Comparing the efficacy and safety of Q-switched and picosecond lasers in the treatment of nevus of Ota: a systematic review and meta-analysis
Nevus of Ota is cosmetically burdensome and often prompts patients to seek treatment. Lasers are commonly used in removing these lesions; however, no systemic analysis has been conducted to support a gold standard laser. To conduct a meta-analysis of the efficacy and safety of Q-switched Nd:YAG lase...
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Published in | Lasers in medical science Vol. 36; no. 4; pp. 723 - 733 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
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Springer London
01.06.2021
Springer Nature B.V |
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Abstract | Nevus of Ota is cosmetically burdensome and often prompts patients to seek treatment. Lasers are commonly used in removing these lesions; however, no systemic analysis has been conducted to support a gold standard laser. To conduct a meta-analysis of the efficacy and safety of Q-switched Nd:YAG lasers (QSNL), Q-switched ruby lasers (QSRL), Q-switched alexandrite lasers (QSAL), and picosecond alexandrite lasers (PSAL) in removing nevus of Ota. Inclusion criteria were nevus of Ota patients treated with QSNL, QSRL, QSAL, or PSAL and documentation of percent clearance and the rate of at least one adverse event. Articles in English, Chinese, or Japanese were included. The prespecified outcome measures were efficacy (percent clearance) and safety (rates of hyperpigmentation, hypopigmentation, scarring, and recurrence). The review included 57 studies and 13,417 patients. The pooled success rate was 64% for QSNL (95% CI 52–76%), 54% for QSRL (95% CI 39–69%), 58% for QSAL (95% CI 44–72%), and 100% for PSAL (95% CI 98–102%). The pooled adverse event rate was 5% for QSNL (95% CI 4–6%), 14% for QSRL (95% CI 9–19%), 9% for QSAL (95% CI 6–12%), and 44% (95% CI 31–57%) for PSAL. QSNL has the most evidence for effectively and safely treating nevus of Ota. PSAL potentially has a superior efficacy; however, further studies are needed to elucidate its side effect profile when treating nevus of Ota. |
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AbstractList | Nevus of Ota is cosmetically burdensome and often prompts patients to seek treatment. Lasers are commonly used in removing these lesions; however, no systemic analysis has been conducted to support a gold standard laser. To conduct a meta-analysis of the efficacy and safety of Q-switched Nd:YAG lasers (QSNL), Q-switched ruby lasers (QSRL), Q-switched alexandrite lasers (QSAL), and picosecond alexandrite lasers (PSAL) in removing nevus of Ota. Inclusion criteria were nevus of Ota patients treated with QSNL, QSRL, QSAL, or PSAL and documentation of percent clearance and the rate of at least one adverse event. Articles in English, Chinese, or Japanese were included. The prespecified outcome measures were efficacy (percent clearance) and safety (rates of hyperpigmentation, hypopigmentation, scarring, and recurrence). The review included 57 studies and 13,417 patients. The pooled success rate was 64% for QSNL (95% CI 52–76%), 54% for QSRL (95% CI 39–69%), 58% for QSAL (95% CI 44–72%), and 100% for PSAL (95% CI 98–102%). The pooled adverse event rate was 5% for QSNL (95% CI 4–6%), 14% for QSRL (95% CI 9–19%), 9% for QSAL (95% CI 6–12%), and 44% (95% CI 31–57%) for PSAL. QSNL has the most evidence for effectively and safely treating nevus of Ota. PSAL potentially has a superior efficacy; however, further studies are needed to elucidate its side effect profile when treating nevus of Ota. |
Author | Williams, Natalie M. Pan, Yue Gurnani, Pooja Alhetheli, Ghadah I. Long, Jun Suzuki, Takahiro Reynolds, John Nouri, Keyvan |
Author_xml | – sequence: 1 givenname: Natalie M. orcidid: 0000-0002-3651-1019 surname: Williams fullname: Williams, Natalie M. email: nmw50@med.miami.edu organization: Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine – sequence: 2 givenname: Pooja surname: Gurnani fullname: Gurnani, Pooja organization: Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine – sequence: 3 givenname: Jun surname: Long fullname: Long, Jun organization: Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine – sequence: 4 givenname: John surname: Reynolds fullname: Reynolds, John organization: University of Miami Miller School of Medicine – sequence: 5 givenname: Yue surname: Pan fullname: Pan, Yue organization: Department of Public Health Sciences, University of Miami Miller School of Medicine – sequence: 6 givenname: Takahiro surname: Suzuki fullname: Suzuki, Takahiro organization: Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine – sequence: 7 givenname: Ghadah I. surname: Alhetheli fullname: Alhetheli, Ghadah I. organization: Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Department of Dermatology and Cutaneous Surgery, College of Medicine, Qassim University – sequence: 8 givenname: Keyvan surname: Nouri fullname: Nouri, Keyvan organization: Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32839837$$D View this record in MEDLINE/PubMed |
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Keywords | Pigmented lesions Picosecond lasers Q-switched lasers Dermatology Nevus of Ota |
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Snippet | Nevus of Ota is cosmetically burdensome and often prompts patients to seek treatment. Lasers are commonly used in removing these lesions; however, no systemic... |
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SubjectTerms | Adverse events Alexandrite Dentistry Hyperpigmentation Lasers Medicine Medicine & Public Health Meta-analysis Nevus Optical Devices Optics Original Article Photonics Pigmentation Q switched lasers Quantum Optics Ruby lasers Safety Scars Semiconductor lasers YAG lasers |
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Title | Comparing the efficacy and safety of Q-switched and picosecond lasers in the treatment of nevus of Ota: a systematic review and meta-analysis |
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