Treatment of trichostasis spinulosa with 0.5-millisecond  pulsed 755-nm alexandrite laser

Treatment of trichostasis spinulosa with 0.5-millisecond pulsed 755-nm alexandrite laser

  • نوع فایل : کتاب
  • زبان : انگلیسی
  • مؤلف : Ashraf Badawi & Mouhamad Kashmar
  • چاپ و سال / کشور: 2011

Description

Trichostasis spinulosa (TS) is a follicular disorder in which multiple hairs in a keratinous sheath project above the skin surface. Current treatments provide temporary relief and side effects are common. We report the successful treatment of TS in 20 patients using a short-pulsed 755-nm alexandrite laser. The 20 patients (skin types II–V) presented with TS lesions on the tip of their nose. All patients received a single treatment (one to three passes) with the laser with cold air cooling but without anaesthesia or analgesia. Treatment parameters were as follows: pulse duration 0.5 ms, fluence 15–17 J/cm2, and spot size 5 mm. The entire procedure required less than 5 min to perform. The patients were followed up for 3 months for any adverse effects or recurrence. In all patients the lesions disappeared immediately after treatment with minimal or no pain. Erythema was minimal and lasted 5–20 min in all patients. Patients were very satisfied. The treated areas were still clear 4 to 5 weeks later, and a second treatment was not considered necessary. There were adverse effects other than the erythema and there was no recurrence within the follow-up period of 3 months. A single treatment with a short-pulsed 755-nm alexandrite laser appears to be a rapid, minimally painful, and effective treatment for TS in patients of skin types II to V
Lasers Med Sci DOI 10.1007/s10103-011-0982-2 Received: 24 April 2011 / Accepted: 28 July 2011
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