgical Application: A Scoping Review. Semin Thromb Hemost 2024; 50:236-252. [PMID: 37611623 DOI: 10.1055/s-0043-1772573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/25/2023]
Abstract
There is a lack of evidence-based reviews on the effects of laser irradiation on blood coagulation in the literature, despite a large number of clinical trials. We therefore evaluated the available evidence on laser irradiation parameters used in coagulation of blood to optimize physical parameters. We performed a literature search for recent scientific studies indexed between 2017 and 2023 using the databases of PubMed and ScienceDirect. Articles were selected based on defined inclusion and exclusion criteria, and 78 publications in total were eventually included in this scoping review. The following were found to produce significant benefits in blood coagulation for surgical application: (1) dentistry and oral surgeries: 980 nm, 27 s, 2 W, 1502.7 W/cm2, 26.5 J, 622 J/cm2, 400 μm; (2) urogenital disorders: 532 nm, 4 s, 40 W, 10600 W/cm2, 1.3 J, 424 J/cm2, 600 μm; (3) ophthalmic disorders: 810 nm, 1 s, 1 W, 3540 W/cm2, 0.75 J, 1326 J/cm2, 100 μm; (4) embryological surgeries: 1064 nm, 10 s, 25 W, 35400 W/cm2, 262.5 J, 371000 J/cm2, 332.5 μm; (5) dermatological disorders: 1064 nm, 20 W, 2440 W/cm2, 0.1 J, 24 J/cm2, 670 μm; (6) gastrointestinal disorders: 532 nm, 3 s, 20 W, 1051 W/cm2, 120 J, 26500 J/cm2, 760 μm; (7) neurological surgeries: 2.5 s, 1.5 W, 1035 W/cm2, 2 J, 1584 J/cm2, 385 μm; (8) pulmonary disorders: 1320 nm, 5s, 35 W, 12450 W/cm2, 250 J, 65000 J/cm2, 700 μm (9) cardiovascular disorders: 1064 nm, 16.5 s, 5 W, 1980.5 W/cm2, 900 J, 760 J/cm2, 400 μm. In conclusion, our scoping review identifies that combining data from all clinically heterogeneous studies suggests that laser irradiation reflects an effective method for inducing blood coagulation in several medical fields.
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Affiliation(s)
| | - Mahmoud Sedky Adly
- LBN, Univ Montpellier, Montpellier, France
- Royal College of Surgeons of Edinburgh, Scotland, United Kingdom
| | - Frederic Cuisinier
- LBN, Univ Montpellier, Montpellier, France
- CSERD, CHU Montpellier, Montpellier, France
- UFR Odontologie, Univ. Montpellier, Montpellier, France
| | - Jean-Christophe Egea
- LBN, Univ Montpellier, Montpellier, France
- CSERD, CHU Montpellier, Montpellier, France
- UFR Odontologie, Univ. Montpellier, Montpellier, France
| | - Ivan Panayotov
- LBN, Univ Montpellier, Montpellier, France
- CSERD, CHU Montpellier, Montpellier, France
- UFR Odontologie, Univ. Montpellier, Montpellier, France
| | | | - Eve Malthiery
- LBN, Univ Montpellier, Montpellier, France
- CSERD, CHU Montpellier, Montpellier, France
- UFR Odontologie, Univ. Montpellier, Montpellier, France
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Matsumoto K, Tanakura M, Mitani I, Kimoto A, Akashi M. Removal of Large Wharton's Duct Salivary Stones Using a CO 2 Laser: A Report of Two Cases. J Lasers Med Sci 2021; 12:e19. [PMID: 34733742 DOI: 10.34172/jlms.2021.19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Introduction: Salivary stones inside the Wharton's duct adjacent to the mylohyoid muscle are often removed by a little incision of the mouth floor under local anesthesia. However, in the case of relatively large salivary stones, a large incision is required, which is commonly accompanied by hemorrhage and the need for surgical hemostasis, resulting in prolonged surgery. Furthermore, troublesome sequelae such as ranula and lingual nerve paralysis can occur after surgical procedures. Methods: Two patients who had relatively large salivary stones (>1 cm diameter) in the Wharton's duct were underwent incision of the mouth floor soft tissues with a CO2 laser. Results: In both patients, the stone was removed in a few minutes without causing abnormal bleeding, nerve injury, or sublingual gland disorders and was completely healed. Conclusion: We report the usefulness and safety of the CO2 laser in two patients with relatively large salivary stones, who underwent successful surgical removal.
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Affiliation(s)
- Kousuke Matsumoto
- Department of Oral and Maxillofacial Surgery, Japan Community Health Care Organization, Kobe Central Hospital, Kobe, Japan
| | - Makiko Tanakura
- Department of Oral and Maxillofacial Surgery, Japan Community Health Care Organization, Kobe Central Hospital, Kobe, Japan
| | - Izumi Mitani
- Department of Oral and Maxillofacial Surgery, Japan Community Health Care Organization, Kobe Central Hospital, Kobe, Japan
| | - Akira Kimoto
- Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Masaya Akashi
- Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
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Faklaris I, Bouropoulos N, Vainos NA. Sialolithiasis: Application parameters for an optimal laser therapy. JOURNAL OF BIOPHOTONICS 2020; 13:e202000044. [PMID: 32277604 DOI: 10.1002/jbio.202000044] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/12/2020] [Revised: 03/18/2020] [Accepted: 03/25/2020] [Indexed: 06/11/2023]
Abstract
In-vitro experimental parametric studies of laser ablation using natural sialoliths and artificial stones have been performed toward an efficient laser treatment of sialolithiasis. Surface microstructure and water adsorption become critical for coupling high power pulsed Ho:YAG laser radiation (λ = 2080 nm, τ ∼250 μsec), inducing ablative interactions and stone fragmentation. Results reveal a generic trend, with single pulse laser energy density threshold for sialolith ablative erosion at ∼200 J cm-2 (corresponding to intensity ∼800 kW cm-2 ) and fragmentation rates reaching ∼1 mm/pulse at ∼2400 J cm-2 . This process shows no saturation, suggesting that very high energy density irradiation at low pulse repetition rate is an efficient approach. Such operation facilitates rapid cooling and minimal thermal loading of the oral and maxillofacial area, thus causing negligible adverse effects. The method is expected to contribute to the establishment of an easy and optimal therapeutic protocol for sialolithiasis pathology.
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Affiliation(s)
- Ioannis Faklaris
- Department of Materials Science, University of Patras, Patras, Greece
- Dentomaxillofacial Radiology Department, 251 Hellenic Air Force and VA General Hospital, Athens, Greece
| | - Nikolaos Bouropoulos
- Department of Materials Science, University of Patras, Patras, Greece
- Foundation for Research & Technology-Hellas/ICE-HT (FORTH/ICE-HT), Patras, Greece
| | - Nikolaos A Vainos
- Department of Materials Science, University of Patras, Patras, Greece
- National Hellenic Research Foundation - TPCI, (NHRF/TPCI), Athens, Greece
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Anomalous Course of Facial Artery Through the Submandibular Gland and its Redundant Loop at the Base of Mandible. J Craniofac Surg 2020; 31:2015-2016. [PMID: 32472879 DOI: 10.1097/scs.0000000000006539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Knowledge of variant course and branching pattern of the facial artery gains importance in the surgeries of upper neck and face. The authors report a unilateral anomalous course and a redundant loop of right facial artery as seen in an adult male cadaver. The right facial artery had its origin from the external carotid artery. It pierced through the submandibular salivary gland and formed a redundant loop at the base of the mandible. Its further course and branching pattern was normal. This case could be important for radiologists, plastic surgeons and craniofacial surgeons.
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Razmara F, Mahmoudi X. Noninvasive treatment for chronic sialadenitis: Case report. Clin Case Rep 2019; 7:1870-1873. [PMID: 31632672 PMCID: PMC6787942 DOI: 10.1002/ccr3.2379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2019] [Revised: 07/19/2019] [Accepted: 07/29/2019] [Indexed: 11/07/2022] Open
Abstract
This reporter expresses a patient with a history of tender neck swelling. After clinical and graphical examinations, the patient was diagnosed with submandibular sialolithiasis. Instead of invasive removal of the gland, a more conservative treatment was used. Eventually, after a 1-year-long follow-up, the patient's conditions were found to be acceptable.
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Affiliation(s)
- Farnoosh Razmara
- Department of Oral and Maxillofacial SurgeryTehran University of Medical SciencesTehranIran
| | - Xaniar Mahmoudi
- School of Dentistry, International Campus, Department of Oral and Maxillofacial SurgeryTehran University of Medical SciencesTehranIran
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Lingual Nerve Entrapment in Fused Submandibular and Sublingual Salivary Glands: A Unique Finding. J Craniofac Surg 2018; 29:e677-e679. [PMID: 30106809 DOI: 10.1097/scs.0000000000004842] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Lingual nerve (LN) is one among the 3 branches of posterior division of mandibular nerve. It might get entrapped in the infratemporal fossa by lateral pterygoid muscle, pterygospinous ligament, or lateral pterygoid plate. Its entrapment in the submandibular region has not been reported yet. A unique entrapment of LN in the fused submandibular and sublingual salivary glands in a cadaver was reported. The deep parts of the submandibular and sublingual salivary glands were completely fused with each other. The LN passed through the center of the fused part. Histologically both submandibular and sublingual salivary glands had both mucous and serous acini. Though this entrapment might not cause any functional problems, it might get injured during various surgical procedures of the submandibular region.
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