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Comparison of stationary and dynamic fractional CO2 laser modalities of large burns treatment: experimental laboratory model

Citation

Haik, J and Segalovich, M and Visentin, D and Lepselter, J and Cleary, M and Kornhaber, R and Harats, M, Comparison of stationary and dynamic fractional CO2 laser modalities of large burns treatment: experimental laboratory model, Burns pp. 1-7. ISSN 0305-4179 (2021) [Refereed Article]

Copyright Statement

2021 Elsevier Ltd and ISBI. All rights reserved.

DOI: doi:10.1016/j.burns.2021.11.022

Abstract

Objectives

To experimentally compare two fractional ablative CO2 laser handpieces intended for the treatment of large area burn scars. Each handpiece coverage rate, depth of penetration and application time were measured and compared in a simulation model of large area burns scars using a dynamic/roller handpiece (small footprint) and a stationary/stamping handpiece (large footprint).

Methods

A 30 W fractional ablative CO2 laser was applied using 2 different handpieces and footprints on a A4 size paper stack. The handpieces were a stationary (stamping) handpiece with 7  7 (49 pixels/square shape) and dynamic (roller) handpiece with 7  1 (7 pixels/single row shape). For both handpieces the laser settings were fixed at "High" power (30 W), providing an energy level of 100 mJ/pixel. Both handpieces were applied perpendicular to the surface, with the process repeated for the dynamic handpiece with an angled operation. The depth of laser penetration was assessed by the number of pages of paper having visible holes and burn area coverage time measured under each handpiece/condition.

Results

The application time was faster and the penetration deeper for the dynamic handpiece compared to the stationary handpiece in both the perpendicular and angled conditions. This study has practical implications for lasers operators to improve time efficacy in large area scars with improved clinical endpoints.

Conclusion

The fractional ablative dynamic handpiece demonstrated superior application efficiency compared to the stationary handpiece in the simulated treatment of large surface area burn scars, reducing treatment time with improved depth of penetration.

Item Details

Item Type:Refereed Article
Keywords:fractional ablative, CO2 laser, handpiece, scar
Research Division:Engineering
Research Group:Biomedical engineering
Research Field:Medical devices
Objective Division:Manufacturing
Objective Group:Machinery and equipment
Objective Field:Medical machinery and equipment
UTAS Author:Haik, J (Professor Josef Haik)
UTAS Author:Visentin, D (Dr Denis Visentin)
UTAS Author:Kornhaber, R (Dr Rachel Kornhaber)
ID Code:149066
Year Published:2021
Web of Science® Times Cited:1
Deposited By:Nursing
Deposited On:2022-03-04
Last Modified:2022-04-14
Downloads:0

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