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      Estudo comparativo das extensões das lesões causadas por duas e quatro passadas de laser Erbium em ratos Wistar com 0% de sobreposição dos spots Translated title: Comparative study of alterations found in 2 and 4 Erbium: YAG laser passes in Wistar rats with 0% overlap of spots

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          Abstract

          Lasers de CO2 tem sido apresentados com a finalidade de rejuvenecer a face através do resurfacing. Embora cada sistema de laser tenha o mesmo princípio básico, há significativa diferença entre os lasers que pode resultar em variações no efeito tecidual clínico e histológico. O laser Erbium:YAG que tem como característica o comprimento de onda com 10 vezes mais afinidade pela água que o laser de CO2. O propósito deste estudo experimental foi comparar as alterações morfométricas encontradas em 2 e 4 passadas com laser Erbium:YAG com sobreposição de 0% dos spots. Foi avaliada a homogeneidade da ablaçãoem comprimento e usou-se a pele do dorso de 3 ratos in vivo. Foi selecionada uma área de pele controle de cada rato. Finalmente, num período máximo de 3 horas, a pele foi ressecada e encaminhada à histopatologia para as avaliações propostas. Como resultados com 4 passadas houve mais homogeneidade da extensão da ablação do que em 2 passadas. Conclui-se que a extensão e homogeneidade de ablação foi maior com 4 passadas. A utilização de 0% de sobreposição dos spots não garante homogeneidade de ablação.

          Translated abstract

          CO2 lasers has been presented with the purpose of rejuvenating the face by means of resurfacing. Though each laser systems has the same base principle, there is a significant difference among lasers which could result in variations in the clinical and histological effects of the tissue. The Erbium:YAG laser has the characteristic of having the wavelength with 10 times more affinity for water than the CO2 laser. The purpose of this experimental study was to compare the morphometric alterations found in 2 and 4 Erbium:YAG laser passes with 0% overlap of spots. It was evaluated the homogeneity of ablation in length and was used the dorsal skin of 3 living mice. It was selected a control area in each mouse. Finally, in the maximum period of three hours, the skin was resected and sent to histopathology for evaluations proposed. As a result there was more homogeneity in the length of the ablation with 4 passes than with 2 passes. The conclusions of the experiment indicated that the length and homogeneity of the ablation were larger with 4 passes. The use of 0% overlap of spots does not guarantee homogeneity in ablation.

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          Theory and Practice of Histological Techniques

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            Computerized scanning erbium:YAG laser for skin resurfacing.

            Laser skin resurfacing has become increasingly popular as a method of facial rejuvenation. Although carbon dioxide (CO2) laser resurfacing is extremely effective, there is considerable morbidity associated with this procedure. Erbium (Er):YAG lasers, like CO2 lasers, are highly absorbed by water, and are absorbed superficially in skin. In our study of 141 patients using the computerized scanning Er:YAG laser, we found that it was possible to precisely ablate skin with less thermal injury than the currently available scanning CO2 lasers. The scanning system allowed very precise and homogeneous skin ablation. It was possible to ablate epidermis and superficial dermis, although deeper resurfacing led to pinpoint bleeding. Furthermore, healing was more rapid than generally experienced using CO2 lasers. Erythema was less marked, and disappeared usually within 3-4 weeks. Histological studies confirmed the minimal degree of thermal injury, as was evident clinically. Fluences of at least 20 J/cm2 were necessary to produce new collagen formation.
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              A model for thermal ablation of biological tissue using laser radiation

              F Parvoti (1987)
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                acb
                Acta Cirurgica Brasileira
                Acta Cir. Bras.
                Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (São Paulo )
                1678-2674
                June 2001
                : 16
                : 2
                : 97-102
                Affiliations
                [1 ] Pontifícia Universidade Católica do Paraná Brazil
                [2 ] Universidade Federal do Paraná Brazil
                [3 ] Pontifícia Universidade Católica do Paraná Brazil
                [4 ] Faculdade Evangélica do Paraná Brazil
                [5 ] Sociedade Brasileira de Cirurgia Plástica
                Article
                S0102-86502001000200007
                10.1590/S0102-86502001000200007
                671e04fd-588c-479e-b8f9-0ec495247421

                http://creativecommons.org/licenses/by/4.0/

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                SciELO Brazil

                Self URI (journal page): http://www.scielo.br/scielo.php?script=sci_serial&pid=0102-8650&lng=en
                Categories
                SURGERY

                Surgery
                Laser,Resurfacing,Erbium,Rejuvenecimento
                Surgery
                Laser, Resurfacing, Erbium, Rejuvenecimento

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