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YAG Laser Treatment (yag + laser_treatment)
Selected AbstractsPatient Satisfaction and Reported Long-Term Therapeutic Efficacy Associated with 1,320 nm Nd:YAG Laser Treatment of Acne Scarring and PhotoagingDERMATOLOGIC SURGERY, Issue 3 2006ASHISH C. BHATIA BACKGROUND AND OBJECTIVE Nonablative laser treatments have become increasingly used for the treatment of acne scarring and photoaging. While nonablative laser treatments are more convenient and relatively safer than ablative laser resurfacing, efficacy and patient satisfaction with the level of improvement of textural abnormalities in acne scarring and rhytids associated with photoaging needs further study. DESIGN/MATERIALS AND METHODS Structured interviews were performed with 34 patients from a referral-based academic practice who each previously received a series of 6 monthly treatments with a 1,320 nm neodymium:yttrium,aluminum,garnet (Nd:YAG) laser for treatment of acne scarring or photoaging. Topical anesthesia was applied 1 hour before each treatment. Patients were interviewed at least 3 months after cessation of treatment (range 3,12 months). RESULTS Patients tolerated the treatments well. Combined results for acne scarring and photoaging patients were as follows: (a) patient satisfaction with treatment was rated at 62%, and (b) textural improvement was reported at 31% at the end of the six treatments, and 30% at the date of interview. When results were stratified by diagnosis, patient satisfaction was slightly higher for treatment of acne scarring than for photoaging. Overall degree of improvement on a 1,10 scale was 5.4 for acne scarring and 3.8 for wrinkling. CONCLUSION Nonablative treatment with the 1,320 nm Nd:YAG laser induced significant patient-reported improvement in both acne scarring and photoaging. The majority of patients reported satisfaction with the degree of improvement. [source] Low-Fluence Q-Switched Neodymium-Doped Yttrium Aluminum Garnet Laser for Melasma with Pre- or Post-Treatment Triple Combination CreamDERMATOLOGIC SURGERY, Issue 6 2010SE-YEONG JEONG MD BACKGROUND Topical triple combination (TC) treatment is considered the primary approach to melasma. Recently, collimated low-fluence 1,064-nm Q-switched neodymium-doped yttrium aluminum garnet (Nd:YAG) laser treatment has attracted attention as an alternative approach. OBJECTIVES To compare the clinical efficacy and adverse effects of low-fluence Q-switched Nd:YAG laser when performed before and after treatment with topical TC using a split-face crossover design. METHODS Thirteen patients with melasma received topical treatment with TC cream or 1,064-nm Q-switched Nd:YAG laser treatment on opposite sides of the face for 8 weeks, and then treatments were reversed for 8 weeks. Responses were evaluated using the Melasma Area and Severity Index scoring system, spectrophotometry measurements, and a subjective self-assessment method. RESULTS After 16 weeks, better results were seen in subjective assessments when laser treatment was used after 8 weeks of topical TC treatment than before usage of TC. There were no significant adverse effects with the laser treatments. CONCLUSIONS Laser treatment after topical TC cream was found to be safer and more effective than the post-treatment use of topical agents. The authors have indicated no significant interest with commercial supporters. [source] Morphology, chemical structure and diffusion processes of root surface after Er:YAG and Nd:YAG laser irradiationJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 6 2001B. Ga Abstract Objectives: The aim of this in vitro study was to evaluate the effects of Er:YAG and Nd:YAG lasers on morphology, chemical structure and diffusion processes of the root surface. Material and methods: 60 root samples were irradiated for 1 min each either with 60 mJ/p, 80mJ/p and 100mJ/p using Er:YAG laser or with 0.5W, 1.0W and 1.5W using Nd:YAG laser. Scanning electron microscopy (SEM) was used to determine the morphology, infrared (IR) spectroscopy to assess the alterations in chemical structure and one dimensional electron paramagnetic resonance imaging (1-D EPRI) was used to estimate the diffusion coefficients in dental root samples. Results: Er:YAG laser treatment resulted in deep crater formation with exposed dentin. Morphological alterations of root surface after Nd:YAG laser irradiation included cracks, crater formation, meltdown of the root mineral and resolidified porous globules formation. Er:YAG laser failed to alter the intensity of Amide peaks I, II or III. In contrast, treatment with Nd:YAG laser, using the highest power setting of 1.5W, reduced the intensity of Amide peak II and III in comparison to the control. The diffusion coefficients were increased significantly in all Er:YAG and Nd:YAG treated root samples. Conclusion: This study demonstrated that Er:YAG laser influences only on morphology and diffusion processes of root surfaces, while Nd:YAG laser also alters the chemical structure of root proteins. Zusammenfassung Ziele: Das Ziel dieser in vitro Studie war es, die Wirkung von Er:YAG- und Nd:YAG-Laser auf die Morphologie, chemische Struktur und die Diffusionsprozesse zu evaluieren. Material und Methoden: 60 Proben von Wurzeln wurden für eine Minute entweder mit einem Er:YAG-Laser und 60 mJ/p, 80 mJ/p und 100 mJ/p oder einem Nd:YAGLaser und 0.5 W, 1.0 W und 1.5 W bestrahlt. Die Rasterelektronenmikroskopie (REM) wurde verwendet um die Morphologie zu bestimmen, Infrarotspektroskopie (IR) zur Messung der Veränderung in der chemischen Struktur und die eindimensionale paramagnetische Elektronenresonanz-Bildgebung (1-D EPRI) wurde verwendet um die Diffusions-Koeffizienten in den dentalen Wurzelproben abzuschätzen. Ergebnisse: Die Behandlung mit dem Er: YAG-Laser resultierte in der Ausbildung tiefer Krater mit exponiertem Dentin. Die morphologischen Veränderungen der Wurzeloberfläche nach Bestrahlung mit dem Nd: YAG-Laser waren Brüche, Kraterbildung, Aufschmelzen des Wurzelminerals und Bildung wiederverfestigter poröser Globuli. Mit dem Er:YAG-Laser gelang es nicht die Intensität der Amid-peaks I, II oder III zu verändern. Im Gegensatz dazu reduzierte die Behandlung mit dem Nd:YAG-Laser im Vergleich mit der Kontrolle bei der höchsten Leistungseinstellung von 1.5 W die Intensität der Amid-Peaks II und III. In allen mit Er: YAG und Nd:YAG behandelten Wurzelproben waren die Wurzeldiffusionskoeffizienten signifikant erhöht. Schlussfolgerung: Diese Studie demonstrierte, dass der Er:YAG-Laser nur die Morphologie und die Diffusionsprozesse der Wurzeloberfläche beeinflusst, während der Nd: YAG-Laser auch die chemische Struktur der Wurzelproteine verändert. Résumé Morphologie, structure chimique et processus de diffusion de surfaces radiculaires après irradiation au lasers Er:YAG et Nd:YAG But: Le but de cette étude in vitro était d'évaluer les effets des lasers Er:YAG et Nd:YAG sur la morphologie, la structure chimique et les processus de diffusion des surfaces radiculaires. Matériaux et méthodes: 60 échantillons de racines furent irradiés pendant 1 min chacun par 60 mJ/p, 80 mJ/p et 100 mJ/p avec le laser Er:YAG ou par 0.5 W, 1.0 W et 1.5 W avec le laser Nd:YAG. La microscopie électronique à balayage (SEM) a été utilisée pour déterminer la morphologie, la spectroscopie infra rouge pour mettre en évidence les altérations de la structure chimique et l'imagerie en une dimension par résonnance magnétique électronique (1-DEPRI) fut utilisée pour estimer les coefficients de diffusion dans les échantillons de racines dentaires. Résultats: Le traitement au laser Er:YAG entrainait la formation de cratères profonds avec de la detine exposée. Les altérations morphologiques de la surface radiculaire après irradiation au laser Nd:YAG prenaient la forme de félures, de cratères, fusion du minéral radiculaire et formation de globules poreux resolidifiés. Le laser Er:YAG n'arrivait pas à altérer l'intensité des pics Amide I, II our III. Au contraire, le traitement au laser Nd:YAG, en utilisant la plus haute puissance de 1.5 W, réduisait l'intensité des pics Amide II et III, par rapport au contrôle. Les coefficients de diffusion étaient significativement augmentés pour toutes les racines traitées par les lasers Er:YAG et Nd:YAG. Conclusions: Cette étude démontre que le laser Er:YAG a une influence sur seulement la morphologie et les processus de diffusion des surfaces radiculaires alors que le laser Nd:YAG modifie également la structure chinique des protéines radiculaires. [source] Paradoxical postoperative hyperpigmentation from Q-switched YAG laser treatment of pigmented lesions in children with fair skin typesJOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY & VENEREOLOGY, Issue 7 2009LW Idorn [source] Combination of Er:YAG laser and photodynamic therapy in the treatment of nodular basal cell carcinomaLASERS IN SURGERY AND MEDICINE, Issue 2 2008Roman, mucler PhD Abstract Backgrounds and Objectives Photodynamic therapy (PDT), via topical aminolevulinic acid (ALA) is an effective treatment for basal cell carcinomas not exceeding a depth of 2 mm. This limits the treatment of basal cell carcinoma (non-melanoma skin cancer) to superficial forms and nodular therapy (only in aesthetically desired locations). This paper addresses the effectiveness of reducing tumor mass via initial Er:YAG laser ablation to depths that are therapeutically responsive to PDT with ALA. Study Design/Materials and Methods This study compared three methods for the treatment of recurring nodular basal cell carcinomas (r nBCC). Method A utilized PDT with topical application of ALA methyl ester, method B with solitary Er:YAG laser ablation, and method C combined Er:YAG laser ablation reducing tumor size below 2 mm (method B) with subsequent ALA methyl ester PDT (method A). All three methods were used to treat to each patient, all subjects presenting with three or more basal cell carcinomas in order to eliminate differences in patient responsiveness to treatment. Patients were monitored and interviewed at 3, 6, and 12 month intervals to examine the progress of tumor elimination, aesthetic results as well as the patient's preference of treatment method. In all, 286 patients were treated, of whom 194 were checked at the prescribed intervals and then evaluated. Results Statistically, the combination therapy demonstrated the most effective treatment at all time intervals, with a final efficacy of 98.97% versus 94.85% (PDT only) and 91.75% (Er:YAG laser only). The combined method also provided the best aesthetic results (scale: 1,best; 4,worst) of 1.23±1.23, compared to 1.67±0.76 (PDT only) and 1.83±0.95 (Er:YAG laser only). Conclusions Although 67% patients preferred solitary Er:YAG laser treatment over the PDT method (20%) and the combined treatment (13%), because of the simplicity of the treatment, the combination therapy has proven to be both clinically and aesthetically superior. Solitary Er:YAG laser ablation will remain however a fast, effective, and economical treatment alternative for simple manifestations of superficial basal cell carcinoma and has replaced PDT for uncomplicated cases at our facility. The combination of Er:YAG laser ablation and ALA,PDT aspires to be therapy of choice for BCC. Lesers Surg. Med. 40:153,158, 2008. © 2008 Wiley-Liss, Inc. [source] Areolar Cosmetic Tattoo Ink Darkening: A Complication of Q-Switched Alexandrite Laser TreatmentDERMATOLOGIC SURGERY, Issue 1 2002Sung-Eun Chang MD background and objective. Medical tattooing of the areola is widely performed in Korea. However, cosmetic tattoos containing flesh-tone, purple-red, and yellow dyes are sometimes resistant to Q-switched laser and may even become darker. method. Two Korean women in their 30s who had a mastectomy got light brown to red areolar medical tattoos but they were not satisfied with the shape and size of the tattoos. They underwent Q-switched alexandrite laser treatment with a 3 mm collimated beam at fluences of 7.5,8 J/cm2 in order to trim the irregular contour and reduce the diameter of the tattoos. results. Within 5 minutes a dark gray to black discoloration of the treated area was evident and remained dark for 6 weeks. Improvement was not noted after two further Q-switched Nd:YAG laser treatments. conclusion. Medical areolar tattoos should be approached with extra caution when attempting their removal with high-energy pulsed lasers such as Q-switched alexandrite laser and a small test site should be performed prior to treatment. [source] Ex vivo study of the adhesion of an epoxy-based sealer to human dentine submitted to irradiation with Er : YAG and Nd : YAG lasersINTERNATIONAL ENDODONTIC JOURNAL, Issue 12 2005M. D. Sousa-Neto Abstract Aim, To evaluate the adhesion of an epoxy-based sealer to human dentine submitted to irradiation with Er : YAG or Nd : YAG laser at various parameters. Methodology, Ninety maxillary canine teeth were sectioned transversely at the cemento-enamel junction and at the root tip to leave an 8-mm-long cylinder. The tooth specimen was centred in a metallic ring (16 mm diameter and 8 mm height) and embedded in acrylic resin. The root canals were prepared using a low-speed handpiece and a conical diamond bur, which was attached to a paralleling device. This bur was lowered to a depth previously determined by a silicone stop. Specimens were divided into nine groups: group I, dentine was treated with 2 mL of 17% EDTAC for 5 min. Groups II,V were irradiated with Er : YAG laser at the following parameters: group II , 8 Hz and 200 mJ input (120 mJ output); group III , 8 Hz and 400 mJ input (240 mJ output); group IV , 16 Hz and 200 mJ input (120 mJ output); group V , 16 Hz and 400 mJ input (240 mJ output). Groups VI,IX were irradiated with Nd : YAG laser at the following parameters: group VI , 10 Hz and 1 W input (0.4 W output); group VII , 10 Hz and 2 W input (0.8 W output); group VIII , 15 Hz and 1 W input (0.4 W output); group IX , 15 Hz and 2 W input (0.8 W output). The root canals were filled with an epoxy-based root canal sealer and submitted to a push-out test. Results, Statistical analysis showed significant differences (P < 0.01) between Er : YAG and Nd : YAG laser treatments at the higher frequencies compared with 17% EDTAC. Greater adhesion values were obtained for groups IV and V (Er : YAG laser) and groups VIII and IX (Nd : YAG laser), which were statistically different from groups II and III (Er : YAG laser) and groups VI and VII (Nd : YAG laser). Treatment with only 17% EDTAC had the lowest adhesion values. Conclusions, An increase in frequency, independent of power settings, of the lasers used in this study increased adhesion of an epoxy-based root canal sealer. [source] Hereditary Hemorrhagic Telangiectasia: A Review of 76 Cases,THE LARYNGOSCOPE, Issue 5 2002Rahul K. Shah MD Abstract Objectives/Hypothesis Hereditary hemorrhagic telangiectasia has long been viewed as a rare condition. Recent evidence indicates that the disorder is more frequent than previously thought. Recalcitrant epistaxis is a salient feature of this disease, and the otolaryngologist is often called on to make the diagnosis and guide the primary management of patients with hereditary hemorrhagic telangiectasia. Wider recognition of this condition, awareness of the natural history and associated findings, appropriate workup and screening for arteriovenous malformations (lungs, brain, liver), and knowledge of appropriate interventions can help avoid the considerable morbidity associated with hereditary hemorrhagic telangiectasia. Study Design Retrospectivereview. Methods Records of patients treated by the senior author (s.m.s.) for hereditary hemorrhagic teleangiectasia from 1993 to 2000 were reviewed. Results Seventy-six patients were identified, 98% of whom had epistaxis as their presenting complaint, with 75% having a family history of hereditary hemorrhagic telangiectasia. The severity of epistaxis varied in the patients: 66% had mild, 21% moderate, and 13% severe epistaxis. Sixty-four percent of patients had no transfusions, 25% had 1 to 10 transfusions, and 11% of patients had more than 10 transfusions. Complications of hereditary hemorrhagic telangiectasia were documented in 30% of patients. Screening for arteriovenous malformations was performed in only 34% of patients. Eighty-two percent of patients received a variable number of Nd:YAG laser treatments. Conclusions The study presents the largest retrospective review of patients treated for hereditary hemorrhagic telangiectasia by a single otolaryngologist. The importance of a multidisciplinary approach facilitated by the otolaryngologist for evaluation of concomitant complications and morbidity (arteriovenous malformations) from hereditary hemorrhagic telangiectasia is demonstrated. An algorithm for controlling the epistaxis is presented. [source] | ||||||||||