CO<sub>2</sub>Laser Treatment of Epidermal Nevi: Long-Term Success

Boyce, Sarah; Alster, Tina S.

doi:10.1046/j.1524-4725.2002.01317.x

Cited by 41 publications

(27 citation statements)

References 15 publications

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“…There are few reports on laser treatment of EN. Various studies report good clinical effect when using CO 2 laser for the treatment of epidermal nevi [6,7,8,9]. Low recurrence rates have been reported, perhaps due to the creation of a limited and protective amount of dermal fibrosis that occurs as a result of laser skin resurfacing [7].…”

Section: Discussionmentioning

confidence: 99%

“…Topical modalities, including steroids (topical or intralesional), retinoids, calcipotriol, toxins (e.g. podophyllin), antiproliferatives (5-fluorouracil cream), keratolytics, and chemical peels, have shown inconsistent efficacy and a high rate of recurrence, and destructive methods, including laser, electrocoagulation, and dermabrasion, have not uniformly provided acceptable efficacy and side effects and a high rate of recurrence [3,4,5,6,7,8,9,10,11]. Surgery is an option for small lesions, but in large lesions the scar is not necessarily a worthwhile trade-off.…”

Section: Introductionmentioning

confidence: 99%

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Treatment of Verrucous Epidermal Nevus: Experience with 71 Cases

et al. 2013

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Objective: The aim of this study was to evaluate the clinical results of 71 cases with verrucous epidermal nevus (VEN) treated by cryotherapy or CO₂ laser. Methods: The files and photographs of patients with VEN who were treated in the laser unit of a tertiary hospital between January 2005 and December 2011 were evaluated. Pretreatment and 12-month follow-up photographs were evaluated using a 5-point scale: ‘excellent' (75-100% clearance), ‘good' (50-75% clearance), ‘fair' (25-50% clearance), ‘poor' (<25% clearance) or ‘worse'. Results: Of 71 patients, 62 responded well to cryotherapy alone, and 9 facial VEN required CO₂ laser treatment. Small VEN required relatively few treatments (mean 3.4) with 90% scoring ‘excellent' and 10% scoring ‘good'. Larger VEN required more treatments (mean 7.4) and did not respond as well, with 71% scoring ‘excellent', 14% scoring ‘good' and 14% scoring ‘fair'. Conclusion: Our experience suggests that cryotherapy is the ideal treatment for small facial VEN, while ablation by CO₂ laser should be considered an option for resistant facial lesions.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Treatment of Verrucous Epidermal Nevus: Experience with 71 Cases

et al. 2013

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“…Daha önceki tedaviler; dermabrazyon, kriyoterapi, eksizyon, retinoidler, steroidler ve topikal 5-fluorourasil'i içermektedir 37 . Bu tedavilerin çoğu skar veya yetersiz temizlenme ile sonuçlanmaktadır.…”

Section: Kutanöz Hamartomlarunclassified

“…Ufak bir bölgede rekürrens 2 olguda ve hiperpigmente skar 1 olguda görüldü. Boyce ve Alster 37 ; pulse CO2 ile 3 epidermal nevus tedavi ettiler ve tedaviden 1 yıl sonra 3'ünde de iyi yanıt bildirdiler. Bir hastada ufak bir alanda rekürrens saptandı, skar görülmedi.…”

Section: Kutanöz Hamartomlarunclassified

Ablatif Lazerler

...

2012

Turkderm

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ÖzetEstetik düzenlemeler için geliştirilen cerrahi olmayan lazerler ile cilt yenileme alanı, yeni araştırmalar ve teknik ilerlemelerle gelişimini devam ettirmektedir.1980'lerdeki ilk kullanımlarından bu yana lazerle cilt yenileme endüstrisi ablatif, nonablatif ve fraksiyonel ablatif özellikte çok sayıda cihaz geliştirmiştir. Ablatif cilt yenileme, yaşlanmış derinin rejuvenasyonu ve çok sayıdaki deri lezyonunun tedavisi için oldukça güçlü bir araçtır. Uygun ellerde kullanıldıklarında, cerrahi ve nonablatif metodların tavsiye edilmediği fotoyaşlanma problemlerinin çoğunda etkili ve güvenli bir yöntemdir. Ablatif lazerler, ürettikleri infrare ışık sayesinde "su" molekülünü hedefleyerek, doku kontraksiyonu ve kollajen üretimine neden olurlar. İlk ablatif lazer sistemleri, belirgin termal hasar oluşturduklarından kabul edilemez yüksek oranlarda skarlaşma ve uzamış yara iyileşmesine neden olmuşlardır. Yüksek enerjili pulse lazerler ve fraksiyonel lazerler gibi yeni cihazlar, daha az yan etki ve kıssa yara iyileşme süreleri ile belirgin düzelmelere ulaşabilme kapasitesine sahiptirler. Ablatif cilt yenileme giderek daha güvenli olmakla beraber, tedavi sonrası skarlaşma, pigment düzensizlikleri ve enfeksiyonları engellemek için dikkatli ve uygun hasta seçimi halen çok önemlidir. Hasta tatmini ve klinik sonuçların en üst düzeyde olabilmesi için , ablatif cihazları kullanan klinisyenlerin muhtamel yan etkilerin farkında olmaları gereklidir. Sum maryThe field of nonsurgical laser resurfacing for aesthetic enhancement continues to improve with new research and technological advances. Since its beginnings in the 1980s, the laser-resurfacing industry has produced a multitude of devices employing ablative, nonablative, and fractional ablative technologies. Ablative resurfacing is a powerful tool for rejuvenation of the aging face and for the treatment of a wide array of skin lesions. In the proper hands, it is a safe and effective way to treat many of the problems of photodamaged skin that surgery or nonablative methods cannot address. Ablative lasers emit infrared light, which targets water resulting in tissue contraction and collagen formation. The first ablative laser systems created significant thermal damage resulting in unacceptably high rates of scarring and prolonged healing. Newer devices, such as high-energy pulsed lasers and fractional ablative lasers, are capable of achieving significant improvements with fewer side effects and shorter recovery times. While ablative resurfacing has become safer, careful and appropriate patient selection is still important to avoid post-treatment scarring, dyspigmentation, and infections. Clinicians utilizing ablative devices need to be aware of possible side effects in order to maximize results and patient satisfaction. Gi riflAblatif cilt yenileme lazerleri çevre dokularda sınırlı bir koagülatif nekrozla birlikte kontrollü bir doku ablasyonu sağlayan lazerlerdir. Ablatif cilt yenileyici lazerlerin fototermal hasar ile epidermis ve dermisin bir kısmını ortadan kaldırarak oluşturdu...

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“…The zonal creation of fibrosis in the area treated with ablation may minimize the risk of recurrence. 18 The primary thickness of the nevi is the most determining factor for cosmetic results. 19 We report a patient with profound expression of the neurological and oropharyngeal complications of linear epidermal nevus, an entity within the spectrum of epidermal nevus syndrome.…”

mentioning

confidence: 99%

A profound case of linear epidermal nevus in a patient with epidermal nevus syndrome

Adams¹,

Athalye²,

Schwimer³

et al. 2011

J Dermatol Case Rep

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Background: Epidermal nevus syndrome is a multi-system disease with a wide spectrum of clinical presentation. Numerous specialists may be required to address its extra cutaneous manifestations.Main observations: We report a severe case of epidermal nevus syndrome involving the oral cavity, pharynx, and central nervous system in addition to disfiguring skin lesions.Conclusions: Dermatologists are in a unique position to first render the diagnosis of epidermal nevus syndrome for young patients and ensure appropriate follow-up. (J Dermatol Case Rep. 2011; 5(2):

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CO₂Laser Treatment of Epidermal Nevi: Long-Term Success

Cited by 41 publications

References 15 publications

Treatment of Verrucous Epidermal Nevus: Experience with 71 Cases

Treatment of Verrucous Epidermal Nevus: Experience with 71 Cases

Ablatif Lazerler

A profound case of linear epidermal nevus in a patient with epidermal nevus syndrome

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CO2Laser Treatment of Epidermal Nevi: Long-Term Success

Cited by 41 publications

References 15 publications

Treatment of Verrucous Epidermal Nevus: Experience with 71 Cases

Treatment of Verrucous Epidermal Nevus: Experience with 71 Cases

Ablatif Lazerler

A profound case of linear epidermal nevus in a patient with epidermal nevus syndrome

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Product

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CO₂Laser Treatment of Epidermal Nevi: Long-Term Success