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Comparison of histological changes induced on oral mucosa and skin by the use of mono polar electrosurgery and CO2 laser in a porcine experimental model

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Author(s): Ourania SCHΟINOHORITI, Evanthia CHRYSOMALI, Fotiοs TZERBOS, Αlkisti PANTOPOULOU,

Journal: Hellenic Archives of Oral and Maxillofacial Surgery
ISSN 1108-829X

Volume: 12;
Issue: 2, Aug;
Start page: 79;
Date: 2011;
Original page

Keywords: monopolar electrosurgery | CO2-laser | skin | oral mucosa | pigs

ABSTRACT
SUMMARY: Introduction: Upon use of monopolar electrosurgery or CO2-laser high-frequency, current or infrared light respectively are converted to heat, inducing beneficial and undesired tissue effects. Purpose: This study aimed to investigate histologically and immunohistochemically the effects of monopolar electrosurgery and CO2-laser upon skin and oral mucosa and to compare them with those of scalpel. Material and methods: 5 healthy swine were used. Standardized incisions were made by scalpel and the above instruments at 3 surgical sites. Results: Lateral thermal damage to CO2-laser-incisions and the inflammatory extent in skin sections were significantly greater than scalpel incisions, but inflammation did not differ significantly between electrosurgical and scalpel incisions. Conclusions: CO2-laser was associated with greater thermal damage, impinging or epithelial proliferation and postoperative inflammation.

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