Abstract
Dermatology has been at the forefront of photomedicine, and has fostered great interest in medical laser applications. In the decade following invention of the ruby laser, this device was used to experimentally treat portwine stains, tattoos, hemangiomas, and melanoma (Goldman and Rockwell, 1971). The ruby laser was then essentially abandoned and replaced during the 1970’s by continuous-wave lasers such as argon-ion and CO2, which offered more predictable, less explosive tissue reactions for coagulation and cutting, respectively. In the 1980’s, the major clinical advances were based on selectively-absorbed pulsed lasers, capable of producing histologically-selective thermal injury for treatment of vascular and pigmented lesions, with minimal or absent scarring. This began with using yellow dye laser pulses for treatment of portwine stains, and a concept we called “selective photothermolysis” (Anderson and Parrish, 1981 and 1983). The past decade has seen major advances in basic understanding of laser-induced photothermal, photochemical, and photoacoustic injury of the skin.
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References
Anderson R.R., and Parrish J.A., 1981, Microvasculature can be selectively damaged using dye lasers: a basic theory and experimental evidence in human skin, Lasers Surg Med., 1:263.
Anderson R.R., and Parrish J.A., 1983, Selective photothermolysis: precise microsurgery by selective absorption of pulsed radiation, Science. 220:524.
Anderson, R.R., and Parrish, J.A., 1981, The optics of human skin, J Invest Dermatol., 77:13.
Anderson R.R., Jaenicke K.F., and Parrish J.A., 1983, Mechanisms of selective vascular changes caused by dye lasers, Lasers Surg Med., 3:211–215.
Anderson, R.R., Margolis R.J., Watenabe S., Flotte, T., Hruza G.J., and Dover, J.S., 1989a, Selective photothermolysis of cutaneous pigmentation by Q-switched Nd:YAG laser pulses at 1064, 532, and 355 nm, J Invest Dermatol., 93:28.
Anderson R.R., Beck H. Bruggemann U., Farinelli W., Jacques S.L., and Parrish J.A., 1989b, Pulsed photothermal radiometry in turbid media: internal reflection of backscattered radiation strongly influences optical dosimetry, Appl Optics., 28:2256.
Anderson R.R., 1987, Carbon dioxide lasers: a broader perspective, Arch Dermatol., 123:566.
Apfelberg D.B., Maser M.R., White D.N., Lash H., Lane B., and Marks M.P., 1990, Combination treatment for massive cavernous hemangioma of the face: YAG laser photocoagulation plus direct steroid injection followed by YAG laser resection with sapphire scalpel tips, aided by superselective embolization, Lasers Surg Med., 10:217.
Barsky S.H., Rosen S., Geer D.E., and Noe J.M., 1980, The nature and evolution of port wine stains: a computer assisted study, J Invest Dermatol., 74:154.
Birngruber R., 1980, Thermal modeling in biological tissues, in: “Lasers in Biology and Medicine,” F. Hillenkamp, R. Pratesi, and CA. Sacchi, eds., Plenum Publishing Co., London.
Clarke R.J., Isner J.M., Donaldson R.F., and Jones G. 2nd, 1987, Gas chromatographic-light microscopic correlative analysis of excimer laser photoablation of cardiovascular tissue: evidence for a thermal mechanism, Circ Res., 60:429.
Dover J.S., Polla L.L., Margolis R.J., Whitaker D., Watanabe S., Murphy G.F., Parrish J.A., and Anderson R.R., 1986, Pulse width dependence of pigment cell damage at 694 nm in guinea pig skin, in: “Lasers in Medicine,” Scott R.S., Parrish J.A., and Jaffe N. eds., Proc. SPIE 712:200.
Dover J.S., Smoller B.R., Stern R.S., Rosen S., and Arndt K.A., 1988a, Low-fluence carbon dioxide laser irradiation of lentigines, Arch Dermatol., 124:1219.
Dover J.S., Margolis R.J., Polla L.L. Watanabe S., Hruza G.J., Parrish J.A., and Anderson R.R., 1988b, Pigmented guinea pig skin irradiated with Q-switched ruby laser pulses — morphologic and histologic findings, Arch Dermatol., 125:43.
Gange R.W., Jaenicke K.F., Anderson R.R., and Parrish J.A., 1984, Effect of preirradiation tissue target temperature upon selective vascular damage induced by 577-nm tunable dye laser pulses, Microvasc Res., 28:125.
Garden J.M., OBanion M.K., Shelnitz L.S., Pinski K.S., Bakus A.D., Reichmann M.E., and Sundberg J.P., 1988, Papillomavirus in the vapor of carbon dioxide laser-treated Verrucae, JAMA., 259:1199.
Garden J.M., Tan O.T., Kershmann R., Boll J., Furumoto H., Anderson R.R., and Parrish J.A., 1986, Effect of dye laser pulse duration on selective cutaneous vascular injury, J Invest Dermatol., 87:653.
Garden J.M., Polla L.L., and Tan, O.T., 1988, The treatment of portwine stains by the pulsed dye laser —analysis of pulse duration and long-term therapy, Arch Dermatol., 124:889.
Goldman L., and Rockwell R.J., 1971, “Laser in Medicine,” Gordon and Breach, New York.
Jacques S.L., McAuliffe D.J., Blank I.H., and Parrish J.A., 1987, Controlled removal of human stratum corneum by pulsed laser. J Invest Dermatol., 88:88.
Kochevar I.E., 1989, Cytotoxicity and mutagenicity of excimer laser radiation, Lasers Surg Med., 9:440
Leffell D.J., Stetz M.L., Milstone L.M., Deckelbaum L.I., 1988, In vivo fluorescence of human skin a potential marker of photoaging, Arch Dermatol., 124:1514.
Levin J.A., Margolis R., Hruza G., Dover J., and Anderson R.R., 1988, Q-switched ruby laser irradiation of lentigines, Lasers Surg Med., 8(2):185 (abstract)
Margolis R.J., Dover J.S., Polla L.L. Watanabe S. Shea C.R., Hruza G.J., Parrish J.A., and Anderson R.R, 1989, Visible action spectrum for melanin-specific selective photothermolysis. Lasers Surg Med., 9: 389.
Marshall J., Trokel S., Rotherty S., and H. Schubert, 1985, An ultrastuctural study of corneal incisions induced by an excimer laser at 193 nm. Ophthalmology, 92:749.
McCaughan J.S., Guy J.T., Hicks H., Laufman L., Nims T.A., and Walker J., 1989, Photodynamic therapy for cutaneous and subcutaneous malignant neoplasms. Arch Surg., 124:211.
Mordon S.R., Rotteleur G., Buys B., and Brunetaud J.M., 1989, Comparative study of the “point-by-point technique” and the “scanning technique” for laser treatment of port-wine stain, Lasers Surg Med., 9:398.
Morelli J.G., Tan O.T., Garden J., Margolis R., Seki Y., Boll J., Carney J.M., Anderson R.R., Furumoto H., Anderson R.R., and Parrish J.A., 1986, Tunable dye laser treatment of port-wine stains, Lasers Surg Med., 6:94.
Murphy G.F., Shepard R.S., Paul B.S., Menkes A., Anderson R.R., and Parrish J.A., 1983, Organelle-specific injury to melanin-containing cells in human skin by pulsed laser irradiation, Lab Invest., 49:680.
Ulbricht S.M., and Arndt K.A., 1988, Carbon dioxide laser treatment of cutaneous disorders, Mayo Clin Proc., 63:297.
Orenstein A., Nelson J.S., Liaw L.L., and Berns M.W., 1990, Photodynamic therapy of hypervascular dermal lesions. Lasers Surg Med., suppl. 2:49 (abstract).
Polla L.L., Margolis R.J., Dover J.S., Whitaker D., Murphy F.G., Jacques S.L., and Anderson R.R., 1987, Melanosomes are a primary target of Q-switched ruby laser irradiation in guinea pig skin, J Invest Dermatol., 89:281.
Reid W.H., McLeod P.J., Ritchie A., and Furguson-Pell M, 1983, Q-switched ruby laser treatment of black tattoos, Br J Plast Surg., 36:455.
Ruiz-Esparza J., Goldman M.P., and Fitzpatrick R.E., 1988, Tattoo removal with minimal scarring: the chemo-laser technique, J Dermatol Surg Oncol., 14:1372.
Scheibner A., and Wheeland R.G., 1989, Argon-pumped tunable dye laser therapy for facial portwine-stain hemangiomas in adults — a new technique using small spot size and minimal power, J Derm Surg Oncol., 15:277.
Schomacker K.T., Walsh, J.T., Flotte T.F., and Deutsch T.F., 1990, Thermal damage produced by high-irradiance continuous wave CO2 laser cutting of tissue, Lasers Surg Med., 10:74.
Sherwood K.A., Murray S. Kurban A.K., and Tan O.T., 1989, Effect of wavelength on cutaneous pigment using pulsed irradiation, J Invest Dermatol., 92:717.
Sherwood K.A., Murray S., Kurban A.K., and Tan O.T., 1989, Effect of wavelength on cutaneous pigment using pulsed irradiation, J Invest Dermatol., 92:717, 1989.
Stern J.C., and Lucente F.E., 1989, Carbon dioxide laser excision of earlobe keloids: a prospective study and critical analysis of existing data, Arch Otolaryngol Head Neck Surg., 115:1107.
Tan O.T., Sherwood K., and Gilchrest B.A., 1989a, Treatment of children with port-wine stains using the flashlamp-pumped tunable dye laser, N Engl J Med., 320:416.
Tan O.T., Murray S., and Kruban A.K., 1989b, Action spectrum of vascular-specific injury using pulsed irradiation, J Invest Dermatol., 92:868.
Taylor C.R., Gange R.W., Dover J.S., Flotte T.J., Gonzalez E. Michaud N., and Anderson R.R., 1990, Treatment of tattoos by Q-switched ruby laser, Arch Dermatol., 126:893.
Trokel S.L., Srinivasan R., and Braren B., 1983, Excimer laser surgery of the cornea, Am J Ophthalmol., 96:710.
Walsh J.T. Jr., Flotte T.J., Anderson R.R., and Deutsch T.F., 1988, Pulsed CO2 laser tissue ablation: effect of tissue type and pulse duration on thermal damage, Lasers Surg Med., 8:108.
Walsh, J.T. Jr., Flotte T.J., and Deutsch T.F., 1989, Er:YAG laser ablation of tissue: effect of pulse duration and tissue type on thermal damage, Lasers Surg Med., 9:314.
Watenabe S., Flotte T.J., McAuliffe D.J., and Jacques S.L., 1988, Putative photoacoustic damage in skin induced by pulsed ArF excimer laser, J Invest Dermatol., 90:761.
Wolbarsht M.L., 1984, Laser Surgery: C02 or HF, IEEE J Quant Elect., QE-20:1427.
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Anderson, R.R., Parrish, J.A. (1991). Lasers in Dermatology. In: Pratesi, R. (eds) Optronic Techniques in Diagnostic and Therapeutic Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-3766-3_18
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DOI: https://doi.org/10.1007/978-1-4615-3766-3_18
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