The CO2 laser surgery in oral and maxillofacial surgery.

  • TOTSUKA Yasunori
    The First Department of Oral Surgery, School of Dentistry, Hokkaido University
  • NAKAMURA Hiroyuki
    The First Department of Oral Surgery, School of Dentistry, Hokkaido University
  • OYAMA Shigeru
    The First Department of Oral Surgery, School of Dentistry, Hokkaido University
  • TEI Kanchu
    The First Department of Oral Surgery, School of Dentistry, Hokkaido University
  • NAKAMURA Takeyuki
    The Second Department of Oral Surgery, School of Dentistry, Hokkaido University
  • KOBAYASHI Ichizo
    The First Department of Oral Surgery, School of Dentistry, Hokkaido University
  • USUI Yasuhiro
    The First Department of Oral Surgery, School of Dentistry, Hokkaido University
  • SONOBE Masaharu
    The First Department of Oral Surgery, School of Dentistry, Hokkaido University
  • MIZUKOSHI Takanori
    The First Department of Oral Surgery, School of Dentistry, Hokkaido University
  • NOTANI Kenichi
    The First Department of Oral Surgery, School of Dentistry, Hokkaido University
  • FUKUDA Hiroshi
    The First Department of Oral Surgery, School of Dentistry, Hokkaido University
  • TOMITA Kinai
    The First Department of Oral Surgery, School of Dentistry, Hokkaido University

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Other Title
  • 口くう外科領域における炭酸ガスレーザー手術について

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Abstract

The purpose of this study is to clarify the usefulness of CO2 laser in Oral and Maxillofacial Surgery. The CO2 laser surgery was performed on 24 patients of oral cancer and 22 patients of oral benign diseases at the Oral Surgery of Hokkaido University Dental Hospital between 1981 and 1984.<BR>The results arc as follows: The CO2 laser surgery seemed to be very effective in Oral and Maxillofacial Surgery because it's hemostatic ability and visualization of the operative field make the operation precisely. For the best application of CO2 laser, <BR>1) Retractors and traction sutures must be used precisely in order to keep the operative field.<BR>2) The operative field must be dry and the vessels larger than 0.5mm in diameter must be coagulated by ligation or electrocauterization.<BR>3) It seems to be the best that the power of laser is set with the range from 5 to 10 watt and the spot size is adjusted to the diameter from 0.5 to 3.0mm as defocused beam.

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