1927-nm Fractional resurfacing of facial actinic keratoses: A promising new therapeutic option

Background Actinic keratoses (AK) are precancerous epidermal proliferations commonly present on chronically sun-damaged skin. These lesions are among the most often treated dermatologic conditions. Objective We sought to investigate the 6-month safety, tolerance, and efficacy of nonablative 1927-nm...

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Veröffentlicht in:Journal of the American Academy of Dermatology 2013-01, Vol.68 (1), p.98-102
Hauptverfasser: Weiss, Elliot T., MD, Brauer, Jeremy A., MD, Anolik, Robert, MD, Reddy, Kavitha K., MD, Karen, Julie K., MD, Hale, Elizabeth K., MD, Brightman, Lori A., MD, Bernstein, Leonard, MD, Geronemus, Roy G., MD
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container_issue 1
container_start_page 98
container_title Journal of the American Academy of Dermatology
container_volume 68
creator Weiss, Elliot T., MD
Brauer, Jeremy A., MD
Anolik, Robert, MD
Reddy, Kavitha K., MD
Karen, Julie K., MD
Hale, Elizabeth K., MD
Brightman, Lori A., MD
Bernstein, Leonard, MD
Geronemus, Roy G., MD
description Background Actinic keratoses (AK) are precancerous epidermal proliferations commonly present on chronically sun-damaged skin. These lesions are among the most often treated dermatologic conditions. Objective We sought to investigate the 6-month safety, tolerance, and efficacy of nonablative 1927-nm fractional resurfacing of facial AK. Methods This was a prospective clinical trial of 24 individuals with facial photodamage and AK receiving up to 4 treatments with the fractionated 1927-nm nonablative thulium laser. Results At 6 months, an 86.6% reduction in absolute number of lesions was noted by independent physician assessment. In addition, at this same time point, patients reported marked or noticeable improvement in overall photodamage. Limitations This prospective study does not provide safety, tolerance, and efficacy data beyond 6 months of follow-up, nor does it identify the precise mechanism of action involved in AK clearance after 1927-nm resurfacing. Conclusion The clinical and histologic findings, as well as the reported patient satisfaction and safety, suggest that the treatment of AK and photodamage with a fractionated 1927-nm nonablative thulium laser is a promising new therapeutic option.
doi_str_mv 10.1016/j.jaad.2012.05.033
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These lesions are among the most often treated dermatologic conditions. Objective We sought to investigate the 6-month safety, tolerance, and efficacy of nonablative 1927-nm fractional resurfacing of facial AK. Methods This was a prospective clinical trial of 24 individuals with facial photodamage and AK receiving up to 4 treatments with the fractionated 1927-nm nonablative thulium laser. Results At 6 months, an 86.6% reduction in absolute number of lesions was noted by independent physician assessment. In addition, at this same time point, patients reported marked or noticeable improvement in overall photodamage. Limitations This prospective study does not provide safety, tolerance, and efficacy data beyond 6 months of follow-up, nor does it identify the precise mechanism of action involved in AK clearance after 1927-nm resurfacing. Conclusion The clinical and histologic findings, as well as the reported patient satisfaction and safety, suggest that the treatment of AK and photodamage with a fractionated 1927-nm nonablative thulium laser is a promising new therapeutic option.</description><identifier>ISSN: 0190-9622</identifier><identifier>EISSN: 1097-6787</identifier><identifier>DOI: 10.1016/j.jaad.2012.05.033</identifier><identifier>PMID: 23041112</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>actinic keratosis ; Dermatology ; Edema - etiology ; Erythema - etiology ; Facial Dermatoses - surgery ; Female ; Humans ; Keratosis, Actinic - surgery ; laser ; Laser Therapy - adverse effects ; Laser Therapy - methods ; Male ; Middle Aged ; nonablative resurfacing ; photodamage ; rejuvenation ; Thulium ; Treatment Outcome</subject><ispartof>Journal of the American Academy of Dermatology, 2013-01, Vol.68 (1), p.98-102</ispartof><rights>American Academy of Dermatology, Inc.</rights><rights>2012 American Academy of Dermatology, Inc.</rights><rights>Copyright © 2012 American Academy of Dermatology, Inc. 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These lesions are among the most often treated dermatologic conditions. Objective We sought to investigate the 6-month safety, tolerance, and efficacy of nonablative 1927-nm fractional resurfacing of facial AK. Methods This was a prospective clinical trial of 24 individuals with facial photodamage and AK receiving up to 4 treatments with the fractionated 1927-nm nonablative thulium laser. Results At 6 months, an 86.6% reduction in absolute number of lesions was noted by independent physician assessment. In addition, at this same time point, patients reported marked or noticeable improvement in overall photodamage. Limitations This prospective study does not provide safety, tolerance, and efficacy data beyond 6 months of follow-up, nor does it identify the precise mechanism of action involved in AK clearance after 1927-nm resurfacing. 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subjects actinic keratosis
Dermatology
Edema - etiology
Erythema - etiology
Facial Dermatoses - surgery
Female
Humans
Keratosis, Actinic - surgery
laser
Laser Therapy - adverse effects
Laser Therapy - methods
Male
Middle Aged
nonablative resurfacing
photodamage
rejuvenation
Thulium
Treatment Outcome
title 1927-nm Fractional resurfacing of facial actinic keratoses: A promising new therapeutic option
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