Laser treatment of congenital melanocytic nevi: a review of the literature
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- 作者：Fleta N. Bray ; Vidhi Shah ; Keyvan Nouri
- 关键词：CMN ; Congenital melanocytic nevus ; Laser ; Ruby
- 刊名：Lasers in Medical Science
- 出版年：2016
- 出版时间：January 2016
- 年：2016
- 卷：31
- 期：1
- 页码：197-204
- 全文大小：287 KB
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31.Ostertag JU, Quaedvlieg PJ, Kerckhoffs FE et al (2006) Congenital naevi treated with erbium:YAG laser (Derma K) resurfacing in neonates: clinical results and review of the literature. Br J Dermatol 154(5):889–895PubMed CrossRef
32.Lee SE, Choi JY, Hong KT, Lee KR (2015) Treatment of acquired and small congenital melanocytic nevi with combined Er: YAG laser and long-pulsed alexandrite laser in Asian skin. Dermatol surg 41(4):473–480PubMed CrossRef - 作者单位：Fleta N. Bray (1)
Vidhi Shah (1)
Keyvan Nouri (1)
1. Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, 1475 NW 12th Ave. Suite 2175, Miami, FL, 33136, USA - 刊物类别：Medicine
- 刊物主题：Medicine & Public Health
Medicine/Public Health, general
Dentistry
Laser Technology and Physics and Photonics
Quantum Optics, Quantum Electronics and Nonlinear Optics
Applied Optics, Optoelectronics and Optical Devices - 出版者：Springer London
- ISSN：1435-604X
文摘
Congenital melanocytic nevi (CMN) are nevi that are present from birth and occur in approximately 1 % of newborns. CMN may be cosmetically disfiguring and are at risk for malignant transformation. For these two reasons, CMN are frequently treated. A variety of treatment modalities have been utilized with variable efficacy, including excision, dermabrasion, curettage, chemical peels, radiation therapy, cryotherapy, electrosurgery, and lasers. The current treatment of choice for CMN is surgical excision. However, some CMN occur in cosmetically sensitive areas, where a surgical scar is less acceptable, or in inoperable locations. For these reasons, there has been increasing interest in the potential for laser treatment of CMN. The lasers that have been studied to date for the treatment of CMN include pigment-specific lasers, including ruby (694 nm), alexandrite (755 nm), and Nd:yttrium aluminum garnet (YAG) (1064 nm), as well as ablative laser treatment with CO2 laser (10,600 nm) and Er:YAG (2940 nm). To date, ruby lasers have been studied most extensively in the treatment of CMN. Ruby laser has been shown to improve the cosmetic appearance of some CMN and may be cautiously considered for lesions located in cosmetically sensitive areas that are less amenable to surgical excision. For very large CMN, ruby laser has been tried as an alternative to extensive surgical and grafting procedures. Dual treatment with Q-switched ruby laser and normal mode ruby laser may provide the best outcomes; however, multiple treatment sessions should be anticipated. The practicality and expense of multiple treatments should be discussed with the patient prior to initiating treatment. Importantly, because of the persistence of dermal nevus cells, lifelong follow-up is required for all laser-treated CMN, even those with excellent cosmetic effect.