Efficacy and safety of Erbium-YAG laser ablation therapy in superficial dermatoses: The workhorse of dermatology
Background: Erbium-YAG laser has been the working horse in dermatology for years. Surprisingly, data on the efficacy and adverse effects of this novel resurfacing and ablative technique of erbium-YAG laser for superficial dermatoses in Indian skin is limited. Aim and Objective: To evaluate the effic...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Indian Journal of Dermatology |
| Subjects: | |
| Online Access: | http://www.e-ijd.org/article.asp?issn=0019-5154;year=2023;volume=68;issue=5;spage=497;epage=502;aulast=Arora |
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| author | Aakanksha Arora Rajesh D Mehta Bhikam C Ghiya Prasoon Soni Alpana Mohta Rajesh Khokhar Vishnu K Jangir Manoj K Yadav Sumiti Pareek |
| author_facet | Aakanksha Arora Rajesh D Mehta Bhikam C Ghiya Prasoon Soni Alpana Mohta Rajesh Khokhar Vishnu K Jangir Manoj K Yadav Sumiti Pareek |
| author_sort | Aakanksha Arora |
| collection | DOAJ |
| description | Background: Erbium-YAG laser has been the working horse in dermatology for years. Surprisingly, data on the efficacy and adverse effects of this novel resurfacing and ablative technique of erbium-YAG laser for superficial dermatoses in Indian skin is limited. Aim and Objective: To evaluate the efficacy and safety profile of erbium-YAG laser ablation in superficial cutaneous lesions. Materials and Methods: Two hundred and fifty patients of various superficial dermatoses, treatable by erbium-YAG laser, were recruited in the study. All the patients were subjected to erbium-YAG laser sessions. The number of laser sessions, fluence, frequency and other parameters were individualized as per the respective dermatosis. The clinical response was evaluated as grade 4 (100% lesion clearance), grade 3 (75–99%), grade 2 (50–75%) or grade 1 (<50%). Results: The overall mean age of our study group was 37.70 years. In our study, 52.38% cases of verruca plana, 36.84% cases of seborrheic keratosis, 56.4% cases of xanthelasma palpebrarum, 22% cases of acquired melanocytic nevus, 23.8% cases of plantar wart and 40% cases of sebaceous hyperplasia showed complete clearance. The most common adverse effect was post-laser erythema in 50.4% of cases, followed by pain in 36.8%. Besides this, scarring and dyspigmentation were observed in 11.6% and 12% of cases, respectively. The rate of recurrence on 3 months follow-up was 9 (23.07%) cases in xanthelasma palpebrarum, 11 (28.9%) cases in seborrheic keratosis, 10 (23.8%) cases in verruca plana and 9 (42.8%) cases in plantar warts. Conclusion: This study suggested that erbium-YAG ablation achieved good results for superficial lesions like verruca plana, seborrheic keratosis, xanthelasma palpebrarum, plantar wart, sebaceous hyperplasia and acquired melanocytic nevus. Thus, Er: YAG laser can offer a one-step procedure with better cosmetic results and a lesser rate of recurrence. |
| first_indexed | 2024-03-08T13:09:03Z |
| format | Article |
| id | doaj.art-2e8348bece17461d87e1bf82b0ac673c |
| institution | Directory Open Access Journal |
| issn | 0019-5154 1998-3611 |
| language | English |
| last_indexed | 2024-03-08T13:09:03Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
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| series | Indian Journal of Dermatology |
| spelling | doaj.art-2e8348bece17461d87e1bf82b0ac673c2024-01-18T15:41:24ZengWolters Kluwer Medknow PublicationsIndian Journal of Dermatology0019-51541998-36112023-01-0168549750210.4103/ijd.ijd_621_23Efficacy and safety of Erbium-YAG laser ablation therapy in superficial dermatoses: The workhorse of dermatologyAakanksha AroraRajesh D MehtaBhikam C GhiyaPrasoon SoniAlpana MohtaRajesh KhokharVishnu K JangirManoj K YadavSumiti PareekBackground: Erbium-YAG laser has been the working horse in dermatology for years. Surprisingly, data on the efficacy and adverse effects of this novel resurfacing and ablative technique of erbium-YAG laser for superficial dermatoses in Indian skin is limited. Aim and Objective: To evaluate the efficacy and safety profile of erbium-YAG laser ablation in superficial cutaneous lesions. Materials and Methods: Two hundred and fifty patients of various superficial dermatoses, treatable by erbium-YAG laser, were recruited in the study. All the patients were subjected to erbium-YAG laser sessions. The number of laser sessions, fluence, frequency and other parameters were individualized as per the respective dermatosis. The clinical response was evaluated as grade 4 (100% lesion clearance), grade 3 (75–99%), grade 2 (50–75%) or grade 1 (<50%). Results: The overall mean age of our study group was 37.70 years. In our study, 52.38% cases of verruca plana, 36.84% cases of seborrheic keratosis, 56.4% cases of xanthelasma palpebrarum, 22% cases of acquired melanocytic nevus, 23.8% cases of plantar wart and 40% cases of sebaceous hyperplasia showed complete clearance. The most common adverse effect was post-laser erythema in 50.4% of cases, followed by pain in 36.8%. Besides this, scarring and dyspigmentation were observed in 11.6% and 12% of cases, respectively. The rate of recurrence on 3 months follow-up was 9 (23.07%) cases in xanthelasma palpebrarum, 11 (28.9%) cases in seborrheic keratosis, 10 (23.8%) cases in verruca plana and 9 (42.8%) cases in plantar warts. Conclusion: This study suggested that erbium-YAG ablation achieved good results for superficial lesions like verruca plana, seborrheic keratosis, xanthelasma palpebrarum, plantar wart, sebaceous hyperplasia and acquired melanocytic nevus. Thus, Er: YAG laser can offer a one-step procedure with better cosmetic results and a lesser rate of recurrence.http://www.e-ijd.org/article.asp?issn=0019-5154;year=2023;volume=68;issue=5;spage=497;epage=502;aulast=Aroraablative laseracquired melanocytic nevuserbium-yag ablationlaserplantar wartsebaceous hyperplasiaseborrheic keratosisverruca planaxanthelasma palpebrarum |
| spellingShingle | Aakanksha Arora Rajesh D Mehta Bhikam C Ghiya Prasoon Soni Alpana Mohta Rajesh Khokhar Vishnu K Jangir Manoj K Yadav Sumiti Pareek Efficacy and safety of Erbium-YAG laser ablation therapy in superficial dermatoses: The workhorse of dermatology Indian Journal of Dermatology ablative laser acquired melanocytic nevus erbium-yag ablation laser plantar wart sebaceous hyperplasia seborrheic keratosis verruca plana xanthelasma palpebrarum |
| title | Efficacy and safety of Erbium-YAG laser ablation therapy in superficial dermatoses: The workhorse of dermatology |
| title_full | Efficacy and safety of Erbium-YAG laser ablation therapy in superficial dermatoses: The workhorse of dermatology |
| title_fullStr | Efficacy and safety of Erbium-YAG laser ablation therapy in superficial dermatoses: The workhorse of dermatology |
| title_full_unstemmed | Efficacy and safety of Erbium-YAG laser ablation therapy in superficial dermatoses: The workhorse of dermatology |
| title_short | Efficacy and safety of Erbium-YAG laser ablation therapy in superficial dermatoses: The workhorse of dermatology |
| title_sort | efficacy and safety of erbium yag laser ablation therapy in superficial dermatoses the workhorse of dermatology |
| topic | ablative laser acquired melanocytic nevus erbium-yag ablation laser plantar wart sebaceous hyperplasia seborrheic keratosis verruca plana xanthelasma palpebrarum |
| url | http://www.e-ijd.org/article.asp?issn=0019-5154;year=2023;volume=68;issue=5;spage=497;epage=502;aulast=Arora |
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