Akne vulgaris: Neue Studie bestätigt Wirksamkeit und Sicherheit der Lasertherapie

Karger Kompass Pub Date : 2023-10-26 DOI:10.1159/000534625
Andrea Schulz
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Abstract

Background: Selective photothermolysis on sebaceous glands is an effective method for treating acne vulgaris (AV); however, safety, efficacy, and discomfort hinder its utilization in clinical settings. Aims: The primary objective is to evaluate the safety and efficacy of a novel 1726 nm laser with contact cooling to treat AV. Methods: Seventeen patients aged 18 to 36 were enrolled and treated in this IRB-approved, single-center, open-label study. Patients received up to three facial laser sessions up to seven weeks apart. Follow-up visits happened ten days post-session and at the 4 and 12 weeks following the final session. The investigator assessed the severity of device-related adverse events (AEs). Investigator Global Assessment (IGA) and inflammatory lesion counts (ILC) were used as metrics to evaluate acne resolution and skin condition enhancement. Patients&apos; perspectives on satisfaction and comfort using this technology were assessed using Subject Experience Questionnaires (SEQ). Results: Safety assessment showed mild and transient AEs. All subjects tolerated anesthetics-free treatments well, with a mean treatment discomfort score of 4.9 ± 1.5. Compared to baseline, a statistically significant reduction in ILC (p = 0.003) of 52% to 56% is achieved four to twelve weeks following treatment. Long-term follow-ups showed progressive improvement 24 months post-treatment with a 97% reduction in ILC. SEQs revealed high subject satisfaction (71%) with psychosocial improvement three months post-treatment.
粉刺野性:新研究证明了激光疗法的有效性和安全性
& lt; b>背景:& lt; / b>皮脂腺选择性光热疗法是治疗寻常痤疮(AV)的有效方法。然而,安全性、有效性和不适阻碍了其在临床环境中的应用。& lt; b>目标:& lt; / b>主要目的是评估一种新型的1726 nm激光接触冷却治疗AV的安全性和有效性。17名年龄在18至36岁之间的患者入组并在这项经irb批准的单中心开放标签研究中接受治疗。患者每隔七周接受三次面部激光治疗。随访在治疗后10天以及最后一次治疗后的第4周和第12周进行。研究者评估了器械相关不良事件(ae)的严重程度。研究者总体评估(IGA)和炎性病变计数(ILC)作为评估痤疮消退和皮肤状况改善的指标。Patients& apo;使用受试者体验问卷(SEQ)对使用该技术的满意度和舒适度进行评估。& lt; b>结果:& lt; / b>安全性评价为轻度和短暂性不良反应。所有受试者对无麻醉治疗耐受良好,平均治疗不适评分为4.9±1.5。与基线相比,在治疗后4至12周,ILC (p = 0.003)降低了52%至56%,具有统计学意义。长期随访显示治疗后24个月逐渐改善,ILC降低97%。SEQs显示治疗后三个月心理社会改善的受试者满意度很高(71%)。
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