Der gepulste Farbstofflaser - Möglichkeiten und Grenzen

Hellwig, S.; Petzoldt, D; Raulin, Christian

doi:10.1007/s001050050624

Cited by 19 publications

(8 citation statements)

References 51 publications

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“…6,16 New laser systems like the flashlamp-pumped pulsed tunable dye laser (ScleroPlus Laser; Candela Corporation, Wayland, Mass; Millenium; Cynosure, Bedford, Mass) that permit the choice of longer wavelengths (585-600 nm) and longer pulse widths (1.5 milliseconds) have become available for the treatment of vascular lesions such as leg telangiectasia. 14,[17][18][19] A long-pulsed potassium-titanyl-phosphate laser at 532 nm al-lows for the use of variable pulse widths in the 1-to 50-millisecond range (Aura; Laserscope, San Jose, Calif; Versapulse; Coherent, Palo Alto, Calif). 10,[20][21][22] Deeper penetration can be reached and with longer-pulse durations, which lie closer to the thermal relaxation times of larger vessels, 23 more effective thermal coagulation can be achieved.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Port-wine Stains With a Noncoherent Pulsed Light Source

Raulin¹,

Schroeter²,

Weiß³

et al. 1999

Arch Dermatol

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129

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Objective: The flashlamp pulsed dye laser (FLPDL) is currently the treatment of choice for port-wine stains (PWS). We recently investigated whether a non-coherent intense pulsed light source (IPLS) would be effective in the therapy of PWS. Design and Patients:In order to evaluate the efficacy in treatment of PWS (especially adult-type dark and hypertrophic), a retrospective study of 37 patients (randomly selected) with a total of 40 PWS treated with IPLS was initiated. Clinical PWS characteristics recorded were color and location of the PWS. Data collected included treatment parameters (filters, pulse duration, fluence and pulse sequencing), % clearance, and side effects (purpura, blisters, crusting, altered pigmentation and scarring).Results: Good and complete (70-100 %) clearance was achieved in 28 of 40 PWS treated with IPLS. Average number of treatment sessions in PWS reaching 100 % clearance included 4.0 for pink PWS and 1.5 sessions for red PWS. Average number of sessions in purple PWS reaching good clearance (70-99%) was 4.2 sessions. Parameters used most frequently were 515 and 550 nm cut-off-filters, pulse duration of 2.5-5.0 ms and fluences of 24 to 60 J/cm 2 . Side effects included purpura in 76%, superficial blisters in 8% and crusting in 20%. Transient pigmentation changes were seen in 10.8% of patients (hypopigmentations in 8.1%, hyperpigmentation in 2.7%). No scarring was observed. Conclusion:IPLS presents an effective and safe method for treating PWS, especially dark and facial PWS.

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Section: Discussionmentioning

confidence: 99%

Treatment of Port-wine Stains With a Noncoherent Pulsed Light Source

Raulin¹,

Schroeter²,

Weiß³

et al. 1999

Arch Dermatol

Self Cite

129

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“…Under light compression with a glass spatula, arterial pulsations can be recognized in the center, fading toward the periphery. Therapy consists of laser therapy with pulsed dye or alternatively with KTP-Nd: YAG laser or an IPL system [88]. …”

Section: Vascular Tumors Of the Nosementioning

confidence: 99%

Cutaneous lesions of the nose

Sand

Thrandorf

et al. 2010

Head Face Med

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Skin diseases on the nose are seen in a variety of medical disciplines. Dermatologists, otorhinolaryngologists, general practitioners and general plastic and dermatologic surgeons are regularly consulted regarding cutaneous lesions on the nose. This article is the second part of a review series dealing with cutaneous lesions on the head and face, which are frequently seen in daily practice by a dermatologic surgeon. In this review, we focus on those skin diseases on the nose where surgery or laser therapy is considered a possible treatment option or that can be surgically evaluated.

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“…B. Naevi flammei, Teleangiektasien) [10]. Wissenschaftliche Untersuchungen haben gezeigt, dass der Laser außerdem auf die Kollagensynthese wirkt und auch (7,8 J/cm 2 ) verschwanden die Hautveränderun-gen gänzlich.Im Beobachtungszeitraum von 28 Monaten war die Patientin ohne Rezidiv.Unerwünschte permanente Nebenwirkungen traten nicht auf.Der Einsatz des blitzlampengepumpten Farbstofflasers hat sich in unserer Kasuistik als eine elegante und risikoarme Therapieoption erwiesen.Der Wirkmechanismus bleibt ungeklärt.…”

Section: Diskussionunclassified

Retikulohistiozytom

Greve

Raulin

2004

Der Hautarzt

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Reticulohistiocytoma is a rare non-Langerhans-cell histiocytosis. On exposed skin areas it is a cosmetic problem and can cause mechanical irritation due to its prominent nature. We successfully treated a histologically confirmed reticulohistiocytoma on the back of a 60 year old woman with a pulsed dye-laser (wavelength 585 nm, pulse 0.45 msec). The lesion regressed significantly after the first treatment (spot size: 7 mm, fluence 7.8 J/cm(2)). After another laser treatment, the lesion completely disappeared. At 28 month follow-up, no recurrence was seen. Permanent side effects were not observed. In our case report the use of the pumped pulsed dye-laser has proven to be an elegant and low risk treatment option for reticulohistiocytoma. The mechanism of action remains unknown.

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Der gepulste Farbstofflaser - Möglichkeiten und Grenzen

Cited by 19 publications

References 51 publications

Treatment of Port-wine Stains With a Noncoherent Pulsed Light Source

Treatment of Port-wine Stains With a Noncoherent Pulsed Light Source

Cutaneous lesions of the nose

Retikulohistiozytom

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