Treatment of venous lesions of the lips and perioral area with a long-pulsed Nd:YAG laser

John, Hannah Eliza; Phen, H.S.; Mahaffey, P.J.

doi:10.1016/j.bjoms.2015.06.014

Cited by 23 publications

(17 citation statements)

References 10 publications

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“…One study assessing the effectiveness of 532-nm potassiumtitanyl-phosphate (KTP) and Nd:YAG lasers in cherry angiomas reported that KTP lasers required significantly more sessions than Nd:YAG laser (1.35 and 1.11 sessions, respectively), but that more complications such as erythema, edema, pain, and scar formation occurred with Nd:YAG laser 4 . Nd:YAG laser is also quite effective in the treatment of venous lake in the lip 5,6 . John et al 5 reported that Nd:YAG laser therapy resulted in complete eradication of lesions in a single session in 20 out of 21 patients, with 95% regression being observed in the remaining patient after 1 session and complete resolution after a second session.…”

Section: Discussionmentioning

confidence: 99%

The first-year experience of a university hospital laser unit

Arıca¹,

Selçuk²,

Yayli³

et al. 2019

TURKDERM

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Background and Design: The aim of this study was to evaluate the efficacy and safety of neodymium-doped yttrium aluminum garnet (Nd:YAG) laser and intense pulsed light (IPL) systems, and the variety of indications involved. Materials and Methods: First-year treatments in our clinic were evaluated retrospectively. Results were classified according to improvement rates: <25% as mild improvement; 25-75% as moderate improvement and >75% as excellent improvement. Results: One hundred thirty-three patients aged 3-79 years (mean: 35.91) with 14 different indications were treated. Pigmented lesions were treated with IPL, and vascular lesions with IPL and/or Nd:YAG. Combined therapy with IPL and Nd:YAG at two-week intervals resulted in excellent improvement in 70.21% of vascular lesions (34 rosacea, 8 nevus flammeus, and 5 hemangioma), and moderate improvement in the rest. Telangiectasia and angiomatous lesions exhibited excellent improvement in 93.65% of patients with Nd:YAG, and moderate improvement in the rest. IPL resulted in excellent improvement in 78.49% of cases of solar lentigo, and moderate improvement in the rest. Moderate improvement was observed in 66.67% of patients with melasma using IPL, and mild improvement in the rest. Pain scores were significantly lower with Nd:YAG than IPL (p<0.05). Complications related to treatment were observed in 3 patients (vesicles in two patients and atrophic scar in 1), all of which developed after Nd:YAG laser application. Conclusion: Nd:YAG and IPL were successful with very low side-effect rates in a wide range of indications. Our study is the first evaluation of the efficacy of Nd:YAG and IPL combination therapy applied at 2-week intervals, and high efficiency was observed with no increase in any complication rate by intermittently combining different wavelengths.

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Section: Discussionmentioning

confidence: 99%

The first-year experience of a university hospital laser unit

Arıca¹,

Selçuk²,

Yayli³

et al. 2019

TURKDERM

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“…It has shown greater advantage over embolization, steroid therapy, cryosurgery, electrodessication, embolization, and intralesional injections of sclerosant agents [6, 7, 9]. Management of powerful laser also comes with a warning that it can generate excessive heat when not used properly, leading to severe thermal damage on the normal tissues around the lesion.…”

Section: Discussionmentioning

confidence: 99%

Management of an Extensive Vascular Lesion on the Lip by Photocoagulation with High-Intensity Diode Laser

Azevedo¹,

Migliari²

2017

TODENTJ

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Objective:Extensive vascular malformations (VM) pose difficulties for an effective management.Introduction:This article describes a very satisfactory result, both functional and aesthetic, following a management by the technique of photocoagulation using diode laser in an extensive VM lesion involving the lower lip and left buccal mucosa in a 25 year old male.Case report:The patient reported that the lesion had been present since birth. The whole treatment, carried out under local anesthesia, spread over 6 months since as many as 4 sessions of laser, with a 1.5-month interval in each, were required. The resting period between sessions played an important part in treatment by allowing a time for the recovery of the patient and the shrinking of the lesion.Conclusion:The patient had no complications during the laser sessions, and his postoperative period was uneventful. No recurrence has been seen after a 2.5-year follow-up.

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“…8 Although these seem effective for superficial and small lesions, the longer wavelength of the Nd:YAG laser allows better and quicker results in the treatment of deeper and thicker lesions 1 : a single session is often sufficient for the treatment of venous lakes of the lips and oral Letters to the Editor mucosa and provides stable results over time. 4,5,9,10 Nd:YAG seems also to be better tolerated than argon and diode lasers since these do not dissipate heat as well as the Nd:YAG laser, increasing the likelihood of tissue damage following treatment. 1 Finally, the procedure generates minimal discomfort peri-and postoperatively.…”

Section: Editormentioning

confidence: 99%