VENOUS ECTASIA OF THE VERMILION BORDER: COPPER VAPOR LASER TREATMENT
- Authors: Klyuchareva S.V.1, Ponomarev I.V.2, Andrusenko Y.N.3
-
Affiliations:
- North-Western State Medical University named after I.I. Mechnikov
- P.N. Lebedev Physical Institute of the Russian Academy of Sciences
- Clinic “Health Institute”
- Issue: Vol 93, No 4 (2017)
- Pages: 53-61
- Section: CLINICAL PRACTICE GUIDELINES
- URL: https://ogarev-online.ru/0042-4609/article/view/116894
- DOI: https://doi.org/10.25208/0042-4609-2017-93-4-53-61
- ID: 116894
Cite item
Full Text
Abstract
We present the experience of application of "Yakhroma-Med" copper vapor laser system for the treatment of venouse ectasia (VE) of the vermilion border. The yellow wavelength of the generated laser radiation reaches 578 nm falls at the peak of hemoglobin absorption. The treatment was conducted in 58 patients with VE rising above the skin for no more than 1 mm. 100% clinical result. With a hemangioma size of up to 1 cm, treatment efficiency was 87% after the first procedure and complete resolution in 13% of the patients after the second procedure. At a size of more than 1 cm, the efficiency was 71% after the first procedure and 29% after the second. A 100% clinical result was obtained. The therapeutic effect persisted throughout the year in all 58 patients. It has been established that microcirculation disorders processes and further development of VE are affected by a variety of exogenous factors: about a half (48.3%) of the patients were deliberately subjected to excessive sunlight exposure, more than a quarter lived in regions with adverse climatic factors (wind, cold, abnormally low humidity, etc.) (27.6%), or regularly received hyperthermic procedures (steam bath, sauna, etc.) (25.9%). A burn (thermal, chemical) is found in the medical history of one in every five women (20.7%). 17.2% of the patients indulged in excessive consumption of condimental, spicy and hot food.
Keywords
About the authors
S. V. Klyuchareva
North-Western State Medical University named after I.I. Mechnikov
Author for correspondence.
Email: genasveta@rambler.ru
Kirochnaya str., 41, St. Petersburg, 191015, Russia Russian Federation
I. V. Ponomarev
P.N. Lebedev Physical Institute of the Russian Academy of Sciences
Email: fake@neicon.ru
Leninskiy рrospekt, 53, Moscow, 119991, Russia Russian Federation
Yu. N. Andrusenko
Clinic “Health Institute”
Email: fake@neicon.ru
Constitution Square, 26, Kharkov, 61003, Ukraine Ukraine
References
- Bean W. B., Walsh J. R. Venous lakes // AMA archives of dermatology. 1956. Т. 74. №. 5. С. 459—463.
- Aicalay J., Sandbank M. The ultrastructure of cutaneous venous lakes //International journal of dermatology. 1987. Т. 26. №. 10. С. 645—646.
- Ah-Weng A., Natarajan S., Velangi S., Langtry J.A. Venous lakes of the vermillion lip treated by infrared coagulation. Br J Oral Maxillofac Surg 2004; 42: 251—3.
- Suhonen R., Kuflik E.G. Venous lakes treated by liquid nitrogen cryosurgery. Br J Dermatol 1997; 137: 1018—19.
- del Pozo J., Pena C., Garcia Silva J., Goday J.J., Fonseca E. Venous lakes: a report of 32 cases treated by carbondioxide laser vaporization. Dermatol Surg 2003; 29: 308—10.
- Neumann R.A., Knobler R.M. Venous lakes (Bean-Walsh) of the lips—treatment experience with the argon laser and 18 months follow-up. Clin Exp Dermatol 1990; 15: 115—18.
- Astner S., Anderson R.R. Treating vascular lesions. Dermatol Ther 2005; 18: 267—81.
- Anderson R.R., Parrish J.A. Microvasculature can be selectively damaged using dye lasers: a basic theory and experimental evidence in human skin. Lasers Surg Med 1981; 1: 263.
- Cheung T. and Lanigan S. W. Evaluation of the treatment of venous lakes with the 595-nm pulsed dye laser: a case series S Clinical and Experimental Dermatology, 32. 148—150.
- Kubanova A.A., Danishchuk I.V. Selektivnaya destrukciya teleangiehktazij lazerom na parah medi, Vestnik dermatologii i venerologii, 2000, 2. 26—27. [Кубанова А. А., Данищук И. В. Селективная деструкция телеангиэктазий лазером на парах меди, Вест дерм и вене р 2000; (2). 26—27.]
- Klyuchareva S.V., Ponomarev I.V. Opyt primeneniya lazera na parah medi v lechenii kstantomatoza kozhi. Vestnik dermatologii i venerologii, 2007, 4. 52—54. [Ключарева С. В. Пономарев И. В. Опыт при менения лазера на парах меди в лечении кстантоматоза кожи. Вест дерм и венер 2007; (4). 52—54.]
- Klyuchareva S.V., Nikonova S.M., Ponomarev I.V. Lechenie lazerami dobrokachestvennyh pigmentnyh novoobrazovanij kozhi. Ehksperimental'naya i klinicheskaya dermatokosmetologiya. 2006. № 3. S. 22—31. [Ключарева С. В., Никонова С. М., Поно- ма рев И. В. Лечение лазерами добро ка- чественных пигментных новообразований кожи. Экспериментальная и клиническая дерматокосметология. 2006. № 3. 22—31.]
- Klyuchareva S.V., Danilov S.I., Ponomarev I.V. Lechenie ul'ehritemy lazerom na parah medi «Yahroma-med» Vestnik dermatologii i venerologii. 2007. № 3. S. 47—48. [Ключарева С.В., Данилов С.И., Понома рев И.В. Лечение ульэритемы лазером на парах меди «Яхрома- мед». Вестник дерм и венер 2007; (3). 47— 48.]
Supplementary files
