Aesthetic Treatment Outcomes of Capillary Hemangioma, Venous Lake, and Venous Malformation of the Lip Using Different Surgical Procedures and Laser Wavelengths (Nd:YAG, Er,Cr:YSGG, CO2, and Diode 980 nm)
Abstract
:1. Introduction
2. Material and Methods
2.1. Study Design
2.2. Participants
Inclusion and Exclusion Criteria
2.3. Surgical Techniques
2.3.1. Er,Cr:YSGG Laser
2.3.2. CO2 Laser
2.3.3. Nd:YAG Laser Irradiation
2.3.4. Diode Laser
2.3.5. Postoperative Instructions and Recommendations
2.4. Evaluation of the Aesthetic Results
2.5. Evaluation of the Recurrence Rate
2.6. Statistical Analysis
3. Results
3.1. Results of the Manchester Scar Scale Evaluation
3.2. Recurrence Rate
3.3. Patient Satisfaction
4. Discussion
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Total | Gender | Age Range (years) | Lesion Diameter (mm) | |||
---|---|---|---|---|---|---|
Female | Male | Average | Minimum | Maximum | ||
143 | 56% | 44% | 48 | 6 | 3 | 15 |
(n = 81) | (n = 62) | (min: 43; max: 74) |
Laser Wavelength (nm) | Number of Patients |
---|---|
Nd:YAG, 1064 nm | 47 |
Er,Cr:YSSG, 2780 nm | 12 |
CO2, 10,600 nm | 52 |
Diode laser, 980 nm | 32 |
143 |
Description | Score |
---|---|
Color | |
Perfect | 1 |
Slight mismatch | 2 |
Obvious mismatch | 3 |
Gross mismatch | 4 |
Matte vs. Shiny | |
Matte | 1 |
Shiny | 2 |
Contour | |
Flush with surrounding skin | 1 |
Slightly proud/indented | 2 |
Hypertrophic | 3 |
Keloid | 4 |
Distortion | |
None | 1 |
Mild | 2 |
Moderate | 3 |
Severe | 4 |
Texture | |
Normal | 1 |
Just palpable | 2 |
Firm | 3 |
Hard | 4 |
Laser Wavelength | MSS at Different Time of Follow-Up | |||
---|---|---|---|---|
2 Weeks | 1 Month | 6 Months | 12 Months | |
Er,Cr:YSSG | 1.71 ± 0.16 A | 1. 16 ± 0.18 B | 1 B | 1 B |
CO2 | 1.8 ± 0.42 A | 1.5 ± 0.27 C | 1 B | 1 B |
Diode | 2.9 ± 0.22 D | 2.2 ± 0.74 E | 1 B | 1 B |
Nd:YAG | 2.8 ± 0.30 D | 2.5 ± 0.62 E | 1 B | 1 B |
Laser Wavelength | Er,Cr:YSSG (Excision) | CO2 (Photo-Vaporization) | Diode (Transmucosal Photo-Thermo-Coagulation) | Nd:YAG (Transmucosal Photo-Thermo-Coagulation) |
---|---|---|---|---|
Recurrence rate (%) | 0 A | 0 A | 11% ±1.4% B | 8% ± 0.9% C |
Laser Wavelength | Visual Analogue at Different Time of Follow-Up | |||
---|---|---|---|---|
2 Weeks | 1 Month | 6 Months | 12 Months | |
Er,Cr:YSSG | 8.9 ± 0.23 A | 9 ± 0.82 A | 10 B | 10 B |
CO2 | 7.4 ± 0.7 C | 8.4 ± 0.6 D | 10 B | 10 B |
Diode | 7.8 ± 1.58 E | 8.85 ± 0.85 A | 10 B | 10 B |
Nd:YAG | 7.10 ± 0.86 F | 8.30 ± 0.36 D | 10 B | 10 B |
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Nammour, S.; El Mobadder, M.; Namour, M.; Namour, A.; Arnabat-Dominguez, J.; Grzech-Leśniak, K.; Vanheusden, A.; Vescovi, P. Aesthetic Treatment Outcomes of Capillary Hemangioma, Venous Lake, and Venous Malformation of the Lip Using Different Surgical Procedures and Laser Wavelengths (Nd:YAG, Er,Cr:YSGG, CO2, and Diode 980 nm). Int. J. Environ. Res. Public Health 2020, 17, 8665. https://doi.org/10.3390/ijerph17228665
Nammour S, El Mobadder M, Namour M, Namour A, Arnabat-Dominguez J, Grzech-Leśniak K, Vanheusden A, Vescovi P. Aesthetic Treatment Outcomes of Capillary Hemangioma, Venous Lake, and Venous Malformation of the Lip Using Different Surgical Procedures and Laser Wavelengths (Nd:YAG, Er,Cr:YSGG, CO2, and Diode 980 nm). International Journal of Environmental Research and Public Health. 2020; 17(22):8665. https://doi.org/10.3390/ijerph17228665
Chicago/Turabian StyleNammour, Samir, Marwan El Mobadder, Melanie Namour, Amaury Namour, Josep Arnabat-Dominguez, Kinga Grzech-Leśniak, Alain Vanheusden, and Paolo Vescovi. 2020. "Aesthetic Treatment Outcomes of Capillary Hemangioma, Venous Lake, and Venous Malformation of the Lip Using Different Surgical Procedures and Laser Wavelengths (Nd:YAG, Er,Cr:YSGG, CO2, and Diode 980 nm)" International Journal of Environmental Research and Public Health 17, no. 22: 8665. https://doi.org/10.3390/ijerph17228665