Abstract
Previous studies demonstrated that pulsed 2.94μm Er-YAG laser radiation allows a precise etching of organic tissue with only minimal thermal damage. This makes the Er-YAG laser a promising tool for the careful removal of superficial skin lesions. In order to provide optimized laser parameters for potential clinical use and to enhance our understanding of the mid-infrared ablation process, we measured the ablation rate, temperature profile and damage zones for various pulse numbers, radiant energies and pulse repetition rates. Ablation is very efficient (about 6μm J−1 cm2 for high radiant exposure) and the crater depth is exactly (1Hz) or nearly (2 Hz) linearly related to the radiant exposure. In contrast, no significant effects of the laser parameters on the thermal damage of the epidermis and the crater bottom were observed. In conclusion, for a future clinical use high radiant energies should be applicable without the disadvantage of enhanced damage.
Similar content being viewed by others
References
Walsh JT, Morelli J, Parrish JA. Laser-tissue interactions and their clinical applications.Curr Probe Dermatol 1986,15:94–110
Srinivasan R, Wynne JJ, Blum SE. Far-UV photoetching of organic material.Laser Focus 1983,19:62–6
Lane RJ, Linsker R, Wynne JJ et al. Ultraviolet-laser ablation of skin.Arch Dermatol 1985,121:609–17
Lane RJ, Wynne JJ, Geronemus RG. Ultraviolet laser ablation of skin: Healing studies and a thermal model.Lasers Surg Med 1987,6:504–13
Jacques SL, McAuliffe DJ, Blank IH, Parrish JA. Controlled removal of stratum corneum by pulsed laser.J Invest Dermatol 1987,88:88–93
Morelli J, Kibbi AG, Farinelli W et al. Ultraviolet excimer laser ablation: The effect of wavelength and repetition rate on in vivo guinea pig skin.J Invest Dermatol 1987,88:769–73
Walsh JT, Flotte TJ, Anderson RR, Deutsch TF. Pulsed CO2 laser tissue ablation: Effect of tissue and pulse duration on thermal damage.Lasers Surg Med 1988,8:108–10
Kaufmann R, Hibst R. Pulsed Er:YAG and 308 nmn UV-Excimer laser: an in vitro and in vivo study of skin ablative effects.Lasers Surg Med 1989,9:132–40
Walsh 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
Walsh JT, Deutsch TF. Er:YAG laser ablation of tissue: measurement of ablation rates.Lasers Surg Med 1989,9:327–37
Zolotatrev VM, Mikhailov BA, Alperovich LI, Popov SI. Dispersion and absorption of liquid water in the infrared and radio regions of the spectrum.Opt Spectrosc 1969,26:430–2
Esterowitz L, Hoffman C. Laser tissue/water interaction of the erbium 2.9μm laser.Proc SPIE 1987,712:196–7
Robertson CW, Williams D. Lambert absorption coefficients of water in the infrared.J Opt Soc Am 1971,61:1316–20
Young JS. Evaluation of nonisothermal band model for H2O.J Quant Spectrosc Radiat Transfer 1977,18:29–45
Hibst R, Keller U. Experimental studies of the application of the Er:YAG laser on dental hard substances: I. measurement of the ablation rate.Lasers Surg Med 1989,9:338–44
Partovi F, Izatt JA, Cothren RM et al. A model for thermal ablation of biological tissue using laser radiation.Lasers Surg Med 1987,7:141–54
Zweig AD, Weber HP. Mechanical and thermal parameters in pulsed laser cutting of tissue.IEEE J Quant Electron 1987,QE-23(10):1787–93
Zweig AD, Frenz M, Romano V, Weber HP. A comparative study of laser tissue interaction at 2.94μm and 10.6μm.Appl Phys B 1988,47:259–65
Henriques FC, Moritz AR. Studies of thermal injury, I, II.Am J Path 1947,23:531–49, 695–720
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Hibst, R., Kaufmann, R. Effects of laser parameters on pulsed Er-YAG laser skin ablation. Laser Med Sci 6, 391–397 (1991). https://doi.org/10.1007/BF02042461
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02042461