Xanthelasma palpebrarum is a benign condition and almost never limits functioning; its appearance is often seen as cosmetically disturbing. Surgical excision has been the treatment of choice for decades. However, this normally effective measure bears a considerable risk of side effects, especially an ectropion, which could lead to additional procedures, e.g., full thickness skin graft. 13 patients with bilateral 26 xanthelasma with an voltaic arc dermoabrasion device (EL-Abras, TECNOSER s.r.l., Roma, Italy). Photographs were taken before and after treatment and were then evaluated by an independent observer. The evaluation of the results was made 2 months after this single treatment. The final evaluation assessed the presence or absence of hypochromic or achromic scars. The patients were given a single sessions to remove the lesions. Two months after treatment, the result was scored as 4 (i.e. with a clearing of lesions evaluated as being > 75% and in fact assessed by the independent observer as complete resolution) in six patients for a total of 12 lesions; scored as 3 in four patients for a total of 8 lesions, and as 2 in three patients for a total of 6 lesions. No patient presented a result scored as 0, 1 or 2. Eight lesions showed slight erythema in the treated areas and this persisted for 1 month. The visible and unsightly nature of xanthelasma has led to the proposal of numerous treatments. Reconstruction by a flap or full-thickness skin graft may be necessary in the presence of excessively large lesions or lesions involving the medial canthus. The possibilities of surgical resection appear to be more limited in the lower eyelid, as the more limited skin laxity rapidly induces a risk of ectropion. On the basis of our results, we would like to recommend xanthelasma treatment with the voltaic arc dermoabrasion as an excellent therapeutic alternative to the hitherto described approaches.

TREATMENT OF XANTHELASMA PALPEBRARUM WITH VOLTAIC ARC DERMOABRASION

LUCCHESE , ALESSANDRA
2012

Abstract

Xanthelasma palpebrarum is a benign condition and almost never limits functioning; its appearance is often seen as cosmetically disturbing. Surgical excision has been the treatment of choice for decades. However, this normally effective measure bears a considerable risk of side effects, especially an ectropion, which could lead to additional procedures, e.g., full thickness skin graft. 13 patients with bilateral 26 xanthelasma with an voltaic arc dermoabrasion device (EL-Abras, TECNOSER s.r.l., Roma, Italy). Photographs were taken before and after treatment and were then evaluated by an independent observer. The evaluation of the results was made 2 months after this single treatment. The final evaluation assessed the presence or absence of hypochromic or achromic scars. The patients were given a single sessions to remove the lesions. Two months after treatment, the result was scored as 4 (i.e. with a clearing of lesions evaluated as being > 75% and in fact assessed by the independent observer as complete resolution) in six patients for a total of 12 lesions; scored as 3 in four patients for a total of 8 lesions, and as 2 in three patients for a total of 6 lesions. No patient presented a result scored as 0, 1 or 2. Eight lesions showed slight erythema in the treated areas and this persisted for 1 month. The visible and unsightly nature of xanthelasma has led to the proposal of numerous treatments. Reconstruction by a flap or full-thickness skin graft may be necessary in the presence of excessively large lesions or lesions involving the medial canthus. The possibilities of surgical resection appear to be more limited in the lower eyelid, as the more limited skin laxity rapidly induces a risk of ectropion. On the basis of our results, we would like to recommend xanthelasma treatment with the voltaic arc dermoabrasion as an excellent therapeutic alternative to the hitherto described approaches.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11768/4851
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