Laser marsipulization of epidermal cysts: avoiding linear scars.

OBJECTIVE

We describe a simple technique in which the prominent surface of the cyst is vaporized by a carbon dioxide (CO(2)) laser, thus avoiding linear scarring and reducing postoperative complications.

BACKGROUND DATA

Epidermal cysts are commonly excised in outpatient clinics under local anaesthesia. The procedure usually entails an elliptical skin incision to include the puncture of the cyst. This may lead to infection, scarring or recurrence.

MATERIALS AND METHODS

The cyst is marsupilized using a scanning CO(2 )laser under local anaesthetic.

RESULTS

Surgical results assessed by pre- and postoperative photographic records confirmed smaller scars the absence of linear scars.

CONCLUSION

In cosmetically sensitive areas, laser marsipulization of epidermal cysts represents a viable alternative to conventional dissection.