Treatment of periorbital syringoma by the pinhole method using a carbon dioxide laser in 29 Asian patients.

Abstract

BACKGROUND:

Pinhole method has been used to treat various types of scars and dermal tumors by making multiple small holes in target tissues of the deep dermis using an ablative 10,600-nm carbon dioxide (CO2) laser.

OBJECTIVES:

We prospectively investigated the efficacy and safety of using a CO2 laser to treat periorbital syringomas via the pinhole method.

METHODS:

A total of 29 patients with periorbital syringomas were treated with two sessions of CO2 laser treatment using the pinhole method at two-month intervals. Laser fluences were delivered under the following settings: pulse duration of 200 μs, frequency of 50 Hz, on time of 0.04, and an off time of 0.01.

RESULTS:

Among the 29 patients, 13 patients (44.8%) presented with small discrete papular syringomas, 10 (34.5%) had plaque-type lesions, and six (20.7%) had mixed lesions. Evaluation of the clinical results at 2 months after the second treatment session revealed marked clinical improvement (51-75%) in 10 of the 29 patients (34.5%), moderate clinical improvement (26-50%) in eight (27.6%), near-total improvement (≥ 75%) in seven (24.1%), and minimal improvement (0-25%) in four patients (13.8%).

CONCLUSIONS:

Our observations indicated that application of the pinhole method using a CO2 laser exerts positive therapeutic effects in Asian patients with periorbital syringomas.

• Authors: Sang Ju Lee, Boncheol Goo, Min Ju Choi, Sang Ho Oh, Won Soon Chung, Sung Bin Cho
• Journal: Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology (J Cosmet Laser Ther) Vol. 17 Issue 5 Pg. 273-6 ( 2015) ISSN: 1476-4180 [Electronic] England
• PMID: 25803568 (Publication Type: Journal Article)

Topics

• Adult
• Asian People
• Face
• Female
• Humans
• Lasers, Gas (adverse effects, therapeutic use)
• Low-Level Light Therapy (adverse effects, methods)
• Male
• Prospective Studies
• Sweat Gland Neoplasms (radiotherapy)
• Syringoma (radiotherapy)