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Holmium-YAG Laser ablation characteristics in calvarial lamellar and cortical bone: The role of water and tissue micro-architecture
Authors:Brian Jet -Fei Wong  Vivian Sung  Michael W. Berns  Lars O. Svaasand  Joseph Neev
Affiliation:(1) Beckman Laser Institute, and Medical Clinic, University of California, 1002 Health Sciences Road East, 92715 Irvine, California, USA;(2) Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, California, USA;(3) Institute of Physical Electronics, The Norwegian Institue of Technology, Trondheim, Norway
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 (lambda=2.1Mgrm). 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 (4.7Mgrm cm2 J–1) compared to fresh cortical bone (1.49Mgrm cm2 J–1). This trend is also observed in lamellar bone (2.31Mgrm cm2 J–1 for wet and 0.37Mgrm cm2 J–1 for dry). Under both physiological and dehydrated conditions, cortical bone was ablated faster. Mechanisms accounting for these observations are discussed.
Keywords:Bone histology  Holmium-YAG laser  Infra-red lasers  Laser surgery  Photo ablation  Otology  Stapes  Otosclerosis
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