Treatment of Xanthelasma Palpebrarum by the Pinhole Method Using a 10,600-nm Carbon Dioxide Laser

Ahn, Keun Jae; Kang, Jin-Soo; Cho, Sung Bin

doi:10.25289/ml.2013.2.2.70

Cited by 4 publications

(6 citation statements)

References 10 publications

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“…Unlike in the report by Ahn et al 12 , there were 3 cases of hypopigmentation in our study. Hypopigmentation was more frequent as the size of the lesion was larger and the skin color was darker.…”

Section: Discussioncontrasting

confidence: 92%

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Laser Ablation of Xanthelasma Palpebrarum by Using the Pinhole Method

et al. 2018

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Background and Objectives Xanthelasma palpebrarum is a xanthoma arising on the eyelids. When the lesion is large, surgical removal may cause distortion, and total laser ablation or chemoablation can cause scarring and delayed healing. Here, we introduced an adequate method to treat a large xanthelasma palpebrarum lesion. Materials and Methods Patients were treated with either carbon dioxide or erbium:yttrium aluminum garnet laser with a beam size of 1.5-2 mm (interbeam distance, 1-2 mm). Three independent plastic surgeons assessed the degree of improvement, scarring, and pigmentation. Results A total of 13 patients were treated using the pinhole method (7 women and 6 men). The mean patient age was 50.1 ± 8.72 years. The mean follow-up period was 8.3 months. The mean number of treatments was 3 times. The mean grade of improvement was 3.54. Nonetheless, there were 3 cases of hypopigmentation that occurred with a larger lesion size and darker skin color. Conclusion Large xanthelasmas were treated successfully using the pinhole method. The pinhole method appears to be effective for treating large xanthelasma palpebrarum lesions while avoiding scarring or distortion.

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Section: Discussioncontrasting

confidence: 92%

“…Ahn et al reported a case treated using the pinhole method in 2013. 12 The patient was successfully treated without scarring or distortion. In our study, we prospectively enrolled 13 patients and followed them for a relatively long period.…”

Section: Discussionmentioning

confidence: 93%

Laser Ablation of Xanthelasma Palpebrarum by Using the Pinhole Method

et al. 2018

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“…In transoral approach, after tonsillectomy, muscles and mucosa membranes are dissected to find the apex of the styloid process, which is then removed using a cutting tool (CO2 laser). [13][14][15][16][17][18] Transoral approach has a cosmetic advantage which leaves no visible scar after surgery, but also it has a disadvantage that the styloid process does not completely expose during the operation. 19 Recently, a new method was introduced in which the styloid process is removed after an incision is made into the anterior tonsil pillar and the tonsil is only pushed to the medial side without performing tonsillectomy.…”

Section: Discussionmentioning

confidence: 99%

A Case of Eagle’s Syndrome Treated with Carbon Dioxide Laser

et al. 2020

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Eagle syndrome is relatively uncommon with an incidence of abnormal stylohyoid length being 4% to 7.3%. A vast majority of individuals with elongation of the styloid process are asymptomatic. It is a syndrome marked by the clinical signs and symptoms of facial pain, ear pain, throat pain, dysphagia and a globus sensation in the throat. The cause of Eagle syndrome is believed to be a congenital or hormonal change and reactive osseus hyperplasia of the styloid process in response to pharyngeal trauma or surgical intervention, such as tonsillectomy. We present here a case of a 37-year-old female with a twelve-month history of both sided oropharyngeal pain and globus sensation which has no trauma or surgical intervention. The patient presented with a long, slender, bony intraoral projection that was found to be an elongated styloid process. We removed this elongated styloid process with a CO2 laser, and her symptoms disappeared.

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“…Xanthelasmas start in the reticular dermis or subdermis and progress to the subcutaneous layer and orbicularis oculi muscle. Various treatment options are available including excision, 4,5 trichloroacetic acid (TCA) peeling, 6,7 cryotherapy, argon laser, 8 CO2 laser, 9,10 and Nd:YAG laser therapy. 11,12 Small lesions can be effectively treated by surgical excision.…”

Section: Discussionmentioning

confidence: 99%

“…Various treatment options for xanthelasma palpebrarum are available, including surgical excision, 4,5 chemical peeling, 6,7 cryotherapy, argon laser, 8 carbon dioxide (CO2) laser, 9,10 and neodymium:yttrium aluminum garnet (Nd:YAG) laser. 11,12 However, the results thereof are generally suboptimal and involve high recurrence rates.…”

Section: Introductionmentioning

confidence: 99%

Erbium:Yttrium Aluminum Garnet Laser Treatment for Xanthelasma Palpebrarum

et al. 2017

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Xanthelasma palpebrarum is presented as a yellow plaque on the eyelids. Xanthelasma lesions are composed of fat cells that accumulate in the dermis and subcutaneous layer; progressive accumulation involves the orbicularis oculi muscle. Most patients with this condition request to have the lesion removed for cosmetic reasons, for which various treatment options are available, including surgical excision, chemical peeling, cryotherapy, argon laser, carbon dioxide (CO 2 ) laser, and neodymium:yttrium aluminum garnet (Nd:YAG) laser. Nevertheless, xanthelasmas are difficult to remove completely and has a high chance of recurrence. Recently, we were able to completely remove xanthelasma palpebrarum lesions in nine patients using erbium (Er):YAG laser. The Er:YAG laser seemed to maximize ablation effects, allowing us to easily determine whether the lesion had been completely removed. Moreover, we noted that, due to minor residual thermal damage, wound healing occurred rapidly with minimum side effects. Key words

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Treatment of Xanthelasma Palpebrarum by the Pinhole Method Using a 10,600-nm Carbon Dioxide Laser

Cited by 4 publications

References 10 publications

Laser Ablation of Xanthelasma Palpebrarum by Using the Pinhole Method

Laser Ablation of Xanthelasma Palpebrarum by Using the Pinhole Method

A Case of Eagle’s Syndrome Treated with Carbon Dioxide Laser

Erbium:Yttrium Aluminum Garnet Laser Treatment for Xanthelasma Palpebrarum

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