Laser marsipulization of epidermal cysts: avoiding linear scars.
OBJECTIVE
We describe a simple technique in which the prominent surface of the cyst is vaporized by a carbon dioxide (CO(2)) laser, thus avoiding linear scarring and reducing postoperative complications.


BACKGROUND
Epidermal cysts are commonly excised in outpatient clinics under local anaesthesia. The procedure usually entails an elliptical skin incision to include the puncture of the cyst. This may lead to infection, scarring or recurrence.


METHODS
The cyst is marsupilized using a scanning CO(2 )laser under local anaesthetic.


RESULTS
Surgical results assessed by pre- and postoperative photographic records confirmed smaller scars the absence of linear scars.


CONCLUSIONS
In cosmetically sensitive areas, laser marsipulization of epidermal cysts represents a viable alternative to conventional dissection.
El Alami
M
M
Department of Otolaryngology Head and Neck Surgery, Leicester Royal Infirmary, United Kingdom. maher.elalami@doctors.net.uk
Ghufoor
K
K
Dilkes
M
M
D002245:Carbon Dioxide / Q000627:therapeutic use; D002921:Cicatrix / Q000517:prevention & control*; D004814:Epidermal Cyst / Q000601:surgery*; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D016896:Treatment Outcome
D002245:Carbon Dioxide