Efficient cooling is essential in laser dermatology to prevent thermal damage, but current methods are often hindered by thermal barrier film deposition. This study presents coaxial air-R134a spray cooling for heat transfer enhancement and deposited-film mitigation. Surface temperature was measured using a TFTC thermocouple, while heat flux was estimated through the improved Duhamel theorem. High-speed camera visualization with the Mie-scattering technique captured the spray and film behavior. The results showed uniform and effective cooling via transient surface heat transfer and film behaviors. The boiling curve identified three distinct cooling phases: transition boiling, nucleate boiling, and single-phase film deposition. Airflow adjustments not only enhance the heat transfer coefficient but also control spray dynamics, droplet rebounding, and film spreading. Self-organizing maps revealed that medium-to-high nozzle spacing (y/D) reduces surface temperature and increases the heat transfer coefficient. Film resistance time is minimized by either high airflow and low y/D or low airflow and high y/D. For critical heat flux, low y/D and airflow are optimal. A y/D = 32 and 60 L/min airflow provided appropriate operating conditions. However, airflow increased frost deposition during off-duty, suggesting moisture-free air in the future.
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