Abstract

The clinical application of low power diode laser is appearing more frequently in the literature. One application which has been researched with animal models, followed by clinical applications in man is for the enhanced healing of wounds including fistula of the flap. The enhanced blood flow following low power diode laser irradiation has been reported by a number of researchers including the author, but precise evaluation following multiple treatment sessions has not yet been presented. We have evaluated a series of irradiations in a preliminary group of 2 patients in whom myocutaneous flaps were indicated following surgery related to circulatory disorders. The diode laser (830nm, 60mW, 1.9J/cm2, continuous wave) was applied in the non-contact method to the pedicle or feeder artery of the flap, or around the wounds for 10 minutes each. Laser doppler readings were taken before and immediately after each irradiation session. Both blood flow and mass showed a significant increase following low power diode laser irradiation, not only for the first treatment session, but in subsequent sessions. The results are examined especially from the point of view of the possible cumulative effect of successive treatment sessions.

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