Laser Excision of Moles in Face, Head and Neck:By Dr.K.O.Paulose.FRCS DLO, Consultant ENT Surgeon, Jubilee Hospital. Trivandrum.South India.
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Laser Surgery Facial Mole:By Dr.K.O.Paulose FRCS DLO
1. Facial Moles:Laser Surgery
Dr.K.O.Paulose FRCS DLO
Consultant ENT Surgeon
Jubilee Hospital,Trivandrum,South India
www.drpaulose.com, www.snorefreesleep.com
2. What is Laser?
INTRODUCTION OF
LASER
Laser is an acronym that
stands for Light
Amplification by
Stimulated Emission of
Radiation.
The first concept of the
laser was initiated by
Albert Einstein in 1917.
3. Types of Lasers
CO2 Laser
Argon laser
The Nd:YAG (Neodymium:Yttrium-
aluminum-Garnet)
The Potassium-Titanyl-Phosphate
(KTP)
4. CO2 Laser
The CO2 laser is the most versatile laser in
otolaryngology.
The carbon dioxide (CO2) laser emits a colorless,
infrared light
wavelength 10,600 nano microns
Principle: The radiant energy produced by the CO2 laser is
strongly absorbed by pure, homogeneous water and by
all biological tissues high in water content.
coaxial helium neon laser as aiming beam- red in colour
5. How does a CO2 Laser work?
Ability to coagulate, cut, vaporize
The main constituent of cells-water,
readily absorbs the wavelength of light
produced by the CO2 surgical laser.
The surgeon can control the extent by
which the laser beam is absorbed into
surrounding tissue, resulting in an
extremely precise tissue incision.
6. Indications of Co2 Laser in ENT
Operations for snoring and sleep apnea
Operations for Allergic Rhinitis,Correcting
deviated Nasal septum, Partial turbinectomy
(LAPT), Choanal atresia, excision of
Rhinophyma
Operations for voice disorders, the addition of
the microspot micromanipulator to the operating
microscope allows-arytenoidectomy, vocal
nodules, early ca lesions
Operations for nose bleeds, nasal polyps,
Rhinosporidiosis, Haemangiomas
Excision of Facial Moles, Keloid, Scars
7. Indications of Co2 Laser_contd
Ulcers on tongue, check, multiple areas of leukoplakia
can be precisely excised
Skin lesions on head, Face and Neck
Tonsillectomy
Tympanotomy, Myringotomy,Stapedectomy
(Bronchoscopic indications -management of recurrent
respiratory papillomatosis or granulation tissue within the
tracheobronchial tree, excision of selected subglottic or
tracheal strictures, excisions of bronchial adenomas.).
8. Advantages of Laser Surgery
Minimal operative bleeding due to coagulation of
blood vessels minor to 2 mm of diameter.
Reduced post operative pain due to minimal
thermal effect.
Increased accuracy of the surgical wound
Possibility of ambulatory surgery
Quick post op. healing
Better plastic result of surgical wounds due to
minimal scarring (that effect is very obvious in
the post tonsillectomy preservation of the
tonsillar pillars).
9. Disadvantages of Laser
Cost of equipment and maintenance .
(around USD 4000=Rs 4Lakh)
Special surgical skills
Increased setup time of equipment
Need of safety eyewear
Increased care for patient safety -
explosion or fire hazard.
Smoke
10. How Laser work?
Laser surgery is the most preferred technique in
removing moles. Laser removal of moles is by
far the most simple for eliminating moles on the
skin. In most cases of laser removal anesthesia
may not be necessary.
The laser beam will also burn away the mole.
Depending on the size of your mole, you may
need multiple sessions to completely remove it.
No scarring , no bleeding, no pain and can be
done in OPD set up with surface anesthesia.
11. Laser on Skin
Laser effects on skin tissue depend on
- the power density of the incident
beam, absorption of tissues at the
incident wavelength, time beam is held
on tissue, and the effects of blood
circulation and heat conduction in the
effected area.
12. Moles:Definition
The medical term for a mole is a nevus
(mole is Latin for “spot.”). Congenital nevi
are moles present at birth; acquired nevi
develop anytime later.
Facial moles are common on face and
neck. It can be flat, and sometimes raised
with hairs .If there is sudden change in
size, itching and ulcers, it should be
removed and sent for biopsy.
13. Methods used to remove facial moles
Local excision: One of the mole removal methods
that have been around the longest is the excision of
the mole. This process involves cutting the tissue
around the mole using a scalpel, deep enough to
remove even the deep mole cells, and removing the
tissue and mole completely. The remaining hole is
then stitched up
Electrocautery involves the use of a specialized
piece of equipment that burns the superficial layers
of skin off. Since the heating device cannot
penetrate deeper than the superficial layers, raised
moles, or moles that reach deep into the skin,
cannot be effectively removed in this manner.
14. Why Laser Treatment?
Laser treatment of nevi (moles) is a
valuable alternative to traditional surgical
excision procedures. Lasers are
particularly valuable in treating lesions in
anatomic areas which are difficult to
approach surgically such as the face,
nose lips and ears.
15. Why Co2 laser?
Laser mole removal is one of the newest mole removal
methods on the market. Laser mole removal involves
using a highly concentrated specialized laser to vaporize
the mole tissue.
Laser mole removal is only useful in the removal of flat
moles and other superficial moles such as pigmented
nevis.
Laser mole removal treatments usually come in series,
and can take as many as three treatments before the
mole is fully removed.
On the positive side, this treatment does not leave any
scarring because it only deals with the superficial layers
of skin.
16. Laser Removal:The Easy Way
Laser surgery is the most preferred
technique in removing moles. Laser
removal of moles is by far the most simple
for eliminating moles on the skin. In most
cases of laser removal anesthesia may
not be necessary.
17. Need Biopsy ?
The laser beam will also burn away the
mole. Depending on the size of your mole,
you may need multiple sessions to
completely remove it. No scarring , no
bleeding, no pain and can be done in OPD
set up with surface anesthesia.
If suspect malignancy,Biopsy needed
74. All Healing Comes From God
All healing comes
from God whether it
is supernatural or
through a surgeon
or a physician. He is
still the source of
our healing.
I am the LORD who
heals you, says God
75. THANK YOU
Presented By Dr.K.O.Paulose FRCS DLO
Jubilee Hospital Trivandrum, south India
www.drpaulose.com
www.snorefreesleep.com