High-energy ultra-pulsed CO2 laser is widely used in skin plastic surgery and cosmetic surgery in recent years.
A new type of pulsed laser for surgery. The author recently used domestic high-energy ultra-pulsed CO2 laser to treat facial angiofibroma in 3 patients with TS, and achieved satisfactory results. The report is as follows.
Ultra-pulsed carbon dioxide laser therapy instrument was used with a wavelength of 10600 nm, an output power of 0.5-30 W, and an output time of 100-9900 μs. The patient was placed in the supine position, the skin was routinely disinfected, and the compound lidocaine cream was packaged for 1 hour. The operator controlled the output with a foot switch. Generally, the output power was 10 W, and the output time was 600 μs. The diameter of the focal spot was adjusted according to the size of the skin lesion. , The laser head is about 6 cm away from the surface of the skin lesion, and the lesion tissue is removed layer by layer from the epidermis to the deep layer of the skin lesion to the superficial layer of the dermis, and the dry tissue debris on the wound surface is wiped off with a cotton swab in 0.9% sodium chloride solution. After treatment, the patient was instructed to protect the wound surface and avoid sun exposure. After the operation, mupirocin ointment was applied externally to the affected area, 2 times a day for 1 week. 1 treatment every 2 weeks. 3 patients were treated 5 times, 4 times and 4 times, respectively.
All 3 patients achieved satisfactory curative effects after the above treatments (Figure 1B, D, F). The patients were followed up for 10 months, 5 months, and 14 months respectively. The facial skin lesions of the patients were stable, and no obvious recurrence was found. During the follow-up process, the patient did not have the manifestations of other systemic diseases. After several ultra-pulsed CO2 laser treatments, most of the skin lesions subsided without scarring, achieving a good cosmetic effect.
As a result, the patient’s psychological state and quality of life have been greatly improved. The 3 patients were followed up for 10 months, 5 months and 14 months respectively. The skin lesions were stable and no obvious recurrence was found, suggesting that ultra-pulsed CO2 laser may be a better choice for the treatment of facial angiofibroma in TS patients.
Post time: Jun-17-2022