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Periorbital Syringomas Treated With an Externally Used 1,444 nm Neodymium-Doped Yttrium Aluminum Garnet Laser

 Kim, Jun Young  ;  Lee, Jae Won  ;  Chung, Kee Yang 
 DERMATOLOGIC SURGERY, Vol.43(3) : 381-388, 2017 
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Adult ; Aluminum ; Female ; Follow-Up Studies ; Humans ; Lasers, Solid-State/adverse effects ; Lasers, Solid-State/therapeutic use* ; Middle Aged ; Patient Satisfaction ; Prefrontal Cortex/pathology ; Prefrontal Cortex/surgery ; Retrospective Studies ; Sweat Gland Neoplasms/pathology ; Sweat Gland Neoplasms/surgery* ; Syringoma/pathology ; Syringoma/surgery* ; Treatment Outcome ; Yttrium
BACKGROUND: The 1,444 nm wavelength is also well absorbed in water making it a possible setting for treatment of cystic lesions such as eccrine hydrocystomas and syringomas. OBJECTIVE: The authors aimed to investigate the efficacy of an externally used 1,444 nm neodymium-doped yttrium aluminum garnet (Nd:YAG) laser for the treatment of periorbital syringomas. METHODS AND MATERIALS: Nineteen patients with periorbital syringomas were treated twice with the externally used 1,444 nm Nd:YAG laser at 2-month intervals. Laser fluences were delivered to each papule with pulse energy of 160 mJ, 1.6 W of power, and at a 10 Hz pulse rate. Clinical improvement and patient satisfaction were assessed at 2 and 6 months after each treatment. Side effects were also examined. RESULTS: Clinical improvement of >50% was observed in 68.4% of individuals at 2 months after first treatment (2FT) and in all patients at 6 months after second treatment (6ST). Patient satisfaction of no less than "satisfied" was recorded for 63.2% of patients at 2FT, and in 89.5% of patients at 6ST. Erythema was observed in 63.2% of patients but only at 2FT. CONCLUSION: Externally used 1,444 nm Nd:YAG laser treatment may represent an effective and safe approach for the treatment of periorbital syringomas, resulting in good satisfaction and minimal side effects.
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1. College of Medicine (의과대학) > Dept. of Dermatology (피부과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jun Young(김준영)
Chung, Kee Yang(정기양) ORCID logo https://orcid.org/0000-0003-3257-0297
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