Ullmann Y, Har-Shai Y, Peled I J
Department of Plastic and Reconstructive Surgery, Rambam Medical Center, Haifa, Israel.
Ann Plast Surg. 1993 Dec;31(6):504-7. doi: 10.1097/00000637-199312000-00005.
CO2 laser has been used for the treatment of 22 patients with xanthelasma palpebrarum. This office procedure done under local anesthesia is fast and easy. The lipomatous yellow plaques are accurately photovaporized in a bloodless field, layer by layer, until the lesion is totally eradicated. The treated area heals by reepithelization, ostensibly with virtually no scar contraction. All our patients were satisfied with their results, rating them from good to excellent. In 5 patients some pigmentation changes were noted. During follow-up periods varying from 15 to 54 months, only 2 (9%) patients had recurrences, which were retreated successfully. We postulate that treatment of xanthelasma palpebrarum by CO2 laser should be seriously considered in most patients.
二氧化碳激光已用于治疗22例睑黄瘤患者。这种在局部麻醉下进行的门诊手术快速且简便。脂肪瘤样黄色斑块在无血视野中逐层精确光汽化，直至病变完全根除。治疗区域通过再上皮化愈合，表面上几乎没有瘢痕收缩。我们所有的患者对治疗结果都很满意，评价从良好到优秀。5例患者出现了一些色素沉着变化。在15至54个月不等的随访期内，只有2例（9%）患者复发，再次治疗成功。我们推测，大多数患者应认真考虑用二氧化碳激光治疗睑黄瘤。
