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Carbon dioxide laser therapy of a widespread epidermal nevus

✍ Scribed by Dr. U. Hohenleutner; U. Wlotzke; B. Konz; M. Landthaler

Publisher
John Wiley and Sons
Year
1995
Tongue
English
Weight
536 KB
Volume
16
Category
Article
ISSN
0196-8092

No coin nor oath required. For personal study only.

✦ Synopsis

Background and Objectiue:

The treatment of epidermal nevi is difficult and often unsatisfactory. Many therapeutic approaches have been tried, of which the surgical methods including lasers aim to avoid recurrences and hypertrophic scarring.

Here we report the case of a widespread, life-impairing epidermal nevus, summarize the available treatment modalities, and discuss CO, laser therapy with respect to the clinically soft variants of these developmental defects.

Study DesignlPatients and Methods:

A patient with a widespread, recurrent, biopsy-proven epidermal nevus was treated with a 10,600-nm CO, laser. After test treatments in local anaesthesia, four sessions were performed under general anaesthesia each with a follow-up time of 4 years to date. Results: C 0 2 laser vaporization resulted in complete removal of the treated nevus without any obvious scarring. The patient is free of recurrence 4 years postoperatively. Conclusion. C 0 2 laser treatment of epidermal nevi is a useful modality in selected variants.

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