Treatment of Facial Telangiectasia Using a Dual-Wavelength Laser System (595 and 1,064 nm): A Randomized Controlled Trial with Blinded Response Evaluation

Karsai, Syrus; Roos, Susanne; Raulin, Christian

doi:10.1111/j.1524-4725.2008.34131.x

Cited by 39 publications

(73 citation statements)

References 25 publications

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“…It has been reported that lpNd:YAG laser has advantages in the treatment of inflammatory lesions (2,7,14,15,23,24). In this study, the decrease in the number of pustules following lpNd:YAG laser treatment was remarkable.…”

Section: Discussionmentioning

confidence: 49%

The Comparison of the Efficacy and Safety of Q-Switched Potassium Titanyl Phosphate Laser and Long-Pulsed Neodymium-Doped Yttrium Aluminum Garnet Laser in the Treatment of Erythematotelangiectatic and Papulopustular Rosacea

Üstüner¹,

Balevi²,

Özdemır³

2018

tdd

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Objective: The best laser for patients with erythematotelangiectatic rosacea is still a controversial topic. The efficacy and safety of Q-switched potassium titanyl phosphate (KTP) and long-pulsed neodymium-doped yttrium aluminum garnet (lpNd:YAG) lasers were compared in the treatment of erythematotelangiectatic and papulopustular rosacea. Methods: Thirty patients aged 16-70 years who had multiple telangiectasias on both sides of the face and a diagnosis of stage 1-2 rosacea were included in a split-face, double-blinded, randomized clinical trial. Lasers were applied to two different sides of the face for four sessions at one-month intervals. The number of papules and pustules were investigated before treatment and at each visit. The erythematotelangiectatic rosacea severity scores, thickness of telangiectasias, clinician's assessment of treatment response, patient satisfaction, and adverse effects were examined. Results: In the third and fourth months, the number of papules on the side treated with lpNd:YAG laser was significantly lower than the other side. In the fourth month, the mild or severe erythematotelangiectatic rosacea score rate was significantly lower on the side treated with lpNd:YAG laser. The clinician's assessment was similar for both treatments. Conclusion: We recommend lpNd:YAG laser for erythema and Q-switched KTP laser for thin and superficial telangiectasias for the highest treatment efficacy. Keywords: Erythema, lasers, purpura, rosacea, solid-state, telangiectasias Amaç: Eritemotelenjiektatik rozasealı hastalar için en iyi lazer halen tartışmalı bir konudur. Q-anahtarlı potassium titanyl phosphate (KTP) ve uzun atımlı neodymium-doped yttrium aluminum garnet (lpNd:YAG) lazerlerin eritemotelenjiektatik ve papülopüstüler rozasea tedavisinde etkinliği ve güvenilirliği karşılaştırıldı. Yöntemler: Yüzünün her iki yanında çok sayıda telenjiektazileri olan ve evre 1-2 rozasea tanısı bulunan 16-70 yaşları arasında 30 hasta yarım-yüz, çift-kör, randomize klinik çalışmaya alındı. Lazerler yüzün iki farklı yanına bir aylık aralıklarla 4 seans uygulandı. Tedavi öncesinde ve her takipte papül ve püstül sayısı araştırıldı. Eritemotelenjiektatik rozasea şiddet skoru, telenjiektazi kalınlığı, klinisyenin tedavi yanıtını değerlendirmesi, hasta memnuniyeti ve yan etkiler incelendi. Öz

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Section: Discussionmentioning

confidence: 49%

The Comparison of the Efficacy and Safety of Q-Switched Potassium Titanyl Phosphate Laser and Long-Pulsed Neodymium-Doped Yttrium Aluminum Garnet Laser in the Treatment of Erythematotelangiectatic and Papulopustular Rosacea

Üstüner¹,

Balevi²,

Özdemır³

2018

tdd

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“…In another study, Karsai et al [16] studied 20 patients using the sequential delivery of PDL and Nd:YAG wavelengths on one side of the nose. The other side was treated with either PDL or Nd:YAG.…”

Section: Discussionmentioning

confidence: 99%

“…Many therapeutic modalities, especially laser systems [16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36] or intense pulsed light (IPL) [18,19,20] have been applied in the treatment of these telangiectasias. The aim of this study was to present a single-institution experience of treating extranasal telangiectasias by means of Nd:YAG laser.…”

Section: Introductionmentioning

confidence: 99%

Nd:YAG Laser Treatment for Extranasal Telangiectasias: A Retrospective Analysis of 38 Patients with Hereditary Hemorrhagic Telangiectasia and Review of the Literature

Papaspyrou

Schick²,

Kadah³

2016

ORL

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Background/Aims: Extranasal telangiectasiasare common amongsthereditary hemorrhagic telangiectasia (HHT) patients. Telangiectasias can be found at sites like the external nose, lips, oral cavity and fingers. Although not life threatening, they can be annoying for patients and lead to bleeding in some cases, necessitating treatment. Methods: The data of 38 HHT patients treated for extranasal telangiectasias during a period of 10 years by means of Nd:YAG laser were retrospectively analyzed. Results: The telangiectasias treated affected predominantly the tongue, facial skin and lips. During a minimum follow-up of 3 years, only 7 patients required a revision of surgery. Conclusion: This study shows that Nd:YAG laser constitutes a fast, safe and efficient therapeutic modality for the treatment of extranasal telangiectasias.

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“…Karsai et al [10] führten eine im Jahr 2008 veröffentlichte Untersuchung durch, die den Effekt des 595-nm-gepulsten Farbstofflasers und 1064-nm-Nd:YAG-Lasers bei Rosazea an der Nase untersuchte. Diese Untersuchung war doppeltblind an insgesamt 20 Patienten durchgeführt worden, wobei eine Besserung bei Auswertung standardisierter Fotografien festgestellt worden war.…”

Section: Blitzlampentherapie Lasertherapie Und Radiofrequenzunclassified

Nichtmedikamentöses Management der Rosazea

Borelli

2011

Hautarzt

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Rosacea is like no other disease a problem for patients regarding the use of skin care and cleaning products. The subjective assessment of the severity of the illness is an important factor regarding the development of depression in these patients. Inadequate skin care and cleaning products can lead to irritation and stinging of the skin. Dermatologists should address questions regarding skin care, cleaning and sun screens. Because of the higher irritability of the skin of rosacea patients, all possibly irritating cleaning products or procedures should be avoided. The water temperature is also important; it should be lukewarm to avoid the provocation of a vascular reaction. Soaps should be avoided, because they are alkaline and thus lead to a higher pH of the skin. A higher pH of the skin can lead to irritation. Appropriate make-up causes no aggravation of the skin and increases patient's satisfaction with their skin and thus leads to a higher compliance with pharmacological therapy. Laser or intense pulsed light treatment can improve telangiectasia or erythema. Operative treatment of rhinophyma is effective and well-established.

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Treatment of Facial Telangiectasia Using a Dual-Wavelength Laser System (595 and 1,064 nm): A Randomized Controlled Trial with Blinded Response Evaluation

Abstract: The sequential delivery of 595- and 1,064-nm-wavelength radiation with an interpulse delay suggests that the synergistic approach to laser therapy for facial telangiectasia is a superior method compared to standard single wavelength therapy.

Cited by 39 publications

References 25 publications

The Comparison of the Efficacy and Safety of Q-Switched Potassium Titanyl Phosphate Laser and Long-Pulsed Neodymium-Doped Yttrium Aluminum Garnet Laser in the Treatment of Erythematotelangiectatic and Papulopustular Rosacea

The Comparison of the Efficacy and Safety of Q-Switched Potassium Titanyl Phosphate Laser and Long-Pulsed Neodymium-Doped Yttrium Aluminum Garnet Laser in the Treatment of Erythematotelangiectatic and Papulopustular Rosacea

Nd:YAG Laser Treatment for Extranasal Telangiectasias: A Retrospective Analysis of 38 Patients with Hereditary Hemorrhagic Telangiectasia and Review of the Literature

Nichtmedikamentöses Management der Rosazea

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