THERAPY OF SKIN VASCULAR MALFORMATIONS USING COPPER VAPOR LASER AND PULSED DYE LASER
- Authors: Klyuchareva S.V.1, Ponomarev I.V.2, Pushkareva A.E.3
-
Affiliations:
- North-Western State Medical University named after I.I. Mechnikov
- P.N. Lebedev Physical Institute of the Russian Academy of Sciences
- ITMO University
- Issue: Vol 94, No 1 (2018)
- Pages: 67-77
- Section: CLINICAL PRACTICE GUIDELINES
- Submitted: 24.04.2018
- Accepted: 24.04.2018
- Published: 24.04.2018
- URL: https://vestnikdv.ru/jour/article/view/379
- DOI: https://doi.org/10.25208/0042-4609-2018-94-1-67-77
- ID: 379
Cite item
Full Text
Abstract
Aim. Comparison of effectiveness of the application of copper vapor laser (CVL) and pulsed dye laser (PDL) in clinical practice. Development of choice criteria of the more effective method of treatment.
Materials and methods. The clinical data using CVL and PDL in the treatment of skin vascular malformations are presented. The treatment gave good results in removing of dysplastic skin vessels in 2 and 6 months. The treatment was not painful, and patients did not need general and local anesthesia. The results were presented concerning computer modeling of selective heating of vessels in tissue with CVL and PDL radiation. These results allowed to determine the depth of location and dimensions of vessels for selective and secure removing and the safe dosage ranges were found.
Results. On the base of the calculated data, one could conclude that the mode of heating of dysplastic vessels with micropulse series of CVL is more safe and effective than the mode of powerful short pulses in the case of PDL.
About the authors
Svetlana V. Klyuchareva
North-Western State Medical University named after I.I. Mechnikov
Author for correspondence.
Email: genasveta@rambler.ru
Svetlana V. Klyuchareva — Dr. Sci. (Med.), Prof., Department of Dermatovenereology.
Piskarevskij prospect, 47, St. Petersburg, 195067
РоссияIgor V. Ponomarev
P.N. Lebedev Physical Institute of the Russian Academy of Sciences
Email: ponom@okb.lpi.troitsk.ru
Igor V. Ponomarev — Cand. Sci. (Phys.-Math.), Project manager.
Leninskiy Prospekt, 53, Moscow, 119991
РоссияAlexandra E. Pushkareva
ITMO University
Email: alexandra.pushkareva@gmail.com
Alexandra E. Pushkareva — Cand. Sci. (Engineering), Tutor, Department of Laser Technologies and Systems.
Kronverkskiy pr., 49, St. Petersburg, 197101
РоссияReferences
- Waner M., Dinehart S., Wilson M., Flock S. A comparison of copper vapor and Flashlapm Pumped Dye lasers in Treatment of Facial Telangiectasia. J Dermatol Surg Oncol. 1993;19:992–8.
- Галил-Оглы Г. А., Молочков В. А., Сергеев Ю. В. Дерматоонкология. М., 2005. 872 с.
- Tan O. T. et al. Histologic comparison of the pulsed dye laser and copper vapor laser effects on pig skin. Lasers in surgery and medicine. 1990;10. № 6. C. 551–558.
- Zhou Y., Yin D., Xue P., Huang N., Qiu H., Wang Y., Zeng J., Ding Z. and Gu Y. Imaging of skin microvessels with optical coherence tomography: potential uses in port wine stains. Experimental and Therapeutic Medicine. 2012;4:1017–1021.
- Anderson R. R., Parrish J. A. Microvasculature can be selectively damaged using dye lasers: A basic theory and experimental evidence in human skin. Lasers in Surgery and Medicine. 1981;1:263–276.
- Альтшуллер Г. Б., Смирнов М. З., Пушкарева А. Е. Моделирование лазерных и ламповых процедур лечения телеангиэктазии. Оптика и спектроскопия. 2004;97(1):151–154.
- Кубанова А. А., Данищук И. В. Селективная деструкция телеангиэктазий лазером на парах меди. Вестник дерматологии. 2000;2:26–27.
- Niems M. H. Laser-tissue interactions: fundamentals and applications. Berlin: Springer, 1996.
- Welch A. J., van Gemert M. J. C. (editors). Optical-Thermal Response of Laser-Irradiated Tissue. N.Y.: Plenum Press, 1995.
- Roggan A., Friebel M., Doershel K., Hahn A., Mueller G. Optical properties of circulating human blood in the wavelength range 400 –2500 nm. J. Biomedical Optics. 1999;4(1):36–46.
- Douven L. F. A., Lucassen G. W. Retrieval of Optical Properties of Skin from Measurement and Modelling the Diffuse Reflectance. Proc. SPIE. 2000;3914:312–323.
- van Gemert M. J. C., Jacques S. L., Sterenborg H. J. C. M., Star W. M. Skin Optics, IEEE Trans. Biomed. Eng. 1989;36(12):1146–1154.
- Takata A. N., Zaneveld L., and Richter W. Laser induced thermal damage in skin. Report SAM-TR-77-38 (Brooks Air Force Base, TX: US Air Force School of Aerospace Medicine). 1977.
- Giering K., Lamprecht I., Minet O. Specific heat capacities of human and animal tissues. Proc. SPIE. 1995;2624:188–197.
- Sekins K. M., Emery A. F. Thermal science for physical medicine. In «Therapeutic heat and cold» (ed. By J.F. Lehmann, Williams & Wilkins, Baltimore/London), 1982.
- Neumann R. A., Knobler R. M., Leonhartsberger H., Gebhart W. Comparative Histochemistry of Port-Wine Stains after Copper Vapor Laser (578 nm) and Argon Laser Treatment. The Journal of Investigative Dermato- logy. 1992;99(2):160–167.