Journal of Cutaneous and Aesthetic Surgery

STUDY
Year
: 2008  |  Volume : 1  |  Issue : 2  |  Page : 80--84

QYAG5 Q-switched Nd:YAG laser treatment of nevus of ota: An Indian study of 50 patients


Sanjeev Aurangabadkar 
 Consultant Dermatologist and Laser Surgeon, Skin and Laser Clinic, Hyderabad, Andhra Pradesh, India

Correspondence Address:
Sanjeev Aurangabadkar
Skin and Laser Clinic, 1st floor, Brij Tarang, Green Lands, Begumpet, Hyderabad 500 016, Andhra Pradesh
India

Background: Nevus of Ota is very common in Asian patients. The condition is more common in females, with a male-female ratio of 1:4.8. Most patients seek treatment early in life due to the psychological trauma and cosmetic disfigurement. The Q-switched lasers have changed the way we approach the condition and have become the mainstay of therapy. Aims and Objectives: To evaluate long-term safety and efficacy of pigmented lesion laser Palomar QYAG5 Q-switched Nd:YAG in 50 Indian patients. Materials and Methods: Fifty patients of nevus of Ota underwent multiple treatments (average 6 sessions) carried out over a period of 1year with a Q-switched Nd:YAG laser (QYAG5, Palomar, USA). Of the 50 patients, 2 were males; and the rest, females. Five patients had a bilateral involvement. Skin types treated included phototypes 4 and 5. The response after subsequent treatments was documented through serial photographs that were taken before and after the completion of treatments. Patients were followed up for a period of 1 year after the last session. Response to treatment was graded based on physician«SQ»s global assessment. Results: Excellent improvement was noted in a majority of the patients at the end of the treatments. Greater-than-60% improvement was seen in 66% of the patients. The remaining patients had moderate clearing of pigmentation (30%-60% improvement). No significant adverse effects were seen immediately after the treatments and on long-term follow-up. Transient post-inflammatory hyperpigmentation was observed in 5 (10%) patients, which cleared with use of sunscreens and bleaching agents within 2 months. No textural change or scarring was seen. Hypopigmentation (guttate type) was observed in 1 (2%) patient, which resolved within 3 months. No recurrence was observed after 1 year of follow-up. Conclusion: This study validates the superior efficacy of Q-switched Nd:YAG laser when compared to conventional methods for treatment of nevus of Ota.


How to cite this article:
Aurangabadkar S. QYAG5 Q-switched Nd:YAG laser treatment of nevus of ota: An Indian study of 50 patients.J Cutan Aesthet Surg 2008;1:80-84


How to cite this URL:
Aurangabadkar S. QYAG5 Q-switched Nd:YAG laser treatment of nevus of ota: An Indian study of 50 patients. J Cutan Aesthet Surg [serial online] 2008 [cited 2020 Sep 18 ];1:80-84
Available from: http://www.jcasonline.com/article.asp?issn=0974-2077;year=2008;volume=1;issue=2;spage=80;epage=84;aulast=Aurangabadkar;type=0