Photobiomodulation, photomedicine, and laser surgery最新文献

{"title":"Photobiomodulation Therapy in Carpal Tunnel Release: A Randomized Controlled Trial.","authors":"Jia Peng Chuah,&nbsp;Saw Sian Khoo,&nbsp;Tze Yang Chung,&nbsp;Gunasagaran Jayaletchumi","doi":"10.1089/photob.2023.0018","DOIUrl":"https://doi.org/10.1089/photob.2023.0018","url":null,"abstract":"<p><p><b><i>Background:</i></b> Carpal tunnel release (CTR) is widely accepted as an effective treatment for carpal tunnel syndrome. However, the recovery is often delayed and incomplete. Photobiomodulation therapy (PBMT) produces a nonthermal effect on living tissues; it promotes healing, remodels and reduces inflammation of an injured nerve. The purpose of this study was to compare the outcome of CTR between patients who underwent postoperative PBMT and without PBMT. <b><i>Materials and methods:</i></b> We recruited 105 patients who had open CTR from January 2019 to January 2021. Fifty-six patients fulfilled the study criteria and were randomized into two groups: with PBMT (<i>n</i> = 28) and without PBMT (<i>n</i> = 28). Demographic and clinical data were obtained preoperatively. The PBMT group had ten 3-min sessions over 3 weeks using 808 nm, 50 mW PBMT to deliver 9 J per session to the CTR incision scar. Clinical outcomes were assessed at 1, 3, and 6 months postoperatively. Data analysis was performed with SPSS software. <b><i>Results:</i></b> There were significant improvements in the Functional Status Scale in the Boston Carpal Tunnel Questionnaire (<i>p</i> = 0.018) and pain (visual analogue scales) in the morning (<i>p</i> = 0.019) at 1 month postoperatively in the PBMT group compared with the non-PBMT group. Improvement of tip pinch strength at 3 months (<i>p</i> = 0.022) and 6 months (<i>p</i> = 0.024), lateral pinch strength at 1 month (<i>p</i> = 0.042) and 3 months (<i>p</i> = 0.05), and tripod pinch strength at 3 months (<i>p</i> = 0.005) was significantly better in the PBMT group. Thumb 2-point discrimination (2PD) at 3 months (<i>p</i> = 0.018) and 6 months (<i>p</i> = 0.016) and index finger 2PD at 3 months (<i>p</i> = 0.039) were also significantly improved in the PBMT group. There were no side effects of PBMT reported. <b><i>Conclusions:</i></b> Patients who underwent PBMT post-CTR had better outcomes. PBMT may be a valuable adjunct to post-CTR care.</p>","PeriodicalId":20111,"journal":{"name":"Photobiomodulation, photomedicine, and laser surgery","volume":"41 8","pages":"402-407"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10007694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute Effects of Neodymium-Doped Yttrium Aluminum Garnet Laser Capsulotomy on Anterior Segment Parameters in Capsular Bag Distension Syndrome.","authors":"Hamidu Hamisi Gobeka,&nbsp;Furkan Fatih Gülyeşil,&nbsp;Mehmet Cem Sabaner","doi":"10.1089/photob.2022.0151","DOIUrl":"https://doi.org/10.1089/photob.2022.0151","url":null,"abstract":"<p><p><b><i>Background:</i></b> Capsular bag distension syndrome (CBDS) can be effectively treated using either Neodymium-doped Yttrium Aluminum Garnet (Nd:YAG) laser capsulotomy or surgery. Assessing anterior segment, particularly immediately after Nd:YAG laser capsulotomy, could provide clinically relevant information on ocular dynamics, refractive changes, and complication mechanisms, especially in late postoperative CBDS. <b><i>Objective:</i></b> To explore the acute effects of Nd:YAG laser posterior capsulotomy on anterior segment parameters in late postoperative CBDS. <b><i>Methods and results:</i></b> In this study, 20 patients underwent Nd:YAG laser posterior capsulotomy after cycloplegia, during which milky-white fluid material migrated into the anterior vitreous. Anterior segment parameters were assessed before and immediately after laser using Scheimpflug-Placido topographer. The main outcome measures were differences in best-corrected visual acuity (BCVA), aqueous depth (AqD), anterior chamber volume (ACV), iridocorneal angle (ICA), corneal volume (CV), and central corneal thickness (CCT) at the baseline versus at immediately after laser. The mean age and duration since surgery for CBDS presentation were 70.25 ± 6.21 and 6.15 ± 1.31 years, respectively. The AqD, ACV, ICA, and spherical equivalent increased significantly compared with baseline (4.18 vs. 4.02 mm, <i>p</i> = 0.001; 177 vs. 173.55 mm³, <i>p</i> = 0.004; 51.15° vs. 50.15°, <i>p</i> = 0.023; -1.00 vs. -2.00 D, <i>p</i> = 0.003, respectively). These changes were also associated with significantly improved BCVA an hour after capsulotomy [0.2 (0.05-0.2)] relative to baseline [0.3 (0.2-0.5)], (<i>p</i> = 0.001). CCT and CV decreased nonsignificantly; horizontal AC diameter and K₁ and K₂ increased nonsignificantly (<i>p</i> > 0.05). <b><i>Conclusions:</i></b> Nd:YAG laser posterior capsulotomy appears to be an effective CBDS treatment for acutely improving vision, potentially due to immediate refractive changes caused by altered anterior segment parameters.</p>","PeriodicalId":20111,"journal":{"name":"Photobiomodulation, photomedicine, and laser surgery","volume":"41 8","pages":"429-434"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10006249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rosalind Franklin Society Proudly Announces the 2022 Award Recipient for <i>Photobiomodulation, Photomedicine, and Laser Surgery</i>.","authors":"Amanda Farage Frade-Barros","doi":"10.1089/photob.2023.29027.rfs2022","DOIUrl":"https://doi.org/10.1089/photob.2023.29027.rfs2022","url":null,"abstract":"","PeriodicalId":20111,"journal":{"name":"Photobiomodulation, photomedicine, and laser surgery","volume":"41 8","pages":"377"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10059407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of 980-nm/1470-nm Dual-Wavelength Fiber Laser Versus Ultrasonic Scalpel Device in Open Thyroidectomy.","authors":"Faya Liang,&nbsp;Peiliang Lin,&nbsp;Ping Han,&nbsp;Xijun Lin,&nbsp;Renhui Chen,&nbsp;Jingyi Wang,&nbsp;Lanlan Deng,&nbsp;Xin Zou,&nbsp;Tan Cheng,&nbsp;Xiaoming Huang","doi":"10.1089/photob.2023.0022","DOIUrl":"https://doi.org/10.1089/photob.2023.0022","url":null,"abstract":"<p><p><b><i>Background:</i></b> To investigate the application value of 980-nm/1470-nm dual-wavelength fiber laser in thyroidectomy. <b><i>Methods:</i></b> The clinical data of 130 patients undergoing thyroid surgery from March 2017 to December 2018 were retrospectively analyzed. According to the use types of energy devices, the patients were divided into laser group and ultrasonic scalpel group, with 65 patients in each group. The baseline data, operation-related indicators, operation complications, postoperative pathological conditions, and follow-up results of the two groups were compared. <b><i>Results:</i></b> The operations were successfully completed in both groups. The median operative time of total thyroidectomy (TT), lobectomy+central lymph node dissection (CLND), TT+CLND in the laser group were longer than that in the harmonic scalpel group, and the difference was statistically significant (<i>p</i> < 0.05). The incidence of parathyroid gland congestion in the laser group (10.3%) was lower than that in the harmonic scalpel group (19.2%), and the difference was statistically significant (<i>p</i> < 0.05). No significant differences were found in operative type, intraoperative blood loss, postoperative drainage volume, operative complications, postoperative hospital stay, and lymph node metastasis rate between the two groups (<i>p</i> > 0.05). No incidence was noted of recurrence, metastasis, or death in both groups. <b><i>Conclusions:</i></b> The 980-nm/1470-nm dual-wavelength fiber laser had an efficacy in open thyroidectomy similar to that of the harmonic scalpel, was safe and feasible, and less damage to the parathyroid gland blood supply than a scalpel. It can be used as a new option for thyroid surgery.</p>","PeriodicalId":20111,"journal":{"name":"Photobiomodulation, photomedicine, and laser surgery","volume":"41 8","pages":"422-428"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9993719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and Radiographic Outcomes of Adjunctive Photodynamic Therapy for Treating Peri-Implant Mucositis Among Cigarette Smokers and Diabetics: A Systematic Review and Meta-Analysis.","authors":"Nawwaf Al-Hamoudi","doi":"10.1089/photob.2023.0046","DOIUrl":"https://doi.org/10.1089/photob.2023.0046","url":null,"abstract":"<p><p><b><i>Objective:</i></b> This systematic review aimed to assess the influence of antimicrobial photodynamic therapy (aPDT) as an adjunct to mechanical debridement (MD) on peri-implant clinical and radiographic outcomes among cigarette smokers and diabetics with peri-implant mucositis (piM). <b><i>Methods:</i></b> Randomized controlled trials, assessing the clinical and radiographic parameters of aPDT versus MD alone among smokers and diabetics with piM, were included in the study. Meta-analyses were conducted to calculate the standard mean difference with a 95% confidence interval. The methodological quality of the included studies was assessed utilizing the modified Jadad quality scale. <b><i>Results:</i></b> The meta-analyses found statistically significant differences between the impact of adjunct aPDT and MD alone on the peri-implant plaque index (PI), probing depth (PD), and bleeding on probing among smokers and diabetics with piM at the final follow-up visit. However, no significant differences were found between the impact of adjunct aPDT and MD alone on the peri-implant crestal bone loss among smokers and diabetics with piM at the final follow-up. <b><i>Conclusions:</i></b> The application of aPDT as an adjunctive to MD demonstrated improved scores of the peri-implant clinical parameters among smokers and diabetics with piM in comparison with MD alone.</p>","PeriodicalId":20111,"journal":{"name":"Photobiomodulation, photomedicine, and laser surgery","volume":"41 8","pages":"378-388"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10005177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing Circumferential Supracrestal Fiberotomy with Surgical Scalpel Versus Photobiomodulation in Orthodontic Relapse Reduction: A Clinical Trial.","authors":"Avideh Maboudi,&nbsp;Reza Fekrazad,&nbsp;Mahmood Moosazadeh,&nbsp;Hanieh Rouhaninezhad,&nbsp;Melika Mollaei,&nbsp;Parastoo Namdar","doi":"10.1089/photob.2023.0039","DOIUrl":"https://doi.org/10.1089/photob.2023.0039","url":null,"abstract":"<p><p><b><i>Objective:</i></b> This investigation aimed to compare the efficacy of circumferential supracrestal fiberotomy (CSF) with surgical scalpel, laser CSF, and photobiomodulation for reduction of relapse after orthodontic tooth rotation. <b><i>Background:</i></b> Relapse is the tendency of teeth to move back to their preoperative position after removal of orthodontic appliances. <b><i>Materials and methods:</i></b> This randomized controlled clinical trial was conducted on 90 rotated teeth at the final stages of fixed orthodontic treatment. The teeth were randomly divided into six groups (<i>n</i> = 15) of (1) control (no intervention), (2) photobiomodulation alone (wavelength of 940 nm, 0.2 W, and 4 J/cm²), (3) conventional CSF, (4) laser CSF (wavelength of 940 nm, 1.5 W, and 4 J/cm², and power density of 160 mW/cm²), (5) conventional CSF plus photobiomodulation, and (6) laser CSF plus photobiomodulation. Measurements were made on clinical photographs and dental casts using the AutoCAD software. Level of pain of patients was measured within the first 24 h after fiberotomy using a visual analog scale. Data were analyzed by ANOVA and Kruskal-Wallis test (<i>α</i> = 0.05). <b><i>Results:</i></b> The magnitude (<i>p</i> = 0.014) and percentage (<i>p</i> = 0.035) of relapse were significantly different among the six groups, and they were the highest in the control group followed by photobiomodulation alone, laser CSF, conventional CSF, conventional CSF plus photobiomodulation, and finally, laser CSF plus photobiomodulation. Moreover, photobiomodulation plus laser CSF and photobiomodulation plus conventional CSF had significantly different results from the other groups. The six groups had no significant difference in sulcus depth changes, gingival recession (difference in primary and secondary crown height), or pain score (<i>p</i> > 0.05). <b><i>Conclusions:</i></b> This study suggests that utilizing photobiomodulation combined with laser CSF or conventional CSF can be effective in reducing relapse. However, further clinical trials are required to support this idea. Iranian Registry of Clinical Trials (IRCT20210621051653N1).</p>","PeriodicalId":20111,"journal":{"name":"Photobiomodulation, photomedicine, and laser surgery","volume":"41 8","pages":"408-414"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10006251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erbium:Yttrium Aluminum Garnet (Er:YAG) Laser: A Minimally Invasive Treatment Method in Selected Patients with Impaired Breathing During Sleep-The Assessment of Treatment Effectiveness After 4 Years.","authors":"Henryk Frelich,&nbsp;Magdalena Marków,&nbsp;Maciej Tażbirek,&nbsp;Hanna Frelich-Truchel,&nbsp;Maciej Misiołek,&nbsp;Wojciech Ścierski","doi":"10.1089/photob.2022.0144","DOIUrl":"https://doi.org/10.1089/photob.2022.0144","url":null,"abstract":"<p><p><b><i>Objective:</i></b> The aim of this study was to assess the long-term outcomes of nonablative Er:YAG laser treatment for snoring. <b><i>Background data:</i></b> Nonablative Er:YAG laser treatment has been shown to improve subjective quality of sleep without serious adverse effects, but long-term data are lacking. <b><i>Materials and methods:</i></b> Twenty-four patients with snoring problems due to soft palate hypertrophy were treated with three treatment procedures with Er:YAG laser performed at 2-week intervals. Subjective (questionnaires) and objective (polygraph) outcome measures were assessed at baseline, 3 months, and 4 years after the final laser treatment. <b><i>Results:</i></b> Twenty patients returned for the 4 years follow-up. The significant improvement in subjective sleep outcomes observed 3 months after Er:YAG laser treatment was still significant 4 years after treatment. No significant improvement or deterioration in objective polygraph outcome measures was observed during the 4 years of follow-up in our study. No side effects of laser treatment were observed. <b><i>Conclusions:</i></b> The Er:YAG laser treatment presents a safe and well-tolerated snoring treatment alternative for patients with airway obstruction in the oropharynx with improvement in subjective sleep outcomes lasting up to 4 years.</p>","PeriodicalId":20111,"journal":{"name":"Photobiomodulation, photomedicine, and laser surgery","volume":"41 8","pages":"415-421"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10008662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Photobiomodulation Literature Watch March 2023.","authors":"James D Carroll","doi":"10.1089/photob.2023.29026.lit","DOIUrl":"https://doi.org/10.1089/photob.2023.29026.lit","url":null,"abstract":"","PeriodicalId":20111,"journal":{"name":"Photobiomodulation, photomedicine, and laser surgery","volume":"41 8","pages":"445-448"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10006250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Low-Level Photobiomodulation Therapy Modulates H₂O₂ Production, TRPC-6, and PGC-1α Levels in the Dystrophic Muscle.","authors":"Caroline Covatti,&nbsp;Daniela Sayuri Mizobuti,&nbsp;Guilherme Luiz da Rocha,&nbsp;Heloina Nathalliê Mariano da Silva,&nbsp;Caroline Caramano de Lourenço,&nbsp;Adriana Pertille,&nbsp;Elaine Cristina Leite Pereira,&nbsp;Elaine Minatel","doi":"10.1089/photob.2022.0115","DOIUrl":"https://doi.org/10.1089/photob.2022.0115","url":null,"abstract":"<p><p><b><i>Objective:</i></b> This study evaluated photobiomodulation therapy (PBMT) effects on the factors involved in mitochondrial biogenesis, on the mitochondrial respiratory complexes, and on the transient receptor potential canonical channels (such as TRPC-1 and TRPC-6) in <i>in vitro</i> (mdx muscle cells) and <i>in vivo</i> studies (gastrocnemius muscle) from mdx mice, the dystrophin-deficient model of Duchenne muscular dystrophy (DMD). <b><i>Background:</i></b> There is no successful treatment for DMD, therefore demanding search for new therapies that can improve the muscle role, the quality of life, and the survival of dystrophic patients. <b><i>Methods:</i></b> The dystrophic primary muscle cells received PBMT at 0.6 J and 5 J, and the dystrophic gastrocnemius muscle received PBMT at 0.6 J. <b><i>Results:</i></b> The dystrophic muscle cells treated with PBMT (0.6 J and 5 J) showed no cytotoxicity and significantly lower levels in hydrogen peroxide (H₂O₂) production. We also demonstrated, for the first time, the capacity of PBMT, at a low dose (0.6 J), in reducing the TRPC-6 content and in raising the peroxisome proliferator-activated receptor γ coactivator-1α (PGC-1α) content in the dystrophic gastrocnemius muscle. <b><i>Conclusions:</i></b> PBMT modulates H₂O₂ production, TRPC-6, and PGC-1α content in the dystrophic muscle. These results suggest that laser therapy could act as an auxiliary therapy in the treatment of dystrophic patients.</p>","PeriodicalId":20111,"journal":{"name":"Photobiomodulation, photomedicine, and laser surgery","volume":"41 8","pages":"389-401"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10011122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Photobiomodulation Literature Watch February 2023.","authors":"James D Carroll","doi":"10.1089/photob.2023.0097","DOIUrl":"https://doi.org/10.1089/photob.2023.0097","url":null,"abstract":"","PeriodicalId":20111,"journal":{"name":"Photobiomodulation, photomedicine, and laser surgery","volume":"41 7","pages":"371-375"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10227585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}