Lieb W E, Klink T, Münnich S
Augenklinik, Julius-Maximilians-Universität Würzburg.
Ophthalmologe. 2000 Dec;97(12):835-41. doi: 10.1007/s003470070004.
Lasers are finding increasing use in cosmetic and reconstructive plastic surgery. We compared the erbium-YAG laser and the CO2 laser to conventional eyelid surgery with a scalpel.
We operated on 58 patients using the erbium-YAG laser and on 32 using the CO2 laser. Surgeries were benign tumor excisions and removal, xanthelasma removal, lower and upper eyelid blepharoplasties, and skin resurfacing in the area of the lower eyelid.
Wound healing with the CO2 laser was significantly slower because of its larger thermal necrosis zone, but the hemostasis with the CO2 laser makes removal of deeper lesions easier. Advantages are the wide application spectrum for incisional and ablative surgery. The erbium-YAG laser is an excellent for ablating superficial benign lesions, including that in the area of the lid margin and close to the lacrimal puncta without scars.
The application spectrums of the erbium-YAG and CO2 lasers complement one another. The erbium-YAG laser is superior for esthetic skin resurfacing and ablation of superficial lesions, and the CO2 laser allows hemorrhage-free noncontact incisional surgery.
激光在美容整形和重建整形手术中的应用越来越广泛。我们将铒钇铝石榴石激光和二氧化碳激光与传统的手术刀眼睑手术进行了比较。
我们对58例患者使用铒钇铝石榴石激光进行手术，对32例患者使用二氧化碳激光进行手术。手术包括良性肿瘤切除、睑黄瘤切除、上下眼睑整形以及下眼睑区域的皮肤磨削。
由于二氧化碳激光的热坏死区较大，其伤口愈合明显较慢，但二氧化碳激光的止血功能使更深层病变的切除更容易。优点是其在切开和消融手术中的广泛应用范围。铒钇铝石榴石激光非常适合消融浅表良性病变，包括睑缘区域和靠近泪点的病变，且不留疤痕。
铒钇铝石榴石激光和二氧化碳激光的应用范围相互补充。铒钇铝石榴石激光在美学皮肤磨削和浅表病变消融方面更具优势，而二氧化碳激光可实现无出血的非接触式切开手术。
