Laser Therapy Versus Electrosurgery For Nasal Telangiectasias
Study Details
Study Description
Brief Summary
The aim of this study is to compare the efficacy of various treatment options for eliminating nasal telangiectasias. The study will compare the outcome of treating nasal telangiectasias with the following; no treatment (control site), alexandrite laser, pulsed dye laser, combination pulsed dye laser and Nd:YAG 1064nm multiplex laser system and electrosurgery.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Active Comparator: Pulsed Dye Laser Subjects with multiple nose telangiectasias will be enrolled. One nose telangiectasia (of 5) will be treated with pulsed dye laser. |
Device: Pulsed Dye Laser
Pulsed dye laser treatments will be performed with a 595 nanometer wavelength, 20 millisecond pulse duration, at 10 Joules/cm2, with a 10 millimeter spot size.
Other Names:
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Active Comparator: Long Pulsed Alexandrite Laser Subjects with multiple nose telangiectasias will be enrolled. One nose telangiectasia (of 5) will be treated with long pulsed alexandrite laser. |
Device: Long Pulsed Alexandrite Laser
Alexandrite laser will be used with a 755 nanometer wavelength, 40 millisecond pulse duration, at 88Joules/cm2, with a 6 millimeter spot size.
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Active Comparator: Pulsed Dye Laser Plus Nd:YAG Laser Subjects with multiple nose telangiectasias will be enrolled. One nose telangiectasia (of 5) will be treated with pulsed dye laser plus Nd:YAG laser. |
Device: Pulsed Dye Laser Plus Nd:YAG Laser
The Cynergy with MultiPlex will be used with a multiplex mode system with a pulse dye laser at 585 nanometer wavelength, 20 milliseconds pulse duration, at 7 Joules/cm2 with a 7 millimeter spot size, with a short delay, followed by a Nd:YAG 1064 nanometer wavelength, 20 millisecond pulse duration, at 50 Joules/cm2 with a 7 millimeter spot size.
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Active Comparator: Electrodesiccation Subjects with multiple nose telangiectasias will be enrolled. One nose telangiectasia (of 5) will be treated with electrodesiccation. |
Procedure: Electrodesiccation
A curette is used to scrape off the cancer down to the dermis. The scraping is then paused while an electrosurgical device like a hyfrecator is used next. Electrodesiccation is performed over the raw surgical ulcer to denature a layer of the dermis and the curette is used again over the surgical ulcer to remove denatured dermis down to living tissue.
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No Intervention: No Treatment Subjects with multiple nose telangiectasias will be enrolled. One nose telangiectasia (of 5) will receive no treatment. |
Outcome Measures
Primary Outcome Measures
- Reduction of Area of Nasal Telangiectasias by Laser Therapy Vs Electrosurgery [3 months]
The study will measure the changes in length and width (area) of nasal telangiectasias before and after treatment with the following: no treatment (control site), alexandrite laser, pulsed dye laser, combination pulsed dye laser and Nd:YAG 1064nm multiplex laser system and electrosurgery.
Secondary Outcome Measures
- Evaluation of Cosmetic Improvement [3 months]
Percent perceived improvement for nasal vessels by the patient via questionnaire.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Over 18 years of age
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Able to give informed consent themselves
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Willing to return for follow up visit
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0.5 - 3 millimeter Vessel size
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5 Non-contiguous nasal vascular lesions
Exclusion Criteria:
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Mentally handicapped
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Unable to understand written and oral English
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Incarceration
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Under 18 years of age
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Unwilling to return for follow up
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Pregnant Women
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Vessels less than 0.5 millimeter caliber
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Less than 5 non-contiguous vessels
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | University of California-Davis, Department of Dermatology | Sacramento | California | United States | 95816 |
Sponsors and Collaborators
- University of California, Davis
Investigators
- Principal Investigator: Daniel Eisen, M.D., University of California, Davis
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- 430519
- 430519