Effect of CO2 laser treatment on facial sebaceous cyst and skin incision welding
10.3760/cma.j.issn.1671-0290.2013.01.010
- VernacularTitle:CO2激光切除及焊接皮肤切口治疗面部皮脂腺囊肿疗效观察
- Author:
Xueping BIAN
;
Yujie BIAN
;
Zhihong ZHANG
;
Lijun WANG
;
Junhui WANG
;
Feifei XIA
- Publication Type:Journal Article
- Keywords:
Laser;
Sebaceous cyst;
Welding skin;
Cosmetic effect
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2013;(1):31-34
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effectiveness of CO2 laser treatment and routine scalpel procedure for facial sebaceous cyst (SC),and to compare cosmetic effect of laser welding and routine suture skin incision.Methods Two hundred patients with SC were randomly divided into two groups:CO2 laser operative treatment group (laser group),and routine scalpel operative treatment control group (control group),with 100 patients in each group.For the laser group,skins of SC were incised and cyst were extirpated using CO2 laser beam (power 20 W,diameter of light spot 0.2 cm and power density 637 W/cm2).If cyst wall was broken,then CO2 laser was used to gasify the residual.After cleaning skin incision,both border of incision with anastomat of laser welding skin was performed,next to welding skin incision with CO2 laser (power 1 W,diameter of light spot 0.2 cm and power density 32 W/cm2) scanning radiating 2 mm/s.For the control group,skins of SC were incised and cyst or residual wall were extirpated with single-use scalpel,and skin incisions were sutured with 1-0 silk thread by whole layer interrupted suture.Results For the laser group,97 cases (97 ％) were cured,3 cases (3 ％) improved.For the control group,87 cases (87 ％) were cured,9 cases (9 ％)improved and 2 cases (2 ％) had no improvement.Cure rate of laser group was obviously higher than that of the control group (P＜0.05).The cosmetic effect of the laser group was also better than that of the control group (P＜0.01).For the laser group,successful rate of welding skin incision was 100 ％.Conclusions Surgical removal of SC on face and welding skin incision with CO2 laser is very effective.The chances of recurrence and cicatrisation are greatly reduced.In particular,laser welding skin incision establishes a new non-suture reparable method of skin incision,which has important value for the cosmetic and plastic surgery.
