Skip to main content
SpringerLink
Log in

Holmium-YAG Laser ablation characteristics in calvarial lamellar and cortical bone: The role of water and tissue micro-architecture

  • Original Articles
  • Published:
Lasers in Medical Science Aims and scope Submit manuscript

Abstract

The effect of tissue micro-architecture and water content on ablation rates in bone is examined. Precisely machined and prepared porcine calvarial lamellar and cortical bone were ablated with a Holmium-YAG laser (λ=2.1Μm). Lamellar and cortical bone differ substantially in their tissue micro-architecture. Both are porous hard tissues, which differ predominantly in size and distribution of pores within the bone matrix. These hard tissues were ablated under physiological (wet) and chemically dehydrated conditions. The ablation rates over the range of energy densities examined assumes many linear characteristics. Ablation rate (as a function of fluence) is considerably higher for dehydrated cortical bone (4.7Μm cm2 J−1) compared to fresh cortical bone (1.49Μm cm2 J−1). This trend is also observed in lamellar bone (2.31Μm cm2 J−1 for wet and 0.37Μm cm2 J−1 for dry). Under both physiological and dehydrated conditions, cortical bone was ablated faster. Mechanisms accounting for these observations are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Perkins RC. Laser stapedotomy for otosclerosis.Laryngoscope 1980,90:228–41

    PubMed  Google Scholar 

  2. Schindler RA, Lanser MJ. The surgical management of cholesteatoma—the contribution of the laser. In: Tos M, Thomsen J, Peitersen E (eds) Third International Conference on Cholesteatoma and Mastoid Surgery, Copenhagen, Denmark June 5–9, 1988:769–78

  3. Thedinger BS. Applications of the KTP laser in chronic ear surgery.Am J Otol 1990,11(2):79–84

    PubMed  Google Scholar 

  4. McGee TM. The argon laser in surgery for chronic ear disease and otosclerosis.Laryngoscope 1983,93:1177–82

    PubMed  Google Scholar 

  5. Bartels LJ. KTP laser stapedotomy: Is it safe?Otolaryngol Head Neck Surg 1990,103(5):685–92

    PubMed  Google Scholar 

  6. Gherini S, Horn KL, Causse J-B, McArthur GR. Fiberoptic argon laser stapedotomy: Is it safe?Am J Otol 1993,14(3):283–9

    PubMed  Google Scholar 

  7. Hodgson RS, Wilson DF. Argon laser stapedotomy.Laryngoscope 1991,101:230–3

    PubMed  Google Scholar 

  8. Lesinski SG, Stein JA. CO2 laser stapedotomy.Laryngoscope 1989,99:20–4

    PubMed  Google Scholar 

  9. Wiet RJ, Causse J-B, Shambaugh JGE, Causse JR.Otosclerosis (Otospongiosis). Alexandria, VA: American Academy of Otolaryngology-Head and Neck Surgery Foundation Inc, 1991

    Google Scholar 

  10. Gantz B. Argon laser stapedotomy.Ann Otolaryngol 1982,91:25–6

    Google Scholar 

  11. Jovanovic S, Schonfeld U, Berghaus A et al. CO2 laser in stapes surgery. ProceedingsSPIE 1993,1876:17–27

    Google Scholar 

  12. Kautzky M, Trodhan A, Susani M, Schenk P. Infrared laser stapedotomy.Eur Arch Oto rhino laryngol 1991,248(8):449–51

    Google Scholar 

  13. Shah UK, Poe DS, Rebeiz EE et al. Erbium laser in middle ear surgery: In vitro and in vivo animal study. ProceedingsSPIE 1994,2128:12–16

    Google Scholar 

  14. Stubig IM, Reder PA, Facer GW et al. Holmium-Yag laser stapedotomy: Preliminary evaluation. ProceedingsSPIE 1993,1876:10–16

    Google Scholar 

  15. Segas J, Georgiadis A, Christodoulou P et al. Use of the excimer laser in stapes surgery and ossiculoplasty of middle ear ossicles: Preliminary report of an experimental approach.Laryngoscope 1991,101:186–91

    PubMed  Google Scholar 

  16. Wong BJF, Dickinson MR, Neev J et al. Surface characteristics of argon laser ablated bone in the presence and absence of an initiator.SPIE Proceedings 1995,2391:366–78

    Google Scholar 

  17. Foth H-J, Barton T, Horman K et al. Possibilities and problems of using the holmium-laser in ENT. Biomedical Optics 1994 (technical abstracts) Society of Photo-Optical Instrumentation Engineers, Los Angeles, 1994:2128:21

    Google Scholar 

  18. April MM, Rebeiz EE, Aretz HT, Shapshay SM. Endoscopic holmium-laser laryngotracheoplasty in animal models.Ann Otolrhino laryngol 1991,100:503–7

    Google Scholar 

  19. Shapshay SM, Rebeiz EE, Bohigian K et al. Holmium-Yttrium aluminum garnet laser-assisted endoscopic sinus surgery: Laboratory experience.Laryngoscope 1991,101:142–9

    PubMed  Google Scholar 

  20. Kautzky M, Susani M, Steurer M, Hofler H. Holmium-YAG-laserchirurgie eines nasopharynxkarzinoms.Laryngo rhino otologie 1993,72:181–6

    PubMed  Google Scholar 

  21. Dillingham MF, Price JM, Fanton GS. Holmium laser surgery.Orthopedics 1993,16(5):563–6

    PubMed  Google Scholar 

  22. Nelson JS, Orenstein A, Liaw L-HL, Berns MW. Midinfrared erbium-YAG laser ablation of bone: The effect of laser osteotomy on bone healing.Lasers Surg Med 1989,9:362–74

    PubMed  Google Scholar 

  23. Nelson JS, Yow L, Liaw L-H et al. Ablation of bone and methacrylate by a prototype mid-infrared erbium-YAG Laser.Lasers Surg Med 1988,8:494–500

    PubMed  Google Scholar 

  24. Nuss RC, Fabian RL, Sarkar R, Puliafito CA. Infrared laser bone ablation.Lasers Surg Med 1988,8:381–91

    PubMed  Google Scholar 

  25. Walsh Jr JT, Flotte TJ, Deutsch TF. Er-YAG laser ablation of tissue: Effect of pulse duration and tissue type on thermal damage.Lasers Surg Med 1989,9:314–26

    PubMed  Google Scholar 

  26. Walsh Jr JT, Deutsch TF. Er-YAG laser ablation of tissue: Measurement of ablation rates.Lasers Surg Med 1989,9:327–37

    PubMed  Google Scholar 

  27. Li Z-Z, Reinisch L, Van de Merwe WP. Bone ablation with Er-YAG and CO2 laser: Study of thermal and acoustic effects.Lasers Surg Med 1992,12:79–85

    PubMed  Google Scholar 

  28. Stein E, Sedlacek T, Fabian RL, Nishioka NS. Acute and chronic effects of bone ablation with a pulsed holmium laser.Lasers Surg Med 1990,10:384–8

    PubMed  Google Scholar 

  29. Wong BJF, Liaw L-HL, Neev J, Berns MW. Scanning electron microscopy of otic capsule and calvarial bone ablated by a holmium-YAG laser.Lasers Med Sci 1994,9:249–60

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Beckman Laser Institute, and Medical Clinic, University of California, 1002 Health Sciences Road East, 92715, Irvine, California, USA

    Brian Jet -Fei Wong, Vivian Sung, Michael W. Berns & Joseph Neev

  2. Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, California, USA

    Brian Jet -Fei Wong

  3. Institute of Physical Electronics, The Norwegian Institue of Technology, Trondheim, Norway

    Lars O. Svaasand

Authors
  1. Brian Jet -Fei Wong
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Vivian Sung
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Michael W. Berns
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Lars O. Svaasand
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Joseph Neev
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wong, B.J.F., Sung, V., Berns, M.W. et al. Holmium-YAG Laser ablation characteristics in calvarial lamellar and cortical bone: The role of water and tissue micro-architecture. Laser Med Sci 10, 181–188 (1995). https://doi.org/10.1007/BF02133329

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02133329

Key words

Search

Navigation