Home > Journals > Gazzetta Medica Italiana Archivio per le Scienze Mediche > Past Issues > Gazzetta Medica Italiana Archivio per le Scienze Mediche 2003 February;162(1) > Gazzetta Medica Italiana Archivio per le Scienze Mediche 2003 February;162(1):7-14

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Reprints
Permissions

 

ORIGINAL ARTICLES   

Gazzetta Medica Italiana Archivio per le Scienze Mediche 2003 February;162(1):7-14

Copyright © 2003 EDIZIONI MINERVA MEDICA

language: Italian

Treatment of telangiectasia and varicosity of legs and face rationale and methodology

Palmieri B., Benuzzi G.

Dipartimento di Chirurgia, Università di Modena e Reggio Emilia, Modena


PDF


Telangiectasias are capillary, usually venous, expansions. This problem is very frequent in dermatological clinic, angiology and venous vascular surgery. Their treatment is due not only to aesthetic problems, but also to clinical symptoms. Histologically, telangiectasias of the face are different from those of the legs and this explains the different results when the same protocol is applied to both lesions. The previous approaches were based on sclerosant injections followed by diathermic flows or radiofrequency. The introduction of laser has been followed by many experimental studies on the best suitable protocol in order to select the proper wave-length and the right energy to coagulate dermal capillaries but not the upper layers using haemoglobin as a photosynthetizer. Our experience was based on 809 nm wave-length diode-laser to treat the superficial and deep small and medium size telangiectasias. In our experience the association of sclerotherapy and laser has been shown to be effective in the majority of the treated patients. Skin cooling, by either local anaesthetics or cooling devices, is an important step to increase the patient compliance as well as to reduce skin damage.

top of page