title: Erbium YAG laser treatment of periorbital syringomas by using the multiple ovoid-shape ablation method.
abstract: BACKGROUND
  Syringomas are benign tumours that develop predominantly in the periorbital areas of women. As periorbital syringoma is adjacent to the appendages, Erbium YAG (Er:YAG) laser treatment should be an ideal tool for its precise ablation, although its use has not previously been reported. We retrospectively analysed our new ovoid-shape Er:YAG laser ablation method for the treatment of syringoma.
  
  
  METHODS
  We developed an extirpation method in which multiple, 2- to 4-mm, egg-shaped ablation fields were created. This method was used to treat 49 patients, 35 of whom had predominantly accumulated syringomas, and 14 had disseminated syringomas. Treatment was repeated every 2 months.
  
  
  RESULTS
  Our approach was successful in both disseminated- and accumulated-type syringoma as well as plaque-type syringoma, which is considered to be the most difficult to treat. After an average of 3.77 treatments, more than 75% of the syringoma in the treated area had disappeared in 43 of 49 patients.
  
  
  CONCLUSIONS
  Our ovoid-shape ablation method gives good cosmetic results even in the most difficult type of syringoma.
authors.affiliation: a Chitosedai Kitano Clinic , Tokyo , Japan.
authors.forename: Yukie
authors.initials: Y
authors.lastname: Kitano
mesh_terms: D000328:Adult; D000368:Aged; D003357:Cosmetic Techniques; D005260:Female; D006801:Humans; D053844:Lasers, Solid-State / Q000627:therapeutic use*; D008875:Middle Aged; D009915:Orbit; D012189:Retrospective Studies; D013544:Sweat Gland Neoplasms / Q000532:radiotherapy*; D018252:Syringoma / Q000532:radiotherapy*; D016896:Treatment Outcome
keywords: Erbium YAG laser; periorbital; scar; syringoma; thermal damage