Update on lasers:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2002
|
| Schriftenreihe: | Dermatologic clinics
20,1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | X, 191 S. zahlr. Ill. |
Internformat
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| 245 | 1 | 0 | |a Update on lasers |c Tina S. Alster ..., guest eds. |
| 264 | 1 | |a Philadelphia [u.a.] |b Saunders |c 2002 | |
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| 650 | 4 | |a Lasers |x therapeutic use | |
| 650 | 4 | |a Skin Diseases |x surgery | |
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Datensatz im Suchindex
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| adam_text | UPDATE ON LASERS
CONTENTS
Preface xxx
Tina S. Alster and Jason R. Lupton
Laser Treatment of Congenital and Acquired Vascular Lesions:
A Review 1
Jeremy E. Rothfleisch, Meredith Klein Kosann, Vlcki J. Levine,
and Robin Ashinoff
The treatment of congenital and acquired vascular lesions has changed
dramatically with the development of laser technology. The continuous
wave, quasi continuous wave, and high energy, pulsed lasers and the use
of intense pulsed light source treatment for vascular specific destruction
are reviewed, along with practical clinical applications in the management
of vascular lesions, including approaches in the treatment of hemangio
mas, port wine stains, facial and leg telangiectasias, pygoenic granulomas,
venous lakes, and cherry angiomas.
Laser Surgery of Leg Veins 19
Robert A. Weiss and Jeffrey S. Dover
The use of lasers and light sources in treating lower extremity blood
vessels has not been as successful as it has been in treating facial telangiec
tasia, but further refinements in laser technology over the next few years
will enhance treatment efficacy of lower extremity telangiectasia. This arti¬
cle discusses recent advances in this area.
Laser Eradication of Pigmented Lesions and Tattoos 37
Suzanne Linsmeier Kilmer
Laser treatment of pigmented lesions can be a rewarding experience when
appropriate lesions are treated. Accurate diagnosis of pigmented lesions is
needed before treatment. In some lesions, adjuvant topical therapy is
greatly beneficial, and for others it may be the only option. Amateur and
traumatic tattoos clear readily with laser treatment; however, cosmetic
tattoos should be approached with caution.
DERMATOLOGIC CLINICS OF NORTH AMERICA
VOLUME 20 • NUMBER 1 • JANUARY 2002 vii
Laser Scar Revision 55
Jason R. Lupton and Tina S. Alster
Laser revision is now the preferred method of treatment for various scars.
The initial classification of scar type is important to ensure that the proper
laser system is used. The 585 run pulsed dye laser can ameliorate hypertro
phic scars, keloids, erythematous scars, and striae, with low risk of adverse
sequelae. Use of the pulsed and scanned carbon dioxide and Er:YAG lasers
should be reserved for atrophic scars of the face and not for proliferative
lesions such as keloids.
Laser Therapy of Stretch Marks 67
David H. McDaniel
Striae distensae, better known as stretch marks, are a common disfiguring
skin disorder of significant cosmetic concern. Many sources have reported
the use of lasers to diminish the appearance of striae. Controlled clinical
studies of the various treatment modalities available for striae are rela¬
tively uncommon, and much of the clinical data are anecdotal. The use of
lasers alone or in combination with other therapeutic modalities can pro¬
vide a safe and effective reduction in the appearance of both red and
white striae distensae. Many of these therapies require special measures
for darker skin phototypes. This article reviews the historical use of laser
therapy for this disorder and discusses current therapeutic options.
Maximizing Benefits and Minimizing Risk
with CO2 Laser Resurfacing 77
Richard E. Fitzpatrick
Though laser resurfacing has proven to be very effective in reversing facial
photodamage and improving acne scars, there have been many instances
of unsatisfactory results because of pigmentary changes, prolonged ery¬
thema, or scarring. These problems can be avoided and, with proper
technique, excellent results achieved. These steps are discussed in relation
to scarring and superficial, moderate, and advanced photodamage.
Er:YAG Laser Skin Resurfacing 87
Mariusz J.A. Sapijaszko and Christopher B. Zachary
Skin rejuvenation remains popular. The development of new, safer, and
more predictable techniques allows appropriate methods to be individual¬
ized and applied to each patient. Laser skin resurfacing continues to be a
frequently performed procedure as part of an overall rejuvenation pro¬
gram. Over the last decade, the erbium:yttrium aluminum garnet (Er:YAG)
laser has been added to carbon dioxide laser systems in the hope of
decreasing the side effect profile while maintaining superior results. Clini¬
cal benefits following resurfacing with early Er:YAG lasers were less im¬
pressive than those obtained with the carbon dioxide systems. This was
partly because of poor hemostasis and limited ablative depths. Recent
introduction of new, modulated Er:YAG lasers allows full use of their
ablative properties with the addition of adequate coagulation. Improved
clinical results followed, with long pulsed Er:YAG laser resurfacing pro¬
ducing benefits comparable to those obtained with carbon dioxide laser
systems. These latest models represent a real advance in laser technology,
allowing versatility and flexibility when choosing appropriate parameters
for each problem treated.
viii CONTENTS
Nonablative Laser Skin Remodeling 97
Christina A. Hardaway and E. Victor Ross
Nonablative skin remodeling has become an attractive option for patients
whose lifestyles demand a noninvasive approach to skin rejuvenation.
This review addresses the rationales for therapy, specific devices, and
study outcomes.
Laser Resurfacing of Darkly Pigmented Patients 113
Javier Ruiz Esparza and Jason R. Lupton
Cutaneous laser resurfacing is becoming an increasingly popular method
of facial rejuvenation; however, as the patient population becomes more
ethnically diverse, laser surgeons are faced increasingly with the challenge
of treating darker skinned individuals for various cutaneous pathologies,
despite their inherent risk of permanent pigmentary alterations following
treatment. Patients with the darkest skin prototypes have a significantly
higher risk of postinflammatory hyperpigmentation and hypertrophic scar
or keloid formation following resurfacing with lasers in the mid infrared
to far infrared range. Despite these risks, an increasing number of reports
recently have described laser techniques that are reasonably safe for
darker skinned individuals.
Regional Anesthesia with Monitored Anesthesia Care
for Dermatologic Laser Surgery 123
John Bing, Maura S. McAuliffe, and Jason R. Lupton
Cutaneous laser surgery is a specialized practice that requires anesthesia
providers to be proficient both in the administration of anesthesia and in
the wide variety of lasers being used so that anesthesia can be tailored for
each individual patient. This article provides an overview of regional
nerve blockade with monitored anesthesia care for outpatient or office
based cutaneous laser surgery.
Hair Removal by Lasers and Intense Pulsed Light Sources 135
Christine C. Dierickx
This article explains the mechanisms of using light to remove hair, exam¬
ines the attributes of specific laser systems, and focuses on treatment
protocols for the various systems to provide safe and effective treatment.
Laser Treatment of Epidermal and Dermal Lesions 147
George J. Hruza
The carbon dioxide and erbium:yttrium aluminum garnet (ErrYAG) lasers
are effective tools for the ablation of warts, rhinophyma, actinic cheilitis
and numerous other benign epidermal and dermal lesions. The develop¬
ment of high peak power short pulsed or rapidly scanned resurfacing
carbon dioxide lasers and variable pulsed EnYAG lasers has significantly
improved the safety and versatility of these tools. Many lesions amenable
to laser vaporization and ablation can be treated by other, far less expen¬
sive treatment modalities, and it is the laser surgeon s responsibility to use
an ablative laser only for whom it is demonstrably the best treatment op¬
tion.
CONTENTS
Side Effects and Complications of Laser Therapy 165
Elizabeth I. McBurney
As laser surgery procedures increase, physicians and patients must be
aware of the potential side effects and complications of treatment. This
article reviews the major risks of laser resurfacing and laser removal of
tattoos, pigmented and vascular lesions, and hair.
Current Therapy
Nonpharmacologic Treatments in Psychodermatology 177
Richard G. Fried
Psychocutaneous skin problems include acne, psoriasis, eczema, rosacea,
HSV, hyperhidrosis, pain dysesthesias, and psychological reactions to
aging. While pharmacologic interventions are often essential and adequate,
nonpharmacologic treatments can offer substantial benefit. Biofeedback,
relaxation training, hypnosis, psychotherapy, psychoeducation and sup¬
port can enhance the effectiveness of traditional therapies and lead to
improved therapeutic outcomes and better quality of life.
Index 187
Subscription Information Inside back cover
CONTENTS
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| physical | X, 191 S. zahlr. Ill. |
| publishDate | 2002 |
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| series | Dermatologic clinics |
| series2 | Dermatologic clinics |
| spelling | Update on lasers Tina S. Alster ..., guest eds. Philadelphia [u.a.] Saunders 2002 X, 191 S. zahlr. Ill. txt rdacontent n rdamedia nc rdacarrier Dermatologic clinics 20,1 Laser Surgery Lasers therapeutic use Skin Diseases surgery Alster, Tina S. Sonstige oth Dermatologic clinics 20,1 (DE-604)BV000004924 20,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009955319&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Update on lasers Dermatologic clinics Laser Surgery Lasers therapeutic use Skin Diseases surgery |
| title | Update on lasers |
| title_auth | Update on lasers |
| title_exact_search | Update on lasers |
| title_full | Update on lasers Tina S. Alster ..., guest eds. |
| title_fullStr | Update on lasers Tina S. Alster ..., guest eds. |
| title_full_unstemmed | Update on lasers Tina S. Alster ..., guest eds. |
| title_short | Update on lasers |
| title_sort | update on lasers |
| topic | Laser Surgery Lasers therapeutic use Skin Diseases surgery |
| topic_facet | Laser Surgery Lasers therapeutic use Skin Diseases surgery |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009955319&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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