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Fractional optical maser advantages disagree in treating skin disorder scars in Asian skin
New Delhi : India | Feb 23, 2013 at 4:16 AM PST BY ipl9931
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VIEWS: 5 Fractional optical device edges take issue in treating disease of the skin scars in AsiaResults of a prospective, comparative study indicate that resurfacing with either a incomplete carbonic acid gas optical device or a incomplete Er:YSGG optical device effectively treats disease of the skin scars in Asian skin. However, for the optical device settings chosen for the investigation, the incomplete carbonic acid gas procedure offered a stronger safety profile, in step with Taro Kono, M.D., WHO spoke at the 2010 annual meeting of the yank Society for Lasers in drugs and Surgery. The study was performed at the Japanese capital Women's Medical University, Tokyo, where Dr. Kono is chief of the optical device unit and professor, department of plastic and surgical operation. It listed sixteen patients with Fitzpatrick skin sorts III to IV. Seven patients were treated with solely the incomplete ten,600 nm carbonic acid gas optical device (Fraxel re:pair, Solta Medical), six patients were treated with solely the incomplete a pair of,790 nm Er:YSGG optical device (Pearl incomplete, Cutera), and therefore the 2 lasers were employed in a split-face comparison in 3 patients. All patients received one session of treatment. Settings for the incomplete carbonic acid gas optical device were forty mJ to fifty mJ for fluence with a density pattern of eight (30 percent); for the Er:YSGG optical device, the fluence was one hundred sixty mJ to two hundred mJ and therefore the density pattern was set at four (16 percent) or five (32 percent). COMPARING RESULTS the 2 lasers performed equally for up look of the disease of the skin scars. However, the speed of postinflammatory physiological condition (PIH) was considerably higher when treatment with the incomplete Er:YSGG optical device (66 percent) compared with the incomplete carbonic acid gas optical device (30 percent). Additionally, the incomplete Er:YSGG optical device treatment was unambiguously related to the looks of dot-like depressions within the skin. "A range of studies have investigated numerous incomplete lasers for resurfacing procedures. In Asian patients, there's specific concern regarding the danger for postinflammatory physiological condition (PIH), however there's very little info regarding the relative effectiveness and safety of various incomplete lasers during this population. Comparative studies like this may facilitate to spot most well-liked treatment modalities and settings that may deliver the simplest results with the smallest amount complications," Dr. Kono says. "Our study indicates the incomplete carbonic acid gas optical device protocol we have a tendency to used is safe and effective for treating disease of the skin scars in Asian skin. However, it'd be higher to switch the parameters of the incomplete Er:YSGG optical device by reducing the density and/or fluence to reduce the adverse effects," he adds. Dr. Kono additionally says patients didn't use any bleaching agents pre- or
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postoperatively. "Our longest follow-up was to 6 months. PIH improved over time, and notably with the utilization of bleaching agents," he says. DENSITY LEVELS Dr. Kono says the density levels for the 2 lasers were chosen in order that they might end in similar coverage, {and the|and therefore the|and additionally the} individual energy levels were also chosen in order that the depth of penetration would be nearly a similar for the 2 devices. However, the carbonic acid gas optical device uses a roller pattern whereas the Er:YSGG optical device features a stamp pattern, and therefore the carbonic acid gas optical device features a smaller spot size than the Er:YSGG optical device a hundred and twenty microns versus three hundred microns, severally. "The comparatively high-density treatment employing a stamp pattern with the incomplete Er:YSGG optical device looks to extend the danger of physiological condition, whereas the danger for developing the visible little holes within the skin when treatment with the Er:YSGG optical device could also be attributed to the mixture of the comparatively high energy with a bigger spot size," Dr. Kono says. All of the procedures were performed victimization anesthesia (7 p.c local anesthetic cream) and with parallel air cooling (Zimmer excitation, LaserMed). Ice packs were applied post-treatment, and every one patient used associate antibiotic ointment for operative care. PATIENT RATINGS Patients were asked to rate treatment discomfort employing a visual analogue scale (VAS) of zero to ten. Despite the modalities wont to improve tolerability, the VAS results showed that each optical device procedures were moderately uncomfortable (mean VAS scores, CO2 laser, 6.0; Er:YSGG optical device, 6.3).Patients at the start came back for asses sment of healing at one week, and no distinction was seen between teams within the time to recovery. Ensuing follow-up visits were conducted at one and 3 months post-treatment. Effectiveness was judged by 2 unsighted plastic surgeons supported their assessments of pre- and post-treatment standardized pictures (Visia chromium, patience Scientific). n skin ipl9931 is based in Mississippi, Mississippi, United States of America, and is a Stringer for Allvoices.
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