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• W4241612908 abstract "To the Editor: I thank Dr Chess for his valid comments. The purpose of my article1.Boffa M.J. Pulsed dye laser treatment of thick/raised vascular lesions using compression with clear plastic.J Am Acad Dermatol. 2003; 49: 879-881Abstract Full Text Full Text PDF PubMed Scopus (4) Google Scholar was to highlight the usefulness and rationale for using compression when treating bulky vascular lesions with a pulsed dye laser. I described compressing the target lesion with a thin flat piece of clear plastic (Perspex) and, while maintaining compression, firing the laser directly through the Perspex with the handpiece held perpendicularly as normal. The inability to use cryogen spray cooling is a disadvantage of this technique. I agree that, if available, it might also be possible to compress the target lesion with a contact cooling probe that transmits laser light as described by Dr Chess, thereby achieving compression without foregoing cooling. However, contact cooling is not dynamic, and may not be equivalent in efficacy with cryogen spray cooling.2.Anvari B. Milner T.E. Tanenbaum B.S. Nelson J.S. A comparative study of human skin thermal response to sapphire contact and cryogen spray cooling.IEEE Trans Biomed Eng. 1998; 45: 934-941Crossref PubMed Scopus (64) Google Scholar Furthermore, contact cooling probes, tend to be large, thereby obscuring the view of the area being treated. Perspex is cheap, easily available, and could be used with the existing ScleroPlus laser available locally without the need for modifications to the handpiece or additional equipment. When compressing a lesion with Perspex it is possible to see the lesion through the transparent material and judge the amount of compression required. I look forward to hearing about the experience of colleagues with different compression methods in pulsed dye laser treatment. To the Editor: I thank Dr Chess for his valid comments. The purpose of my article1.Boffa M.J. Pulsed dye laser treatment of thick/raised vascular lesions using compression with clear plastic.J Am Acad Dermatol. 2003; 49: 879-881Abstract Full Text Full Text PDF PubMed Scopus (4) Google Scholar was to highlight the usefulness and rationale for using compression when treating bulky vascular lesions with a pulsed dye laser. I described compressing the target lesion with a thin flat piece of clear plastic (Perspex) and, while maintaining compression, firing the laser directly through the Perspex with the handpiece held perpendicularly as normal. The inability to use cryogen spray cooling is a disadvantage of this technique. I agree that, if available, it might also be possible to compress the target lesion with a contact cooling probe that transmits laser light as described by Dr Chess, thereby achieving compression without foregoing cooling. However, contact cooling is not dynamic, and may not be equivalent in efficacy with cryogen spray cooling.2.Anvari B. Milner T.E. Tanenbaum B.S. Nelson J.S. A comparative study of human skin thermal response to sapphire contact and cryogen spray cooling.IEEE Trans Biomed Eng. 1998; 45: 934-941Crossref PubMed Scopus (64) Google Scholar Furthermore, contact cooling probes, tend to be large, thereby obscuring the view of the area being treated. Perspex is cheap, easily available, and could be used with the existing ScleroPlus laser available locally without the need for modifications to the handpiece or additional equipment. When compressing a lesion with Perspex it is possible to see the lesion through the transparent material and judge the amount of compression required. I look forward to hearing about the experience of colleagues with different compression methods in pulsed dye laser treatment." @default.
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• W4241612908 date "2004-10-01" @default.
• W4241612908 modified "2023-09-25" @default.
• W4241612908 title "Reply" @default.
• W4241612908 doi "https://doi.org/10.1016/j.jaad.2004.03.026" @default.
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