By Isaac Kaplan
Over the earlier ten years, carbon dioxide laser surgical procedure has made remarkable strides and is now utilized to each box of surgical procedure with no exception. it's the purpose of this e-book to checklist the paintings performed during this box within the division of Plastic and Maxillofacial surgical procedure of the Beilinson clinical heart and Tel Aviv collage scientific institution, Israel, in addition to that played in organization with different leave ments. during this context, one feels that it's incumbent upon one to recognize the cooperation of the scientific and paramedical employees of the dep. of Plastic and Maxillofacial surgical procedure of the Beilinson clinical heart, in addition to that of Prof. Yehuda Shindel and Dr. Daniel Katenelson of the dept of Ear, nostril and Throat, Dr. Y ona Tadir of the dep. of Obstetrics and Gynecology and Dr. Itamar Kott of the dep. of normal surgical procedure. I should still prefer to make specific point out of Dr. Ralph Ger of recent York, who labored with me at the unique medical trials, and the engineer Uzi Sharon, who built the Sharplan Laser with me. The development of Laser surgical procedure is definitely confirmed through the participation within the 4 conferences of the overseas Society for Laser surgical procedure, the 1st of which used to be held in Tel Aviv in 1975 with an attendance of sixty five and the final in Tokyo in 1981 with an attendance of 1200.
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Additional info for CO2 Laser Surgery
However, the facial nerve was seen to enter the tumor and had to be partially resected. The eventual cosmetic andfunctional results, though, were acceptable ( c), (d) Anterior and lateral views of the condition 3 months after the operation. Note the minimal scarring of the face-lift incision 57 • d 58 Figure 28 a and b (a) An auricular cavernous hemangioma; several attempts at excision were abandoned because of copius bleeding, which was extremely difficult to control (b) The condition 2 months after laser excision Figure 29 a and b (a) Cavernous hemangioma of the entire auricle.
Strawberry nevi usually involute spontaneously by the age of 5 years. Those associated with an underlying cavernous element only dissappear partially and the subcutaneous element requires extirpation. Cavernous hemangiomas, however, do not tend to involute and require an active approach of which surgical extirpation is the treatment of choice. Although in most cases early therapeutic treatment is contraindicated, the need for active treatment should be considered in cases of thrombocytopenia and disseminated intravascular coagulopathy or when ulceration and hemorrhage occur.
The lesion was excised with negligible blood loss (b) The late postoperative appearance 47 a b 48 Figure 24 a-c (a) A similar case to the one in Figs. 23 a and b. Surgery was delayed until the capillary element had regressed (b) The intraoperative view after extirpation of the cavernous element showing no bleeding ( c) The condition 3 months later 49 a c 50 Figure 25 a-g (a) A female baby with a strawberry nevus of the glabellar region (b) The patient in Fig. (a) at the age of 1 year; in spite of inactivity, the cavernous element remained.
CO2 Laser Surgery by Isaac Kaplan