Journal of Cutaneous and Aesthetic Surgery

ORIGINAL ARTICLE
Year
: 2016  |  Volume : 9  |  Issue : 4  |  Page : 236--240

Comparative study to evaluate the efficacy of radiofrequency ablation versus trichloroacetic acid in the treatment of xanthelasma palpebrarum


Praveen Kumar Shanmugam Reddy, Sumathy Tharayil Kunneth, Shyam Prasad Arakali Lakshminarayana, Suparna Madivalara Yallappa, Ranganathan Chandrashekara, Shivaswamy Kanakapura Nanjundaswamy 
 Department of Dermatology, M. S. Ramaiah Medical College, Bengaluru, Karnataka, India

Correspondence Address:
Praveen Kumar Shanmugam Reddy
189, T2, 3rd Main, 1st Block, Koramangala, Bengaluru - 560 034, Karnataka
India

Background: Xanthelasma palpebrarum (XP) is a metabolic disorder involving the eyelids. Radiofrequency(RF) surgery and trichloroacetic acid (TCA) applications have been listed among the procedures for XP, but comparative studies are not available. Aim: To compare the efficacy of radiofrequency surgery versus trichloroacetic acid application in the treatment of XP. Settings and Design: 20 consecutive cases of XP attending dermatology, medicine and endocrinology out-patient departments of M.S.Ramaiah teaching hospital were enrolled for the study. It was an open-label clinical trial conducted in our hospital for a duration of 1 year. Materials and Methods: 20 consecutive patients conforming to inclusion criteria were selected for the study. For each patient, lesions were treated with radiofrequency ablation on one side and TCA application on the other side. Results: RF ablation was done for 12 patients over right eye lesions and 8 patients over the left eye lesions. TCA applications were done for 8 patients over right eye lesions and 12 patients over left eye lesions. 70% of lesions treated with RF ablation had a score of improvement of 4 and 70% of lesions treated with TCA application had a score of improvement of 4, at 4 weeks of follow-up. At four weeks of follow-up 40% in RF group and 15% in TCA group had scarring and 45% in RF group and 30% in TCA group had pigmentation. Conclusion: RF ablation as compared to TCA application, required fewer sessions for achieving more than 75% clearance of lesions. However, TCA applications were associated with fewer complications comparatively.


How to cite this article:
Reddy PS, Kunneth ST, Lakshminarayana SA, Yallappa SM, Chandrashekara R, Nanjundaswamy SK. Comparative study to evaluate the efficacy of radiofrequency ablation versus trichloroacetic acid in the treatment of xanthelasma palpebrarum.J Cutan Aesthet Surg 2016;9:236-240


How to cite this URL:
Reddy PS, Kunneth ST, Lakshminarayana SA, Yallappa SM, Chandrashekara R, Nanjundaswamy SK. Comparative study to evaluate the efficacy of radiofrequency ablation versus trichloroacetic acid in the treatment of xanthelasma palpebrarum. J Cutan Aesthet Surg [serial online] 2016 [cited 2019 Oct 14 ];9:236-240
Available from: http://www.jcasonline.com/article.asp?issn=0974-2077;year=2016;volume=9;issue=4;spage=236;epage=240;aulast=Reddy;type=0