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Long‐pulsed Nd : YAG laser: does it give clinical benefit on the treatment of resistant telangiectasia?
Author(s) -
Lee J.H.,
Na S.Y.,
Choi M.,
Park H.S.,
Cho S.
Publication year - 2012
Publication title -
journal of the european academy of dermatology and venereology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.655
H-Index - 107
eISSN - 1468-3083
pISSN - 0926-9959
DOI - 10.1111/j.1468-3083.2011.04282.x
Subject(s) - medicine , telangiectases , telangiectasia , clearance , hyperpigmentation , intense pulsed light , laser , surgery , nd:yag laser , patient satisfaction , laser therapy , nuclear medicine , dermatology , urology , optics , physics
Background Long‐pulsed Nd : YAG laser has been used in treating larger and deep‐seated leg veins. Objective This study investigated the effectiveness and safety of long‐pulsed Nd : YAG laser to treat alae nasae and nasal tip telangiectasia. Methods Twelve patients were evaluated in a prospective IRB approved study. They had a history of previous unsatisfactory treatments with pulsed dye laser and/or intense pulsed light for their telangiectases on alae nasae and tip (4–12 times, average 5.8 times). All patients underwent a single treatment session using long‐pulsed Nd : YAG laser. Photographic images were taken. At 12‐week follow‐up, two independent physicians evaluated the percentage of vessels cleared, and patients were asked to rate their satisfaction with the procedure. Results Five men and seven women were enrolled (aged 43 ± 5.8 years). Total clearance of vessels was 78.3%. The number of vessels in diameter of 0.1 mm was reduced by 61.1% and that of vessels in diameter of 0.2–0.3 mm decreased by 92.2% on the average at 12‐week follow‐up. Eleven of 12 patients were very satisfied with the clinical results. One patient rated as ‘satisfied’ due to hyperpigmentation after the treatment, which improved at 12‐week follow‐up. Conclusion Long‐pulsed Nd : YAG laser can be considered as another effective and safe treatment modality for stubborn telangeictasia even on face, if applied cautiously.