Rosacea treatment using the new‐generation, high‐energy, 595 nm, long pulse‐duration pulsed‐dye laser

Bernstein, Eric F.; Kligman, Albert M.

doi:10.1002/lsm.20621

Cited by 75 publications

(65 citation statements)

References 29 publications

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“…PDL'ye bağlı yan etkiler göz önüne alınarak yeni jenerasyon uzun atımlı PDL tedavisi uygulanan rozase hastalarında tedavi sonunda lezyonlarda anlamlı oranda değişiklik saptanmıştır. Tek seans uygulama sonrasında bile lezyonların %75'inde fark edilir bir iyileşme (%25'den fazla) olduğunu öne sürülmüştür [14][15][16][17] . Literatürde yapılan PDL çalışmalarında lazer tedavisinin rozasenin eritem ve telanjiyektazilerine orta derecede etki gösterdiği görülmektedir.…”

Section: Discussionunclassified

Treatment of rosacea with long-pulsed Nd: YAG laser

Say¹,

Gökdemir²

2013

TURKDERM

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ÖzetAmaç: Rozase genellikle yüz bölgesine sınırlı kronik inflamatuvar bir dermatozdur. Küratif bir tedavisi olmadığı için relapslarla seyreder. Hastalıkta görülen vasküler lezyonlar ve flushing atakları hasta için oldukça rahatsız edici bir durumdur. Kullanılan topikal ve oral antibiyotikler bu lezyonlar için etkili değildir. Son yıllarda rozasenin vasküler lezyonları için çeşitli lazer sistemleri kullanılmıştır. Rozasenin eritem ve telanjiyektatik lezyonlarında uzun atımlı Nd: YAG lazerin etkinliğini araştırmaktı. Gereç ve Yöntemler: Çalışmaya rozasenin eritematotelanjiektatik (ETR) evresinde bulunan 39 hasta (29 kadın, 10 erkek) alındı. Hastaların demografik ve hastalığına ait veriler bir forma kaydedildi. Her hasta için 0-3 arasında değişen "hastalık şiddet" skoru hesaplandı. Uzun atımlı Nd: YAG lazer ile lezyonların olduğu bölgelere 3-4 hafta ara ile uygulama yapıldı. Tedavi öncesi ve sonrasında fotoğrafları çekildi. Hastaların lezyonları 7 ayrı anatomik bölgeye ayrılarak incelendi. Tedavi başarısı araştırmacı tarafından fotoğraflara bakılarak değerlendirildi. Hasta memnuniyeti için hastalara 0-3 skalası kullanıldı. Bulgular: Hastalara ortalama 3,95 seans (2-8 seans) uygulama yapıldı. Şiddet skorlarına göre hastalar; 12 hasta ETR-1, 9 hasta ETR-2 ve 18 hasta ETR-3 olarak gruplandı. Tedavi sonrasında hesaplanan şiddet skorlarındaki değişimlerin istatistiksel olarak anlamlı olduğu görüldü (p<0,05). Tedaviden en iyi yanıt alan grubun ETR-1 (%91,70) olan hasta grubu olduğu ve hastalık şiddeti arttıkça alınan yanıtın azaldığı saptandı. Lezyonların en sık gözlendiği 3 bölge sırasıyla malar bölge, ala nasi ve nazal dorsum bölgesiydi. En başarılı bölge çene bölgesi iken, en başarısız bölge ala nasi olarak gözlendi. Araştırmacı tarafından hastaların yaklaşık %97'sinde tedavi orta derecede başarılı veya başarılı olarak bulundu. Hastaların %61,5'i tedavi sonucunu mükemmel olarak değerlendirdi. Sadece 1 hastada hipopigmente atrofik skar görüldü. Sonuç: Uzun atımlı Nd: YAG lazer, rozasenin vasküler lezyonlarında güvenli ve etkili bir tedavi seçeneğidir. (Türkderm 2013; 47: 45-9) Anah tar Ke li me ler: Rozase, eritem, telanjiyektazi, Nd: YAG lazer, lazer Sum maryBackground and Design: Rosacea is a chronic inflammatory disorder of the face. There is no curative treatment for the disease. Facial flushing and vascular lesions due to rosacea may significantly affect a patient's quality of life. Topical and oral antibiotics are not effective for treating rosacea. Currently, laser treatment of vascular lesions has been reported in the literature. We aimed to investigate the efficacy of long-pulse 1064-nm neodymium: YAG (Nd: YAG) laser in the treatment of vascular lesions (erythema and telangiectasia) in rosacea patients. Materials and Methods: Thirty-nine patients (29 women, 10 men) with erythematotelangiectatic rosacea (ETR) were recruited into the study. Severity of the disease (ETR-score: 0-3) was assessed for all patients. We used long-pulsed Nd: YAG laser for vascular lesions at 3-4 weeks intervals. The face was divided ...

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Section: Discussionunclassified

Treatment of rosacea with long-pulsed Nd: YAG laser

Say¹,

Gökdemir²

2013

TURKDERM

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“…Women are affected more than men. According to many research studies, long-pulsed 595 nm PDL constitutes an effective method for the treatment of this condition, as well as the associated erythema and telangiectasia, with minimal adverse events and no long-term complications [63,64] . In one study, long-pulsed 595 nm PDL was used for the treatment of 20 patients with rosacea.…”

Section: Rosaceamentioning

confidence: 99%

“…A mean score of 1.4 was observed at the end of the treatment, showing a statistically significant reduction. The investigators concluded that this particular type of laser has very good results in the treatment of rosacea, while its safety profile is as favourable as the PDLs of older technology [63] . Similar were the results in another study, where LPDL was used for the treatment of rosacea-associated telangiectasia and no significant purpura reaction was observed after treatment [65] .…”

Section: Rosaceamentioning

confidence: 99%

Management of vascular lesions using advanced laser technology

Tzermias¹,

Eleftheriadi²,

Gkiouzepaki³

2017

J Surg Dermatol

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Abstract:One of the most widely used cutaneous applications of Light Amplification by Stimulated Emission of Radiation (laser) concerns the treatment of vascular lesions. During the past two decades, very significant advances in the application of laser technology in dermatology have occurred, with selective photothermolysis being the most important. This review focuses on the application of modern laser devices (Pulsed Dye Laser, or PDL; potassium titanyl phosphate laser, or KTP; diode laser; and neodymium-doped yttrium-aluminium-garnet laser, or Nd:YAG), as well as the combination of laser and photodynamic therapy (PDT) for the treatment of vascular lesions. In lar, both congenital (haemangiomas and port-wine stains) and acquired vascular lesions (facial and leg telangiectasias, rosacea, Poikiloderma of Civatte, spider angioma, pyogenic granuloma, and venous lakes) are discussed. The review of many recent research studies demonstrates that modern applications of lasers in dermatology constitute the finest method for the treatment of vascular lesions, combining the advantages of invasive therapy with the security offered by non-invasive therapy, while in certain cases they are the single and only choice for the treatment of these lesions.Keywords: Va scular lesions; laser; PDL; Nd:YAG; PDT Citation: Tzermias C, Eleftheriadi A, Gkiouzepaki I. Management of vascular lesions using advanced laser technology.

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“…1,2 The five subtypes of rosacea, according to the modified National Rosacea Society classification system, include erythematotelangiectatic, papulopustular, phymatous, ocular, and mixed subtypes. [3][4][5] Among Koreans with localized nasal rosacea, erythematotelangiectatic rosacea is the most common subtype, followed by papulopustular rosacea.…”

Section: Introductionmentioning

confidence: 99%

Invasive Pulsed-Type, Bipolar, Alternating Current Radiofrequency Treatment Using Microneedle Electrodes for Nasal Rosacea

Ahn

Cho

2017

Medical Lasers

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Radiofrequency (RF) devices deliver high frequency energy to the biological tissues thath as been either cut or coagulated. A pulsed-type RF irradiation elicits thermal and/or non-thermal effects by delivering a particular rate of gated RF oscillations. In the present study, we describe two patients with nasal rosacea, who were effectively treated with invasive pulsed-type, bipolar alternating current (AC) RF treatment using microneedle electrodes. The RF treatment was delivered to these two patients with a power level of 3, a microneedle penetration depth of 1.5 mm, and 2-3 passes over six (patient 1) and 12 (patient 2) sessions, at two-week intervals. The first patient presented marked clinical improvement with respect to both the overall redness and papulopustular lesions; the second patient exhibited noticeable improvement in both the texture and telangiectatic lesions on the nose. Both patients were satisfied with the clinical outcomes without remarkable side effects. Key words

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Rosacea treatment using the new‐generation, high‐energy, 595 nm, long pulse‐duration pulsed‐dye laser

Abstract: The high-energy, long pulse-duration pulsed-dye laser improves rosacea with a very favorable safety profile, and less purpura than resulted from earlier generation pulsed-dye lasers.

Cited by 75 publications

References 29 publications

Treatment of rosacea with long-pulsed Nd: YAG laser

Treatment of rosacea with long-pulsed Nd: YAG laser

Management of vascular lesions using advanced laser technology

Invasive Pulsed-Type, Bipolar, Alternating Current Radiofrequency Treatment Using Microneedle Electrodes for Nasal Rosacea

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