• Title/Summary/Keyword: KTP 레이저

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레이저 조사에 의한 endotracheal tubes의 안정성에 대한 연구

  • 정필상;김영훈;정필섭;이정구
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1995.04a
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    • pp.91.2-91
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    • 1995
  • 레이저를 이용한 구강 및 인후두 수술시 endotracheal tubes의 손상은 치명적이라 아니 할 수 없다. 이에 저자들은 여러 가지 endotracheal tube를 실험 재료로 사용하여 보다 안전한 레이저 수술을 위해서 적절한 endotracheal tube를 찾기 위해 본 실험을 시행하였다. 실험에 사용된 tube는 총 5가지 - $Bivona^{TM}$, Xomed Laser Shield $II^{TM}$, Mallinckrodt Laser-$Flex^{TM}$, Rusch tube wrapped with aluminium foil tape(Rusch tube), Polyvinylchloride tube wrapped with aluminium foil tape(PVC tube) - 가 사용되었다. 사용된 레이저는 KTP/532 와 $CO_2$ laser 이며 모든 실험에서 tube를 $FiO_2$ 95%-98% 상태에서 조사하여 각각 5회씩 실시하였다. tube에 이상이 없거나 발화가 되지 않는 한 90초 동안 시행하였다. 실험 결과, KTP/532 조사시 $Bivona^{TM}$, Mallinckrodt 와 PVC tube는 심한 손상을 받거나 발화하였으며 Xomed 와 Rusch tube는 안정된 상태를 유지하였고 $CO_2$ Laser 조사시는 KTP/532 조사시와 유사한 결과를 얻었다. 한편 혈액을 endotracheal tube에 도포한 상황에서는 모든 tube가 더 심한 손상을 보이는 바 KTP/532 조사시 Xomed는 상당히 안정된 상태를 유지하였고 나머지 tube는 심한 손상 또는 발화를 보이고 $CO_2$ Laser 조사시 $Bivona^{TM}$ 와 Mallinckrodt는 발화하였고 Rusch tube는 표면이 녹았으며 Xomed와 PVC tube도 1례에서 발화하였다. 향후 이비인후과 영역에서의 레이저 수술이 증가함을 예상할 때 좀 더 레이저에 대하여 안정적이고 경제적인 endotracheal tube의 개발이 필요할 것으로 사료된다.

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Output power characteristics of a CW Nd:YVO4/KTP laser pumped by a tunable Ti:Sapphire laser (파장가변 티타늄 사파이어 레이저로 펌핑하는 연속발진 Nd:YVO4/KTP 레이저의 출력 특성)

  • 추한태;안범수;김규욱;이치원
    • Korean Journal of Optics and Photonics
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    • v.13 no.2
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    • pp.140-145
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    • 2002
  • We measured the absorption rate of a Nd:YVO$_4$crystal with a thickness of 1 mm and the output power characteristics of a cw Nd:YVO$_4$/KTP laser with respect to the change of wavelength and the polarizations of a tunable Ti:sapphire pump laser with a linewidth of 0.2 nm. In the case of S-polarization (E┴$\pi$) and P-polarization (E∥$\pi$) of a pump laser, the maximum absorption rate of the crystal was 82% at 809.4 nm and 98% at 808.8 nm, and slope efficiencies for the output power of the Nd:YVO$_4$laser (1064 nm) were 43% and 52%, respectively. The maximum Nd:YYO$_4$laser output power of 516 mW was obtained from the P-polarization pump laser of 1000 mW. As a result of an intracavity frequency-doubling, slope efficiency for the output power of the Nd:YVO$_4$/KTP green laker (532nm) was 23% and the maximum output power of 205 mW with the beam quality (M$^2$) of 1.42 was obtained from the P-polarization pump laser of 1000 mW.

A Case of Tracheal Granuloma Removal using Potassium-Titanyl-Phosphate Laser (Potassium-Titanyl-Phosphate 레이저를 이용하여 제거한 기관 육아종 1예)

  • Hong, Ji Song;Lee, GilJoon
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.31 no.2
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    • pp.92-95
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    • 2020
  • Tracheal granuloma, the most commonly reported sequela of pediatric tracheotomy. A variety of techniques are available for the management of tracheal granuloma. Potassium-titanyl-phosphate (KTP) laser has been previously established as an acceptable technique for removal of laryngeal surgery, which emits a green light with a wave length of 532 nm, which is well-absorbed by hemoglobin and can coagulate and vaporize tissue. The ability to deliver laser energy through a flexible glass fiber makes the technique convenient for use with a rigid bronchoscope, overcoming problems with intraluminal access encountered with earlier attempts at CO2 laser therapy for this problem. Another advantage of KTP laser is the avoidance of the risks and morbidity associated with an open procedure. We report our surgical technique KTP laser in the management of tracheal granuloma removal into the tracheostomy site. KTP laser is good tool for management of tracheal granuloma with low incidence of complications.

Clinical Applications of Office-Based Laryngeal Surgery With KTP Laser (KTP 레이저를 이용한 외래 기반 후두 수술의 임상적 적용)

  • Cho, Jung-Hae
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.32 no.3
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    • pp.118-123
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    • 2021
  • The pulsed photoangiolytic 532-nm potassium-titanyl-phosphate (KTP) laser has emerged in recent years as an efficacious treatment modality for vocal fold lesions. It also has broadened the indications for other laryngeal laser surgery. Features of KTP laser that it is a fiber-based delivery system and its energy is selectively absorbed by oxyhemoglobin make it suitable for office-based laryngeal procedures. An office-based KTP laser surgery provides an alternative management option for benign laryngeal diseases and can be performed comfortably under flexible endoscopic guidance which is placed through the nose of a fully awake patient. Office-based laryngeal surgery with a KTP laser can alleviate the need for general anesthesia. However, there are some limitations to apply due to reduced visual precision and the fact that the vocal folds are moving during procedures. Clinicians should carefully weigh the advantages and disadvantages of office-based procedures before a treatment option is selected. Patient selection and standardized laser energy parameters may help in decreasing complications and improving the treatment results.

Compact Blue Laser for Optical Imaging Information Application (광영상정보 응용을 위한 compact blue laser)

  • 황대석;김규식;이영우;류광렬;김정태
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2003.10a
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    • pp.938-940
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    • 2003
  • 고출력 반도체 레이저(500mW)의 출력광 파장 809nm과 반도체 레이저로 여기되는 Nd:YVO4레이저의 출력광 파장 1064nm를 공진기 내부에서 비선형 광학 소자인 KTP(Potassium titanyl posphate : KTPiOPO$_4$)를 사용하여 합주파 발생 실험을 행하여 459nm의 청색레이저를 얻었다. 제2의 위상 정합 정합조건($\psi$=90$^{\circ}$, $\theta$=90$^{\circ}$)에서 반도체 레이저의 입력광 세기가 400mW일 때 청색레이저의 최대 출력 0.95mW를 얻었으며, 청색레이저의 발진문턱입력 세기는 120mW이었다.

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Blue Laser Generated by Sum Frequency (합주파에 의한 청색레이저 발생)

  • Lee Young-Woo
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.10 no.2
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    • pp.224-227
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    • 2006
  • We have chained 459nm blue laser radiation generated by intracavity sum frequency generation( SFG ) due to the mixing of the 1064 nm laser output of a Nd:YVO4 pumped by diode and the 809nm radiation from higg-power semiconductor laser(500mW). The maximum blue output power of 0.95 mW was obtained using 400 mW input power of semiconductor laser at the type II phase matching condition (${\psi}=90^{\circ}\;{\theta}=90^{\circ}$). The threshold input power of blue laser generation was 120 mW.

KTP-532 Laser Microlaryngeal Phonosurgery (KTP-532 레이저를 이용한 후두미세음성수술의 임상적 적용 결과)

  • Choi, Jong-Ouck;Chu, Hyung-Ro;Jung, Kwang-Yoon
    • Archives of Reconstructive Microsurgery
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    • v.2 no.1
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    • pp.62-69
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    • 1993
  • Recently, conservative and bloodless operative procedures have been focused, so that endoscopic laser have been used. However application of endoscopic laser surgery for laryngeal lesion is capable for followings: (1)capability of delivery through an operating microscope, (2) vaporization of ultraspot. $CO_2$ laser which has been used, has limitations for voice improvement because of 700 micron beam spot. KTP-532 laser which is capable of delivery through an operating microscope vapore 200 micron ultraspot has developed and applied to microlaryngeal surgery. We have experienced 60 cases who were contracted with hoarseness(53 cases of benign lesions vocal nodule 13, vocal polyp 13, bilateral diffuse polyposis of vocal cords 11, intracordal cyst 8, vocal papilloma 5, laryngocele 1, laryngeal stenosis 2 and 7 cases of malignant lesions : laryngeal carcinoma stage I and II) since 1991. We operated them with KTP-532 Laserscope(3 Watt/0.05 sec., pulsed or continuous. San Jose, Calif, USA). Forty eigh cases(90.6%) of 53 bengin laryngeal lesions and 4 cases(57.1%) of malignant lesions were significantly improved in their voices. There were a few complications and technical problems, but laser surgery alone had a limitation to eradicate the disease.

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Treatment of Carcinoma in Situ of Glottis by KTP Fiberoptic Laryngeal Laser Surgery Under Local Anesthesia (국소 마취 하 굴곡 내시경 후두 레이저 수술로 치료한 성문 제자리 암종 1례)

  • Lee, Yun Ji;Lee, Eunsang;Park, Ki Nam;Lee, Seung Won
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.30 no.1
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    • pp.53-56
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    • 2019
  • The optimal treatments of carcinoma in situ of glottis include radiotherapy, laser surgery and vertical partial laryngectomy. Conventional surgical treatments need general anesthesia and radiotherapy has several complications. Recently, the effectiveness of 532 nm potassium titanyl phosphate (KTP) laser has been proven and widely used in vocal fold diseases even some cases of vocal fold dysplasia. A patient with difficult laryngeal exposure underwent fiberoptic laryngeal laser surgery using KTP laser under local anesthesia, showed improved voice outcome and the glottic lesion was removed successfully without local recurrence and regional metastasis 18 months after surgery.