Treatment of periorbital syringomas: review of scientific literature in the last 5 years
Introduction: Syringomas are benign adnexal tumors with histopathological characteristics arising from the eccrine ducts, in yellowish or skin-colored papules, 1-3 mm, commonly in the lower periorbital region, which can cause important cosmetic problems. The goal of treatment is to improve appearanc...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Plástica
2022-03-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/3088/en_v37n1a14.pdf |
| _version_ | 1797426855193608192 |
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| author | Karols Tatiana Vila Claro Jorge Luis Hoyos Ramirez Alessandra Haddad Marisa Gonzaga da Cunha Miguel Francischelli |
| author_facet | Karols Tatiana Vila Claro Jorge Luis Hoyos Ramirez Alessandra Haddad Marisa Gonzaga da Cunha Miguel Francischelli |
| author_sort | Karols Tatiana Vila Claro |
| collection | DOAJ |
| description | Introduction: Syringomas are benign adnexal tumors with histopathological characteristics arising from the eccrine ducts, in yellowish or skin-colored papules, 1-3 mm, commonly in the lower periorbital region, which can cause important cosmetic problems. The goal of treatment is to improve appearance by destroying the tumor using minimally invasive methods and including surgery. There are multiple treatment options in the literature with varying degrees of success, but little is known about their effectiveness. Complete removal is unsuccessful, and side effects have been described, recurrence being the most frequent.Methods: This is a narrative review of the literature of scientific publications in the period 2014-2019.Results: After reviewing 45 articles and identifying those published in the last five years that had a record of the number of patients, treatment description, scales of evaluation of results and follow-up, six articles were selected. Of the total number of six articles, we found: a systematic review and five retrospective studies, one being a comparative one. A number was assigned to each article analyzed, and the number of patients included, treatment performed, assessment scales and results, complications and conclusions were collected.
Conclusions: Periorbital syringomas are still a therapeutic challenge, and so far, no treatment is consistently effective. The CO2 laser remains the first choice of treatment when used fractionally, and intralesional electrocoagulation represents a second alternative with moderate results and a lower risk of complications. New treatments such as Laser Erbium Yttrium Aluminum Garnet, Neodymium-Doped Yttrium Aluminum Garnet and botulinum toxin A monotherapy could be good alternatives. Comparative prospective studies are needed. |
| first_indexed | 2024-03-09T08:35:53Z |
| format | Article |
| id | doaj.art-5ddd583d449b45b9b05d1a555c4e1552 |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T08:35:53Z |
| publishDate | 2022-03-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-5ddd583d449b45b9b05d1a555c4e15522023-12-02T18:15:13ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352022-03-013701808810.5935/2177-1235.2022RBCP0014Treatment of periorbital syringomas: review of scientific literature in the last 5 yearsKarols Tatiana Vila Claro0Jorge Luis Hoyos Ramirez1Alessandra Haddad2Marisa Gonzaga da Cunha3Miguel Francischelli4Hospital Albert Einstein Israelita, Institute of Education and Research, São Paulo, SP, BrazilHospital Albert Einstein Israelita, Institute of Education and Research, São Paulo, SP, BrazilHospital Albert Einstein Israelita, Institute of Education and Research, São Paulo, SP, BrazilHospital Albert Einstein Israelita, Institute of Education and Research, São Paulo, SP, BrazilHospital Albert Einstein Israelita, Institute of Education and Research, São Paulo, SP, BrazilIntroduction: Syringomas are benign adnexal tumors with histopathological characteristics arising from the eccrine ducts, in yellowish or skin-colored papules, 1-3 mm, commonly in the lower periorbital region, which can cause important cosmetic problems. The goal of treatment is to improve appearance by destroying the tumor using minimally invasive methods and including surgery. There are multiple treatment options in the literature with varying degrees of success, but little is known about their effectiveness. Complete removal is unsuccessful, and side effects have been described, recurrence being the most frequent.Methods: This is a narrative review of the literature of scientific publications in the period 2014-2019.Results: After reviewing 45 articles and identifying those published in the last five years that had a record of the number of patients, treatment description, scales of evaluation of results and follow-up, six articles were selected. Of the total number of six articles, we found: a systematic review and five retrospective studies, one being a comparative one. A number was assigned to each article analyzed, and the number of patients included, treatment performed, assessment scales and results, complications and conclusions were collected. Conclusions: Periorbital syringomas are still a therapeutic challenge, and so far, no treatment is consistently effective. The CO2 laser remains the first choice of treatment when used fractionally, and intralesional electrocoagulation represents a second alternative with moderate results and a lower risk of complications. New treatments such as Laser Erbium Yttrium Aluminum Garnet, Neodymium-Doped Yttrium Aluminum Garnet and botulinum toxin A monotherapy could be good alternatives. Comparative prospective studies are needed.http://www.rbcp.org.br/export-pdf/3088/en_v37n1a14.pdfsyringomaeyelidseccrine glandsskin neoplasmsaesthetics |
| spellingShingle | Karols Tatiana Vila Claro Jorge Luis Hoyos Ramirez Alessandra Haddad Marisa Gonzaga da Cunha Miguel Francischelli Treatment of periorbital syringomas: review of scientific literature in the last 5 years Revista Brasileira de Cirurgia Plástica syringoma eyelids eccrine glands skin neoplasms aesthetics |
| title | Treatment of periorbital syringomas: review of scientific literature in the last 5 years |
| title_full | Treatment of periorbital syringomas: review of scientific literature in the last 5 years |
| title_fullStr | Treatment of periorbital syringomas: review of scientific literature in the last 5 years |
| title_full_unstemmed | Treatment of periorbital syringomas: review of scientific literature in the last 5 years |
| title_short | Treatment of periorbital syringomas: review of scientific literature in the last 5 years |
| title_sort | treatment of periorbital syringomas review of scientific literature in the last 5 years |
| topic | syringoma eyelids eccrine glands skin neoplasms aesthetics |
| url | http://www.rbcp.org.br/export-pdf/3088/en_v37n1a14.pdf |
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