二氧化碳与染料激光联合治疗面部巨大表皮痣1例报告及文献复习。

IF 1.2 4区 医学 Q3 DERMATOLOGY
Journal of Cosmetic and Laser Therapy Pub Date : 2021-05-19 Epub Date: 2021-10-20 DOI:10.1080/14764172.2021.1990962
Mario Sannino, Azzurra Gaia Ambrosio, Giuseppe Lodi, Giovanni Cannarozzo, Luigi Bennardo, Steven Paul Nisticò
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引用次数: 6

摘要

表皮痣(EN)是出生时出现的皮肤错构瘤,通常发生在躯干,面部或四肢,表现为过度生长的皮肤斑块。它们可能是小的和局部的,但它们可能涉及身体的广泛区域。一个20岁的男人因为一副有趣的脸引起了我们的注意。治疗方案包括一段CO2激光,以蒸发较厚的区域,然后是一段染料激光,以防止疤痕形成。该治疗在局部麻醉和镇静下进行,手术时间间隔为3个月。随访期间进行两次染料激光治疗,间隔6个月,进一步改善美观效果。随访2年,无复发。虽然手术仍然被认为是EN管理的金标准,但并不总是可行的。这种新颖的组合技术在随访期间无复发,可获得最佳的美容效果。虽然还需要对更多的患者进行进一步的试验,但二氧化碳和染料激光的结合有望成为治疗面部巨大EN的有效替代治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A giant epidermal nevus of the face treated with a CO2 and dye laser combination: a case report and literature review.

Epidermal nevi (EN) are cutaneous hamartomas present at birth, usually occurs in the trunk, the face, or the limbs, appearing as a patch of overgrowing skin. They may be small and localized, but they may interest extensive areas of the body. A 20 years old man came to our attention for an EN interesting all the face. The treatment protocol consisted of a session of CO2 laser in order to vaporize thicker areas, followed by a session of dye laser on the area to prevent scarring. This treatment was performed under local anesthesia and sedation in three surgical sessions spaced 3 months from each other. Two sessions of dye laser spaced apart 6 months were performed during follow-up to further improve the esthetic outcome. The patient was followed for 2 years with no recurrence. Although surgery is still considered the gold standard in EN management, it is not always feasible. This novel combination technique can obtain optimal cosmetic results with no relapse within the period of follow up. Although further trials on a more significant number of patients are required, the combination of CO2 and dye laser promises to become a valid therapeutic alternative when treating giant EN of the face.

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来源期刊
CiteScore
2.50
自引率
0.00%
发文量
36
审稿时长
>12 weeks
期刊介绍: A unique journal that focuses on the application of cosmetic laser and light therapies on the skin. The Journal of Cosmetic & Laser Therapy provides a forum for stimulating and up-to-date studies demonstrating the wide range of therapeutic options for clinicians and surgeons involved in cosmetic and dermatological treatment. The journal is aimed at dermatologists, cosmetic surgeons, plastic and facial plastic surgeons, oculoplastic surgeons and all those interested in the rapidly expanding field of cosmetic and laser therapy. Features include: -Cosmetic surgery, including facial rejuvenation, hair removal and skin resurfacing -Use of lasers and other light sources for cosmetic and dermatological treatment -Applications of peeling agents, fillers, injectables, implants and other cosmetic modalities -Topical treatments -Practical tips and safety issues
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