Minimally Invasive Excision of Epidermal Cysts through a Small Hole Made by a CO2 Laser

Song, Seung Wook; Burm, Jin Sik; Yang, Wooseok; Kang, Sun-Woong

doi:10.5999/aps.2014.41.1.85

Cited by 11 publications

(22 citation statements)

References 4 publications

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“…Even for ruptured epidermal cysts, surgery can be considered after creating a hole using a CO 2 laser, extracting pus and then stabilizing the patient so as to reduce scars. CO 2 laser excision, in comparison with other minimally invasive methods (punch biopsy), results in better hemostasis and reduced hematoma development [4].…”

Section: Discussionmentioning

confidence: 99%

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Comparison of complete surgical excision and minimally invasive excision using CO2 laser for removal of epidermal cysts on the face

Kim

Sun

Chung

2019

Arch Craniofac Surg

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Background Epidermal cysts are benign, slow growing cysts that often develop on the head, neck, chest, and back of adults. The most common method of surgical excision involves the use of a scalpel and often leaves a scar proportional to the size of the cyst. Therefore, minimally invasive techniques are required. Among these techniques, the CO 2 laser-based technique is minimally invasive and has lower complication rate, shorter recovery times, and lesser scarring. This paper aimed to compare the results and postoperative complications associated with a CO 2 laser-based excision against conventional surgical excision for epidermal cysts. Methods We surveyed 120 patients, aged 16 to 65 years, with epidermal cysts on the face measuring 0.5 to 2.2 cm in diameter. Twelve months later, we compared the scar length, recurrence rate, patient satisfaction, and complications between patients treated with CO 2 laser excision versus surgical excision. Results The mean scar length (12 months postoperative) after CO 2 laser excision was 0.30± 0.15 cm, and that following surgical excision was 1.23± 0.43 cm ( p = 0.001). The procedure time (time from incision after local anesthesia to the end of repair) was 16.15± 5.96 minutes for CO 2 laser excision versus 22.38± 6.05 minutes for surgical excision ( p = 0.001). The recurrence rates in the surgical excision group and CO 2 laser excision group were 3.3% and 8.3%, respectively; this difference was not statistically significant ( p = 0.648). Conclusion The cosmetic outcome of CO 2 laser excision is excellent. For epidermal cysts measuring 2.2 cm or smaller, CO 2 laser excision is recommended, especially when aesthetic outcome is considered important.

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Section: Discussionmentioning

confidence: 99%

“…The author has been using a CO 2 laser-based method as a minimally invasive excision [4]. As this method creates a small hole in the skin using a CO 2 laser, complications such as hemorrhage or hematoma will be less common compared to techniques requiring an incision.…”

Section: Introductionmentioning

confidence: 99%

Comparison of complete surgical excision and minimally invasive excision using CO2 laser for removal of epidermal cysts on the face

Kim

Sun

Chung

2019

Arch Craniofac Surg

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“…Song et al indicated that removal of epidermal cysts by using a CO 2 laser is a suitable approach for epidermal cysts that are less than 1.5 cm in diameter. In our practice, however, we have found that this method can also be a good alternative for larger cysts, especially those located in areas of cosmetic concern.…”

Section: Discussionmentioning

confidence: 99%

CO₂ Laser Punch‐Assisted Minimally Invasive Surgery for Sebaceous Cysts

Zhao

Fang

et al. 2020

Lasers Surg Med

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Background and Objectives Traditional surgical excision for a sebaceous cyst can completely eradicate the cyst, but the surgical processes are relatively complicated and may cause obvious scarring. Some patients are reluctant to choose this method because of the inconvenient procedures and the risk of conspicuous scarring, especially in esthetically important areas. We present a simple treatment method to prevent formation of a conspicuous scar. Study Design/Materials and Methods First, the cyst wall was pre‐separated from the surrounding tissues by injecting a large volume of anesthetic around the cyst. Then, the cyst contents were removed through a small hole created by using a CO2 laser on the skin surface, which adhered closely to the cyst. Finally, the cyst wall was removed using a hemostat that clamps it at the base. Between August 2017 and July 2019, 32 patients with 33 sebaceous cysts (12 infected and 21 uninfected) were treated by this method to remove the cyst contents and cyst wall. Mean operative time, complications, and patient satisfaction were evaluated. Results All patients were satisfied with the good esthetic outcome and the simplicity of the surgical procedure. Only two of the 33 cysts (6.0%) recurred 2 and 3 months postoperatively, including 0 of 21 uninfected cysts (0.0%) and 2 of 12 infected cysts (16.7%). No complications were found during the follow‐up period. The mean operation time was 13 ± 2.1 minutes. Conclusions CO2 laser punch‐assisted surgery was associated with minimal scarring and high patient satisfaction. With acceptable recurrence rates, it is a convenient, effective and minimally‐invasive treatment option for sebaceous cysts. Lasers Surg. Med. © 2020 Wiley Periodicals, Inc.

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“…In those that were excised, rupture of the cyst wall was found in 23.7% of epidermoid cysts. Alternative strategies for management of epidermoid cysts include using CO2, erbium-YAG laser and intralesional drainage and injection of triamcinolone acetonide [2,3].…”

Section: Discussionmentioning

confidence: 99%

An Unusual Case of an Epidermoid Cyst Eroding into an Arteriovenous Graft Resulting in Graft Loss

Feghali¹,

Wilcox²,

Wang³

2019

JSCR

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Arteriovenous grafts (AVG) are unfortunately vulnerable to infection given their nature of being a foreign body that is routinely accessed in a patient population that typically has multiple comorbidities. Management of AVG infections can become more complex when a patient has exhausted all options of hemodialysis access and gets an infection involving the AVG or a chronic wound in closed proximity. Herein, we present a case of an epidermoid cyst that caused breakdown of a thigh PTFE dialysis graft, which became infected and encapsulated the femoral anastomosis.

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Minimally Invasive Excision of Epidermal Cysts through a Small Hole Made by a CO2 Laser

Cited by 11 publications

References 4 publications

Comparison of complete surgical excision and minimally invasive excision using CO2 laser for removal of epidermal cysts on the face

Comparison of complete surgical excision and minimally invasive excision using CO2 laser for removal of epidermal cysts on the face

CO₂ Laser Punch‐Assisted Minimally Invasive Surgery for Sebaceous Cysts

An Unusual Case of an Epidermoid Cyst Eroding into an Arteriovenous Graft Resulting in Graft Loss

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Minimally Invasive Excision of Epidermal Cysts through a Small Hole Made by a CO2 Laser

Cited by 11 publications

References 4 publications

Comparison of complete surgical excision and minimally invasive excision using CO2 laser for removal of epidermal cysts on the face

Comparison of complete surgical excision and minimally invasive excision using CO2 laser for removal of epidermal cysts on the face

CO2 Laser Punch‐Assisted Minimally Invasive Surgery for Sebaceous Cysts

An Unusual Case of an Epidermoid Cyst Eroding into an Arteriovenous Graft Resulting in Graft Loss

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CO₂ Laser Punch‐Assisted Minimally Invasive Surgery for Sebaceous Cysts