1/6. Resurfacing of facial angiofibromas in tuberous sclerosis patients using CO2 laser with flashscanner.BACKGROUND: Angiofibromas are a common presentation of tuberous sclerosis. They cause considerable cosmetic and hygienic morbidity for patients. Treatments of angiofibromas have included curettage, cryosurgery, chemical peel, dermabrasion, shave excision, and 13-cis retinoic acid. Results from these modalities in many cases were not satisfactory from a cosmetic standpoint. copper vapor, argon, pulsed dye, and CO2 lasers have been used with success in isolated cases. OBJECTIVE: The purpose of this study was to evaluate the efficacy of CO2 laser resurfacing with flashscanner in the treatment of facial angiofibromas. methods: Two patients with angiofibromas on the face were treated with a CO2 laser with flashscanner. The cheek and nose were treated in one patient, and entire face was done in the other. RESULTS: Both patients showed remarkable cosmetic improvements without scarring. Mild hyperpigmentation was found in both patients, which disappeared in 1 month with the application of topical agents. Facial erythema persisted about 2 months in both patients. CONCLUSION: A CO2 laser equipped with flashscanner causes less residual thermal damage than conventional CO2 lasers and enables controlled depth vaporization for more precise and regular removal of angiofibromas. In whole-face resurfacing, more cosmetically acceptable results are possible because localized treatment leaves marginal prominences. Laser resurfacing is an effective alternative in the treatment of multiple protuberant angiofibromas even though we cannot permanently clear these lesions due to their nature.- - - - - - - - - - ranking = 1keywords = dermabrasion (Clic here for more details about this article) |
2/6. Treatment of facial angiofibromas of tuberous sclerosis by shave excision and dermabrasion in a dark-skinned patient.tuberous sclerosis is an inherited disease expressed clinically by the triad of mental retardation, seizures, and tuberous lesions. Facial angiofibromas, a common manifestation of tuberous sclerosis, can cause considerable cosmetic disfigurement, emotional distress, obstruction of vision, and hemorrhage. Treatment by shave excision, as the first step to remove the larger nodules, followed by dermabrasion, to smooth and sculpt the final surface, has been recommended as the most effective form of therapy. However, this method of treatment raises the question of risk for development of hypopigmentation in susceptible patients. The authors present their treatment of angiofibromas with shave excision and dermabrasion in a dark-skinned patient.- - - - - - - - - - ranking = 6keywords = dermabrasion (Clic here for more details about this article) |
3/6. Shave excision and dermabrasion for facial angiofibroma in tuberous sclerosis.tuberous sclerosis is an inheritable disease of varied manifestations. Hallmarks of the disease have historically been identified as infantile seizures, severe mental retardation, and facial growths. The facial lesions were formerly termed adenoma sebaceum, but are now known to be angiofibroma. We present a patient who was referred for management of large facial lesions complicated by intermittent hemorrhage. A combination of shave excision and dermabrasion led to a symptomatic and cosmetic improvement.- - - - - - - - - - ranking = 5keywords = dermabrasion (Clic here for more details about this article) |
4/6. Shaving and dermabrasion of the facial lesions in tuberous sclerosis. A case report.tuberous sclerosis is a disease characterised by convulsive seizures, mental deficiency and angiofibromas. These angiofibromas are hamartomas consisting of hyperplastic connective and vascular tissue. A case is reported where multiple angiofibromas of the face resulted in significant disfigurement. The lesions were treated by shaving and dermabrasion; the short-term result was very satisfactory.- - - - - - - - - - ranking = 5keywords = dermabrasion (Clic here for more details about this article) |
5/6. Management of facial angiofibromas in tuberous sclerosis: use of the carbon dioxide laser.Facial angiofibromas are estimated to occur in 90% of patients with tuberous sclerosis and can cause considerable cosmetic disfigurement, emotional distress, obstruction of vision, and hemorrhage when abraded. Postoperative wound management associated with skin grafting and dermabrasion is often difficult because patients are mentally retarded and noncooperative. Three patients with extensive facial angiofibromas were treated successfully with the carbon dioxide (CO2) laser, with follow-up period ranging from 8 to 48 months. Uncomplicated wound healing occurred in each patient with minimal recurrence of lesions. Ablation with the CO2 laser is our treatment of choice for angiofibromas associated with tuberous sclerosis.- - - - - - - - - - ranking = 1keywords = dermabrasion (Clic here for more details about this article) |
6/6. Shave excision and dermabrasion of midline angiofibroma in tuberous sclerosis.We encountered a rare case of massive angiofibroma involving the midface. Treatment consisted of shave excision of long slightly vascular "shag-rug" papules, followed by repeated deep dermabrasion. The methods of treatment will vary, depending on size and vascularity of the lesions. Indications for treatment include facial hygiene, cosmetic reasons, and the cessation of chronic bleeding. prognosis is that the angiofibroma may be expected to slowly recur and thus require further treatment.- - - - - - - - - - ranking = 5keywords = dermabrasion (Clic here for more details about this article) |