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Epidermoid cyst removal with CO 2 laser fenestration: A retrospective cohort study
Author(s) -
Liu Dehua,
Zhou Eray Yihui,
Chen Dian,
Tuan Hsiaohan,
Zhao Yi
Publication year - 2021
Publication title -
journal of cosmetic dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.626
H-Index - 44
eISSN - 1473-2165
pISSN - 1473-2130
DOI - 10.1111/jocd.13766
Subject(s) - medicine , scars , fenestration , surgery , epidermoid cyst , cyst , retrospective cohort study
Background Epidermoid cyst (EC) is a common and benign tumor, which can occur anywhere on the skin. Surgical excision is usually considered as the first‐line treatment. However, linear scars arising after excision for EC remain a cosmetic problem. Objective To evaluate the efficacy and safety of EC removal assisted with CO 2 laser fenestration. Methods All patients diagnosed with EC and treated with CO 2 laser fenestration, content extrusion, and removal of the cyst wall between January 1, 2016, and December 31, 2018, were included in this study. After a follow‐up period ranging from 6 to 27 months, scarring, recurrence, complications, and satisfaction were assessed and analyzed. Results Forty‐three of the 47 patients have been cured by a single operation. The recurrence rate was 8.5%, which was not significantly correlated with tumor sizes or locations. 46.8% of the patients had no obvious scar after treatment. No infections or complications were observed in any of these cases. 89.4% of the patients were satisfied with the effectiveness of the treatment, while 95.7% and 87.2% were satisfied with the comfort and the cosmetic results, respectively. Conclusions CO 2 laser fenestration‐assisted removal procedure is effective for the treatment of ECs with good aesthetic outcome.