Comparison of the laser and phenol chemical peel in facial skin resurfacing.
Identifieur interne : 004825 ( Main/Corpus ); précédent : 004824; suivant : 004826Comparison of the laser and phenol chemical peel in facial skin resurfacing.
Auteurs : P R Langsdon ; M. Milburn ; R. YarberSource :
- Archives of otolaryngology--head & neck surgery [ 0886-4470 ] ; 2000.
English descriptors
- KwdEn :
- MESH :
- chemical , pharmacology : Phenols.
- methods : Chemexfoliation, Laser Therapy, Rhytidoplasty.
- surgery : Face.
- Aged, Female, Humans, Middle Aged, Prospective Studies, Treatment Outcome.
Abstract
OBJECTIVE
To determine differences in postoperative outcomes, complications, and adverse effects between phenol chemical peel (CP) and the carbon dioxide laser peel, when used for facial skin resurfacing.
DESIGN
Nonrandomized prospective comparison of 2 facial skin resurfacing techniques using a split-face paradigm. In this initial study, 18 months of follow-up data are available, including the patients' subjective evaluations, the surgeons' objective assessments, and a histological analysis of 1 patient by a blinded pathologist.
SETTING
A facial plastic surgery clinic associated with a university medical center.
PATIENTS
Four female patients with actinic-damaged facial skin and facial rhytids, aged 61 to 73 years.
INTERVENTIONS
The left side of each face was treated with a phenol-based CP formula according to standard procedure. The right side was resurfaced using the Sharplan Silktouch Flashscanner carbon dioxide laser. Patients were photographed before treatment and at regular intervals postoperatively. One patient underwent rhytidectomy at 2 months posttreatment, and specimens were obtained for histological analysis.
MAIN OUTCOME MEASURES
Evaluation of observable clinical improvement in skin quality, postoperative swelling, erythema, pigmentary alterations, healing time, and complications.
RESULTS
All 4 patients experienced transient initial discomfort on the CP side that subsided within 24 hours after treatment. The laser side was noted to have slightly more prolonged stinging, erythema, and edema. Erythema was noted to be more uniform in the laser-treated areas. Final clinical improvement in rhytids was evaluated by 4 surgeons who reviewed color slide presentations of each patient 1 year or more postoperatively. Uniform wrinkle improvement was noted around the eyelid and lateral cheek areas on both the CP and laser-treated sides. A moderate advantage in the degree of wrinkle improvement was noted on the laser-treated sides of the upper lip and forehead. Thick-skinned, glandular skin areas, such as the nasolabial fold and chin, were found to be substantially smoother in the laser-treated areas. Histological studies indicate that the CP side was noted to have a deeper injury, extending into the reticular dermis. The skin treated with the laser was injured more superficially, down to the papillary dermis.
CONCLUSIONS
Phenol CP is as effective as the laser in diminishing rhytids in the thin-skinned areas of the face. The laser produces improved results in the thick, glandular areas of the face, but also produces more intense hypopigmentation, longer periods of patient discomfort, and longer periods of postoperative erythema. Both phenol CP and laser resurfacing remain useful clinical tools.
DOI: 10.1001/archotol.126.10.1195
PubMed: 11031405
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pubmed:11031405Le document en format XML
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Yarber</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2000">2000</date><idno type="RBID">pubmed:11031405</idno><idno type="pmid">11031405</idno><idno type="doi">10.1001/archotol.126.10.1195</idno><idno type="wicri:Area/Main/Corpus">004825</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">004825</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Comparison of the laser and phenol chemical peel in facial skin resurfacing.</title><author><name sortKey="Langsdon, P R" sort="Langsdon, P R" uniqKey="Langsdon P" first="P R" last="Langsdon">P R Langsdon</name><affiliation><nlm:affiliation>Facial Plastic Surgery Clinic, 7499 Poplar Pike, Germantown, TN 38138, USA. langsdon@bellsouth.net</nlm:affiliation></affiliation></author><author><name sortKey="Milburn, M" sort="Milburn, M" uniqKey="Milburn M" first="M" last="Milburn">M. Milburn</name></author><author><name sortKey="Yarber, R" sort="Yarber, R" uniqKey="Yarber R" first="R" last="Yarber">R. Yarber</name></author></analytic><series><title level="j">Archives of otolaryngology--head & neck surgery</title><idno type="ISSN">0886-4470</idno><imprint><date when="2000" type="published">2000</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term><term>Chemexfoliation (methods)</term><term>Face (surgery)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Laser Therapy (methods)</term><term>Middle Aged (MeSH)</term><term>Phenols (pharmacology)</term><term>Prospective Studies (MeSH)</term><term>Rhytidoplasty (methods)</term><term>Treatment Outcome (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="pharmacology" xml:lang="en"><term>Phenols</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Chemexfoliation</term><term>Laser Therapy</term><term>Rhytidoplasty</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Face</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Prospective Studies</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To determine differences in postoperative outcomes, complications, and adverse effects between phenol chemical peel (CP) and the carbon dioxide laser peel, when used for facial skin resurfacing.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Nonrandomized prospective comparison of 2 facial skin resurfacing techniques using a split-face paradigm. In this initial study, 18 months of follow-up data are available, including the patients' subjective evaluations, the surgeons' objective assessments, and a histological analysis of 1 patient by a blinded pathologist.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>A facial plastic surgery clinic associated with a university medical center.</p></div><div type="abstract" xml:lang="en"><p><b>PATIENTS</b></p><p>Four female patients with actinic-damaged facial skin and facial rhytids, aged 61 to 73 years.</p></div><div type="abstract" xml:lang="en"><p><b>INTERVENTIONS</b></p><p>The left side of each face was treated with a phenol-based CP formula according to standard procedure. The right side was resurfaced using the Sharplan Silktouch Flashscanner carbon dioxide laser. Patients were photographed before treatment and at regular intervals postoperatively. One patient underwent rhytidectomy at 2 months posttreatment, and specimens were obtained for histological analysis.</p></div><div type="abstract" xml:lang="en"><p><b>MAIN OUTCOME MEASURES</b></p><p>Evaluation of observable clinical improvement in skin quality, postoperative swelling, erythema, pigmentary alterations, healing time, and complications.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>All 4 patients experienced transient initial discomfort on the CP side that subsided within 24 hours after treatment. The laser side was noted to have slightly more prolonged stinging, erythema, and edema. Erythema was noted to be more uniform in the laser-treated areas. Final clinical improvement in rhytids was evaluated by 4 surgeons who reviewed color slide presentations of each patient 1 year or more postoperatively. Uniform wrinkle improvement was noted around the eyelid and lateral cheek areas on both the CP and laser-treated sides. A moderate advantage in the degree of wrinkle improvement was noted on the laser-treated sides of the upper lip and forehead. Thick-skinned, glandular skin areas, such as the nasolabial fold and chin, were found to be substantially smoother in the laser-treated areas. Histological studies indicate that the CP side was noted to have a deeper injury, extending into the reticular dermis. The skin treated with the laser was injured more superficially, down to the papillary dermis.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Phenol CP is as effective as the laser in diminishing rhytids in the thin-skinned areas of the face. The laser produces improved results in the thick, glandular areas of the face, but also produces more intense hypopigmentation, longer periods of patient discomfort, and longer periods of postoperative erythema. Both phenol CP and laser resurfacing remain useful clinical tools.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">11031405</PMID><DateCompleted><Year>2000</Year><Month>10</Month><Day>30</Day></DateCompleted><DateRevised><Year>2019</Year><Month>08</Month><Day>26</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0886-4470</ISSN><JournalIssue CitedMedium="Print"><Volume>126</Volume><Issue>10</Issue><PubDate><Year>2000</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Archives of otolaryngology--head & neck surgery</Title><ISOAbbreviation>Arch Otolaryngol Head Neck Surg</ISOAbbreviation></Journal><ArticleTitle>Comparison of the laser and phenol chemical peel in facial skin resurfacing.</ArticleTitle><Pagination><MedlinePgn>1195-9</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine differences in postoperative outcomes, complications, and adverse effects between phenol chemical peel (CP) and the carbon dioxide laser peel, when used for facial skin resurfacing.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Nonrandomized prospective comparison of 2 facial skin resurfacing techniques using a split-face paradigm. In this initial study, 18 months of follow-up data are available, including the patients' subjective evaluations, the surgeons' objective assessments, and a histological analysis of 1 patient by a blinded pathologist.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">A facial plastic surgery clinic associated with a university medical center.</AbstractText><AbstractText Label="PATIENTS" NlmCategory="METHODS">Four female patients with actinic-damaged facial skin and facial rhytids, aged 61 to 73 years.</AbstractText><AbstractText Label="INTERVENTIONS" NlmCategory="METHODS">The left side of each face was treated with a phenol-based CP formula according to standard procedure. The right side was resurfaced using the Sharplan Silktouch Flashscanner carbon dioxide laser. Patients were photographed before treatment and at regular intervals postoperatively. One patient underwent rhytidectomy at 2 months posttreatment, and specimens were obtained for histological analysis.</AbstractText><AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">Evaluation of observable clinical improvement in skin quality, postoperative swelling, erythema, pigmentary alterations, healing time, and complications.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">All 4 patients experienced transient initial discomfort on the CP side that subsided within 24 hours after treatment. The laser side was noted to have slightly more prolonged stinging, erythema, and edema. Erythema was noted to be more uniform in the laser-treated areas. Final clinical improvement in rhytids was evaluated by 4 surgeons who reviewed color slide presentations of each patient 1 year or more postoperatively. Uniform wrinkle improvement was noted around the eyelid and lateral cheek areas on both the CP and laser-treated sides. A moderate advantage in the degree of wrinkle improvement was noted on the laser-treated sides of the upper lip and forehead. Thick-skinned, glandular skin areas, such as the nasolabial fold and chin, were found to be substantially smoother in the laser-treated areas. Histological studies indicate that the CP side was noted to have a deeper injury, extending into the reticular dermis. The skin treated with the laser was injured more superficially, down to the papillary dermis.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Phenol CP is as effective as the laser in diminishing rhytids in the thin-skinned areas of the face. The laser produces improved results in the thick, glandular areas of the face, but also produces more intense hypopigmentation, longer periods of patient discomfort, and longer periods of postoperative erythema. Both phenol CP and laser resurfacing remain useful clinical tools.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Langsdon</LastName><ForeName>P R</ForeName><Initials>PR</Initials><AffiliationInfo><Affiliation>Facial Plastic Surgery Clinic, 7499 Poplar Pike, Germantown, TN 38138, USA. langsdon@bellsouth.net</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Milburn</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Yarber</LastName><ForeName>R</ForeName><Initials>R</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Arch Otolaryngol Head Neck Surg</MedlineTA><NlmUniqueID>8603209</NlmUniqueID><ISSNLinking>0886-4470</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D010636">Phenols</NameOfSubstance></Chemical></ChemicalList><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002615" MajorTopicYN="N">Chemexfoliation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005145" MajorTopicYN="N">Face</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D053685" MajorTopicYN="N">Laser Therapy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010636" MajorTopicYN="N">Phenols</DescriptorName><QualifierName UI="Q000494" MajorTopicYN="Y">pharmacology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015361" MajorTopicYN="N">Rhytidoplasty</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2000</Year><Month>10</Month><Day>14</Day><Hour>11</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2001</Year><Month>2</Month><Day>28</Day><Hour>10</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2000</Year><Month>10</Month><Day>14</Day><Hour>11</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">11031405</ArticleId><ArticleId IdType="pii">ocn00537</ArticleId><ArticleId IdType="doi">10.1001/archotol.126.10.1195</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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