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:: Volume 4, Issue 2 (7-2015) ::
wjps 2015, 4(2): 127-133 Back to browse issues page
Management of Facial Telangiectasias with Hand Cautery
Ioannis Liapakis MD , Miriam Englander , Roven Sinani , Eleftherios I. Paschalis
Lecturer at the Unoversity of Crete, Medical Schooll
Abstract:   (3757 Views)
BACKGROUND Facial telangiectasias are superficial cutaneous vessels that can result in noticeable aesthetical imperfections. This study presents a technique for the removal of facial telangiectasias using hand cautery. METHODS Twenty-five patients with facial telangiectasias were treated using hand cautery (Medicell Inc, Athens, Greece) during 2009-2013. Photo documentation was performed for each patient before and immediately after treatment. Treatment was performed by cauterization at 800°C, delivered via a 30G tip directly to the lesions for milliseconds. RESULTS Twenty two out of 25 patients (88%) exhibited complete resolution of telangiectasias using hand cautery. In 5 (20%) patients, single application achieved complete resolution of lesions and in 10 patients (40%) re-treatment was required after 3 weeks. Four patients (16%) required 3 consecutive treatments from which 2 patients (8%) showed slight improvement and one patient (4%) no improvement. No major complications were associated with this procedure except the formation of a white scar in two patients that became inconspicuous after 3 months. Minor complications included skin irritation and edema immediately after the treatment, which resolved within 2-3 days without intervention. CONCLUSION Hand cautery is a very safe, effective and inexpensive tool for the treatment of facial telangiectasias. It is simple, cheap, and requires minimal training, although it is limited to the treatment of more superficial and small lesions. We believe that this technique is suitable for office based setting. The advantage of using inexpensive and portable instruments will also be beneficial in developing counties where access to more expensive equipment is limited. Results are satisfactory but more patients are needed to validate the technique.
Keywords: Facial telangiectasias, Laser, Electrosurgery, Sclerotherapy, Hand cautery
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Type of Study: Original Article | Subject: Special
Received: 2015/02/14 | Accepted: 2015/05/31 | Published: 2015/05/31
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Liapakis I, Englander M, Sinani R, Paschalis E I. Management of Facial Telangiectasias with Hand Cautery. wjps. 2015; 4 (2) :127-133
URL: http://wjps.ir/article-1-145-en.html

Volume 4, Issue 2 (7-2015) Back to browse issues page
مجله جهانی جراحی پلاستیک World Journal of Plastic Surgery
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