Zusammenfassung
Die ersten Laser wurden 1960 konstruiert, 4 Jahre später fanden sie erstmals in der Medizin Anwendung. In den folgenden 2 Jahrzehnten wurden in der Dermatologie vor allem der Argonionenlaser, der Kohlendioxidlaser und der Neodym: YAG-Laser eingesetzt. Durch die Einführung der gepulsten Lasersysteme wurde das Spektrum der dermatologischen Lasertherapie sowohl quantitativ als auch qualitativ erweitert. Die Indikationsstellung zur Lasertherapie ist jedoch nach wie vor gegen andere mögliche konservative Verfahren genau abzuwägen und das zur Therapie der jeweiligen Hautveränderung geeignete Lasersystem sorgfältig auszuwählen. Hierzu ist nicht nur klinische Erfahrung notwendig, sondern auch die Kenntnis der theoretischen Grundlagen, um die Möglichkeiten und Grenzen der Lasertherapie verstehen und ausschöpfen zu können.
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Literatur
Alster T (1995) Q-switched alexandrite laser treatment (755 nm) of professional and amateur tattoos. J Am Acad Dermatol 33: 69–73.
Anderson RR, Parrish JA (1981) The optics of human skin. J Invest Dermatol 77:13–19.
Anderson RR, Geronemus R, Kilmer SL, Farinelli W, Fitzpatrick RE (1993) Cosmetic tattoo ink darkening. A complication of Q-switched and pulsed laser treatment. Arch Dermatol 129: 1010–1014.
Apfelberg DB, Rothermel E, Widtfeldt A, Maser MR, Lash H (1984) Preliminary report on use of the carbon dioxide laser in podiatry. J Am Podiatr Assoc 74: 509–513.
Apfelberg DB, Druker D, Maser MR, Whiten DN, Lash H, Specton P (1989) Benefit of the C02 laser for verruca resistant to other modalities of treatment. J Dermatol Surg Oncol 15: 371–375.
Ara G, Anderson RR, Mandel KG, Ottensen M, Oseroff AR (1990) Irradiation of pigmented melanoma cells with high intensity pulsed radiation generates acoustic waves and kills cells. Las Surg Med 10: 52–59.
Ashinoff R, Geronemus RG (1994) Treatment of a port-wine stain in a black patient with the pulsed dye laser. J Dermatol Surg Oncol 18: 147–148.
Barsky SH, Rosen S, Geer DE, Noe JM (1980) The nature an evolution of port wine stains: A computer assisted study. J Invest Dermatol 74: 154–157.
Bedien HP, Müller G (1989) Angewandte Lasermedizin. Lehr- und Handbuch für die Praxis. Ecomed, Landsberg.
Dinehart SM, Flock S, Waner M (1994) Beam profile of the flashlamp pumped pulsed dye laser: Support for overlap of exposure spots. Las Surg Med 15: 277–280.
Dixon JA, Huether S, Rotering R (1984) Hypertrophic scarring in argon laser treatment of port wine stains. Plast Reconstr Surg 73: 771–777.
Dover JS, Margolis RJ, Polla LL, Watanbe S, Hruza GJ, Parrish JA, Anderson RR (1989) Pigmented guinea pig skin irradiated with Q-switched ruby laser pulses. Arch Dermatol 125: 43–49.
Everett MA, Yeargers E, Sayre RM et al. (1966) Penetration of epidermis by ultraviolett rays. Photochem Photobiol 5: 533–542.
Fisher SE, Grame JIW, Browne RM, Tranter MS (1983) A comparative histological study of wound healing following C02 laser and conventional surgical excision of canine buccal mucosa. Arch Oral Biol 28: 287–291.
Fitzpatrick R (1995) Treatment of wrinkles with the UltraPulse C02 laser. Syllabus of the American Society for Aesthetic plastic surgery: Practical use of the ultrapulsed C02 laser for facial rejuvenation. 18.3. 1995, San Francisco, USA.
Fitzpatrick RE, Goldman MP, Ruiz-Esparza J (1993) Use of the alexandrite laser (755 nm, 100 nsec) for tattoo pigment removal in an animal model. J Am Acad Dermatol 28: 745–750.
Fitzpatrick RE, Goldman MP (1994) Tattoo removal using the Alexandrite Laser. Arch Dermatol 130: 1508–1514.
Friedman M, Gal D (1987) Keloid scars as a result of C02 laser for molluscum contagiosum. Obstet Gynecol 70: 394–396.
Garden J, Bakus AD, Palier AS (1992) Treatment of cutaneous hemangiomas by the flashlamp-pumped pulsed dye laser: Prospective analysis. J Pediatr 120: 555–560.
Gloster HM, Roenigk RK (1995) Risk of acquiring papillomavirus from the plume produced by the carbon dioxide laser in the treatment of warts. J Am Acad Dermatol 32: 436–441.
Green HA, Burd E, Nishioka NS et al. (1992) Middermal wound healing: A comparison between dermatomal excision and pulsed carbon dioxide laser ablation. Arch Dermatol 128: 639–645.
Hibst R, Kaufmann R (1995) Vergleich verschiedener Mittelinfrarot-Laser für die Ablation der Haut. Lasermedizin 11: 19–26.
Hohenleutner IJ, Hilbert M, Wotzke U, Landthaler M (1995) Epidermal damage and limited coagulation depth with the flashlamp-pumped pulsed dye laser: A histochemical study J Invest Dermatol 104: 798–802.
Kaufmann R, Hartmann A, Hibst R (1994) Cutting and skin-ablative properties of pulsed mid-infrared laser surgery. J Dermatol Surg Oncol 20: 112–118.
Kauvar ANB, Geronemus RG (1995) Repetitive pulsed dye laser treatments improve persistent port-wine stains. Dermatol Surg 21: 515–521.
Klimer SL, Lee MS, Greveling JM (1993) The Q-switched Nd: YAG laser effectively treats tattoos. A controlled, dose-response study. Arch Dermatol 129: 971–978.
Lanzafame RJ, Nairn JO, Rogers DW, Hinshaw JR (1988) Comparison of continous-wave, chop-wave, and super pulse laser wounds. Lasers Surg Med 8: 119–124.
Levine VJ, Geronemus RG (1995) Adverse effects associated with the 577- and 585-nanometer pulsed dye laser in the treatment of cutaneous vascular lesions: A study of 500 patients. J Am Acad Dermatol 32: 613–617.
Lowe NJ, Wieder JM, Sawcer D, Burrowes P, Chalet M (1993) Nevus Ota: Treatment with high energy fluences of the Q-switched ruby laser. J Am Acad Dermatol 29: 997–1001.
McBurney EI (1978) C02 laser treatment of dermatologie lesions. South Med J 71: 795–797.
Moritz AR, Henriques TC (1947) Studies of thermal inujury. The relative importance of time and surface temperatures in the causation of cutaneous burns. Am J Pathol 23: 695–770.
Mullarky MB, Norris CW, Goldberg ID (1985) The efficacy of the C02-Laser in sterilization of skin seeded with bacteria: survival at the skin surface and in plume emissions. Laryngoscope 95: 186–187.
Neumann RA, Knobler RM, Leonhartsberger H, Bòhler-Sommeregger K, Gebhart W (1991) Histochemical evaluation of the coagulation depth after argon laser impact on a port-wine stain. Las Surg Med 11: 606–615.
Neumann RA, Leonhartsberger H, Pieczkowski F, Knobler RM, Gebhart W (1992) Accurate histochemical definition of argon-laser-induced tissue necrosis. Dermatology 184: 202–204.
Noe JM, Barsky SH, Geer DE, Rosen S (1980) Port wine stains and the response to argon laser therapy: Successful treatment and the predictive role of color, age, and biopsy. Plast Reconstr Surg 65:130–136.
Parrish JA, Anderson RR, Harrist T (1983) Selective thermal effects with pulsed irradiation from laser: from organ to organelle. J Invest Dermatol 80: 75S–80S.
Polla L, Tan OT, Garden JM, Parrish JA (1987) Tunable pulsed dye laser for the treatment of benign cutaneous vascular ectasia. Dermatologica 174: 11–17.
Renfro L, Geronemus RG (1993) Anatomical differences of port-wine stains in response to treatment with the pulsed dye laser. Arch Dermatol 129: 182–188.
Reyes BA, Geronemus R (1990) Treatment of port-wine Stanis during childhood with the flashlamp-pumped pulsed dye laser. J Am Acad Dermatol 23: 1142–1148.
Sawchuk WS, Weber PJ, Lowy DR et al. (1989) Infectious papillomavirus in the vapor of warts treated with carbon dioxide laser aor electrocoagulation: detection and protection. J Am Acad Dermatol 21: 41–49.
Schomacker KT, Walsh JT, Flotte TJ, Deutsch TFI (1990) Thermal damage produced by high irradiance continous wave COJaser cutting of tissue. Lasers Surg Medio: 74–84.
Slutzki S, Shafir R, Bornstein LA (1977) Use of the carbon dioxid laser for large excisions with minimal blood loss. Plast Reconstr Surg 60: 250–255.
Street ML, Roenigk RK (1990) Recalcitrant periungual Verrucae: the role of carbon dixide laser vaporization. J Am Acad Dermatol 13: 115–120.
Tan OT, Sherwood K, Gilchrest BA (1989) Treatment of children with port-wine stains using the flashlamp-pumped pulsed tunable dye laser. N Eng J Med 320: 416–421.
Tan OT, Morrison P, Kuban AK (1990) 585 nm for the treatment of port wine stains. Plast Reconstr Surg 86: 1112–1117.
Taylor CR, Anderson RR (1994) Ineffective treatment of refractory melasma and postinflammatory hyperpigmentation by Q-switched ruby laser. J Dermatol Surg Oncol 20: 592–597.
Taylor CR, Gange RW, Dover JS, Flotte TJ, Gonzalez E, Michaud N, Anderson RR (1990) Treatment of tattoos by Q-switched ruby laser. Arch Dermatol 126: 893–899.
Taylor CR, Anderson RR, Gange RW, Michaud N, Flotte TJ Light and electron microscopic analysis of tattoos treated by Q-switched ruby laser. J Invest Dermatol 97: 131–136.
Tong AK F, Tan OT, Boll J, Parrish JA, Murphey GF (1987) Ultrastructure: effects of melanin pigment on target specificity using a pulsed dye laser (577 nm). J Invest Dermatol 88: 747–752.
Ullmann Y, Har-Sahi Y, Peled IJ (1993) The use of C02 laser for the treatment of xanthelasma palpebrarum. Ann Plast Surg 31: 504–507.
Walsh JT, Flotte TJ, Anderson RR et al. (1988) Pulsed C02 laser tissue ablation: effect of tissue type and pulse duration on thermal damage. Lasers Surg Med 8: 108–118.
Wiek K, Vanscheidt W, Schöpf E (1995) Vaskuläre Malformationen und Hämangiome im Kindesalter. Therapie mit dem blitzlampengepumpten gepulsten Farbstofflaser. Pädiatr Prax 50: 111–116.
Wiek K, Vanscheidt W, Zoppelt M, Schöpf E (1995) Die Behandlung von Naevi flammei im Erwachsenenalter mit einem Blitzlampen-gepumpten gepulsten Farbstofflaser. Hautarzt 46: 537–542.
Wiek K, Vanscheidt W, Ishkhanian S, Weyl A, Schöpf E (1996) Selektive Photothermo-lyse von Besenreiservarizen und Teleangiektasien der unteren Extremität. Hautarzt 47: 258–263.
Wood RL, Sliney DH, Basye RA (1992) Laser reflections from surgical instruments. Las Surg Med 12: 675–678.
Zelickson BD, Mehregan DA, Zarrin AA, Coles C, Harwig P, Olson S, Leaf-Davis J (1994) Clinical, histologic, and ultrastructural evaluation of tattoo treated with three laser systems. Las Surg Med 15: 364–372.
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Wiek, K., Vanscheidt, W. (1997). Lasertherapie in der Dermatologie. In: Krutmann, J., Hönigsmann, H. (eds) Handbuch der dermatologischen Phototherapie und Photodiagnostik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60425-6_10
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