Department of Dermatology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Department of Pharmacy, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
J Cosmet Dermatol. 2021 Sep;20(9):2805-2809. doi: 10.1111/jocd.13994. Epub 2021 Feb 18.
To compare the efficacy and complication of minimal invasion and combined pulsed dye laser/Nd:YAG laser and traditional surgical excision in the treatment of facial epidermoid cyst.
A total of 100 patients with facial epidermoid cyst aged from 16 to 65 years and cyst diameter ranged from 0.3 to 3.0 cm were treated and followed up. Patients were divided into the minimal invasion and combined pulsed dye laser/Nd:YAG laser treatment group and traditional surgical excision group. All patients were followed up for 12 months including scar size, recurrence rate, incidence of complications, and patient global satisfaction.
The mean operative time in the minimal invasion and combined pulsed dye laser/Nd:YAG laser treatment was 15.23 ± 7.02 minutes, which is significantly shorter than that of surgical excision (27.26 ± 10.12 minutes, P < .05). After 12 months, the average scar size in minimal invasion and combined pulsed dye laser/Nd:YAG laser group was 0.54 ± 0.35 cm, while that of traditional surgical excision group was 1.77 ± 0.81 cm (P < .05). No statistical difference was found between two groups in the wounds split, hematoma, early and late recurrence rates (P > .05), while the patients' global satisfaction in the pulsed dye laser/Nd:YAG laser group is much higher than that of the traditional surgical excision group.
The treatment of minimal invasion and combined pulsed dye laser/Nd:YAG laser is effective and safe for medium-size facial epidermoid cysts. For facial epidermoid cyst ranging for 0.3 cm to 3.0 cm, considering the cosmetic factors, minimal invasion and combined pulsed dye laser/Nd:YAG laser should be particularly recommended.
比较微创联合脉冲染料激光/钕：钇铝石榴石激光与传统手术切除治疗面部表皮样囊肿的疗效和并发症。
共收治 100 例 16-65 岁面部表皮样囊肿患者，囊肿直径 0.3-3.0cm。患者分为微创联合脉冲染料激光/钕：钇铝石榴石激光治疗组和传统手术切除组。所有患者均随访 12 个月，包括瘢痕大小、复发率、并发症发生率和患者总体满意度。
微创联合脉冲染料激光/钕：钇铝石榴石激光治疗组的平均手术时间为 15.23±7.02 分钟，明显短于手术切除组（27.26±10.12 分钟，P<.05）。12 个月后，微创联合脉冲染料激光/钕：钇铝石榴石激光组平均瘢痕大小为 0.54±0.35cm，传统手术切除组为 1.77±0.81cm（P<.05）。两组在伤口裂开、血肿、早期和晚期复发率方面无统计学差异（P>.05），但脉冲染料激光/钕：钇铝石榴石激光组患者总体满意度明显高于传统手术切除组。
微创联合脉冲染料激光/钕：钇铝石榴石激光治疗中等大小面部表皮样囊肿有效且安全。对于 0.3-3.0cm 的面部表皮样囊肿，考虑到美容因素，微创联合脉冲染料激光/钕：钇铝石榴石激光应特别推荐。
