Intralesional electrodesiccation of syringomas.

BACKGROUND

Syringomas are common, benign adnexal tumors. In the periorbital area, they pose a cosmetic dilemma for both patients and physicians alike. Many different therapeutic modalities potentially can cause scarring, and recurrences are common.

OBJECTIVE

To develop a treatment method that minimizes scarring and subsequent recurrences.

METHOD

Each syringoma is treated with short bursts of high frequency low voltage electrodesiccation delivered with a fine needle electrode that is inserted into the center of the syringoma, as deeply as the reticular dermis.

RESULTS

Twelve patients treated over a 4-year period showed no permanent adverse effects postoperatively and no recurrences.

CONCLUSIONS

Intralesional electrodesiccation is a safe, nonscarring and, reliable method that can be used to eradicate periorbital syringomas.