M. Speyer et al., THERMAL-INJURY PATTERNS AND TENSILE-STRENGTH OF CANINE ORAL-MUCOSA AFTER CARBON-DIOXIDE LASER INCISIONS, The Laryngoscope, 106(7), 1996, pp. 845-850
The amount of collateral damage in laser surgery is affected by the pr
ecision of the beam delivery. To test a new control system, the author
s of this study produced surgical incisions in the canine oral mucosa
and then documented histologic and tensile strength changes during the
wound healing process. The incisions were made by three different met
hods: scalpel, manually controlled carbon dioxide (CO2) laser, and com
puter-controlled CO2 laser. Both types of laser incisions took longer
to heal than the scalpel incisions. The laser incisons were accompanie
d by a zone of thermal damage lateral to the incision, With the comput
er-controlled laser incision, the area of thermal damage was reduced,
the laser-induced delay in wound healing was less, and tensile strengt
h was relatively greater. The data indicate that surgical performance
is improved by critical beam control.