Comparison of Electrodessication with CO2 Laser for the Treatment of Actinic Cheilitis

Laws, Richard A.; Wilde, Joseph L.; Grabski, William J.

doi:10.1046/j.1524-4725.2000.99286.x

Cited by 44 publications

(48 citation statements)

References 7 publications

(5 reference statements)

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“…compares the efficacy of electrodesiccation with CO 2 laser ablation for the treatment of AC. They reported that patients tolerated electrosurgery well and had no immediate discomfort; however, a burning pain did occur in the majority of patients shortly after the procedure 47 . The study indicated that on average, areas of AC treated with electrodesiccation took 8 days longer to heal compared with areas treated with CO 2 laser; this is probably resulting from collateral thermal damage 47 .…”

Section: Resultsmentioning

confidence: 99%

Actinic cheilitis: a treatment review

2010

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All other factors being equal, the presence of actinic cheilitis, a pre-invasive malignant lesion of the lips, doubles the risk of squamous cell carcinoma developing in this anatomic area. Various forms of local ablation,immunomodulation and surgical extirpation have been proposed as therapeutic interventions. This paper critically evaluates the available medical literature to highlight the evidence-based strength of each recommended therapy for actinic cheilitis. Vermilionectomy remains the gold standard for efficacy; trichloroacetic acid application is easy and convenient, but the least efficacious overall.

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Section: Resultsmentioning

confidence: 99%

Actinic cheilitis: a treatment review

2010

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“…As the three treated lesions received the same post procedural care, the significantly higher incidence of edema and tenderness in the lesions treated by electrodessication may be attributed to the extended zone of thermal damage commonly observed after the procedure [14]. As the three treated lesions received the same post procedural care, the significantly higher incidence of edema and tenderness in the lesions treated by electrodessication may be attributed to the extended zone of thermal damage commonly observed after the procedure [14].…”

Section: Discussionmentioning

confidence: 90%

Low-power carbon dioxide laser and conventional electrosurgery in the treatment of verrucae vulgaris

Esmat¹,

Abdel‐Halim²,

Fawzy³

et al. 2012

Journal of the Egyptian Womenʼs Dermatologic Society

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BackgroundElectrosurgery and CO 2 laser are effective therapeutic approaches for the treatment of warts. However, no double-blind studies have compared both modalities. Objective To compare two low powers of a CO 2 laser with electrosurgery in the treatment of common warts. Patients and methodsThis double-blind study was carried out on 35 patients with at least three verrucae vulgaris lesions. Two lesions were treated using two different low powers of a continuous CO 2 laser (1 and 3 W), whereas the third one was treated by electrodessication (6 W). Follow-up was carried out at weeks 1, 4, and 12. ResultsThere was no significant difference between the CO 2 laser and electrodessication in terms of re-epithelialization, post-treatment erythema, dyspigmentation, or scar formation. However, edema and tenderness were significantly higher in patients treated with electrodessication both at the week 1 (P = 0.039) and at the week 4 follow-up (P = 0.042). In contrast, the incidence of recurrence at the week 4 follow-up was significantly higher in CO 2 laser-treated lesions (P = 0.020). The use of a larger number of CO 2 passes was significantly correlated with a higher incidence of lesional postinflammatory hyperpigmentation (P = 0.008). Complete re-epithelialization as well as recurrence rate were significantly higher in lesions treated with CO 2 (1 W) compared with CO 2 (3 W) (P = 0.041 and 0.022, respectively). On comparing the three groups, edema and tenderness occurred significantly more in lesions treated with electrodessication at week 1 (P = 0.043), and the incidence of recurrence occurred significantly more in lesions treated with CO 2 (1 W) at week 4 (P = 0.002). No difference was found at week 12. Conclusion Both electrodessication and low-power CO 2 are effective and relatively safe modes of treatment for warts. Electrodessication results in a significantly lower incidence of recurrence.

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“…It is simple, inexpensive, and readily available relative to other therapies, such as the CO 2 laser. 91 There seems to be no significant difference in the clinical results achieved with electrodessication when compared to CO 2 ablation. 91 Vermilionectomy involves the excision of all or part of the vermilion and closure of the labial mucosa to the skin of the outer lip.…”

Section: Surgical and Ablative Approachesmentioning

confidence: 91%

“…91 There seems to be no significant difference in the clinical results achieved with electrodessication when compared to CO 2 ablation. 91 Vermilionectomy involves the excision of all or part of the vermilion and closure of the labial mucosa to the skin of the outer lip. It is an extreme but excellent treatment option and is recommended for SC with severe dysplasia and SCC.…”

Section: Surgical and Ablative Approachesmentioning

confidence: 91%