Clinical Case Studies
Transcription
Clinical Case Studies
Clinical Case Studies Recommended parameters for Skin Resurfacing Case 1 Pre-treatment 11 days post-treatment 6 months post-treatment Age: 58 years old Skin type: II Spot size: 9X9 pixels Power: Med (30 Watts) Pre-treatment: Acyclovir or Valcyclovir-start 1 day prior, use for 10 days. Keflex or Zithromax Emla / Topical Lido - 1 hour before Tylex 30 mg for anesthetic - 1 hour before Energy: 80 mJ/Pixel Post-treatment: PPS: 1 Hz No. of passes: 1 No. of sessions: 1 Topical ointment - Vaseline or Aquafor for 4 days. Cetaphil advanced moisturizer for 10 days Anthelios /Helioblock The Pixel CO2 program presented here is endorsed by Dr. Tania Aparecida Meneghel, M.D., Renaissance Medicine Center, São Paulo, Brazil. Pixel CO2 treatment parameters are provided as a guide and are not substitute for clinical observation of laser-tissue interaction and clinical endpoints. Training is available for the Pixel CO2. General Enquiries: 1300 668 140 Customer Support: 1300 886 385 National Fax: 1300 668 440 Email: info@medtel.com.au MTSUALMBBR06JAU0413 - CASE 1 www.medtel.com.au Clinical Case Studies Recommended parameters for Skin Resurfacing Case Case 2 7 Pre-treatment Pre-treatment Age: Age: Skin type: Skin type: Spot size: Spot size: Power: Power: Energy: Energy: PPS: PPS: No. of passes: No. of passes: No. of sessions: No. of sessions: 11 days post-treatment Post-treatment 62 years old 78 years old III III 9x9 pixels 9X9 pixels Medium High (60 Watts) 120mj/Pixel 60 mJ/Pixel 1Hz 1 Hz 2 1 1 1 2 months post-treatment Pre-treatment: Pre-treatment: EMLA 5% 1 hour before and repeated Acyclovir 1 day prior, every or 15Valcyclovir-start minutes use for 10 days. Keflex or Zithromax EmlaPost-treatment: / Topical Lido - 1 hour before Tylex 30 mg for anesthetic - 1 hour before Vaseline Post-treatment: Topical ointment - Vaseline or Aquafor for 4 days. Cetaphil advanced moisturizer for 10 days Anthelios /Helioblock The Pixel CO2 program presented here is endorsed by Dr. Tania Aparecida Meneghel, M.D., Renaissance Medicine Center, São Paulo, Brazil. Pixel CO2 treatment parameters are provided as a guide and are not substitute for clinical observation of laser-tissue interaction and clinical endpoints. Training is available for the Pixel CO2. General Enquiries: 1300 668 140 Customer Support: 1300 886 385 National Fax: 1300 668 440 Email: info@medtel.com.au MTSUALMBBR06JAU0413 - CASE 2 www.medtel.com.au Clinical Case Studies Recommended parameters for Skin Resurfacing Case 3 Pre-treatment Post-treatment Pre-treatment: Age: 58 years old Skin type: II Spot size: 9X9 pixels Power: Med (30 Watts) Energy: 80 mJ/Pixel Post-treatment: PPS: 1 Hz No. of passes: 1 No. of sessions: 1 Biafine cream was immediately applied over the entire treatment area. Patient was instructed to apply Biafine for the next 2-3 days followed by applying Vaseline for 5-7 days until flaking/peeling phase ends. After the flaking/peeling phase is over, the patient was instructed to apply Trialone (steroidal) cream twice a day for 7-10 days (to reduce redness). Simultaneously, the patient was instructed to take 500mg Zeforal oral antibiotic (pills) and 400mg Zovirax oral anti-herpes (pills) twice a day for 1 week. Cover treatment area with EMLA 18% for 20 min. Blocking by injections of lidocaine 2% + adrenaline in the infra-orbital, peri-orbital, temporal and mental nerves (2 injections in each side, total of 8 injections). Clean treatment area with 70% Alcohol. Wipe treatment area with dry gauze pads. The Pixel CO2 program presented here is endorsed by Michael Shohat, MD. Pixel CO2 treatment parameters are provided as a guide and are not substitute for clinical observation of laser-tissue interaction and clinical endpoints. Training is available for the Pixel CO2. General Enquiries: 1300 668 140 Customer Support: 1300 886 385 National Fax: 1300 668 440 Email: info@medtel.com.au MTSUALMBBR06JAU0413 - CASE 3 www.medtel.com.au Clinical Case Studies Recommended parameters for Skin Resurfacing Case Case 4 7 Pre-treatment Pre-treatment Post-treatment Post-treatment Age:Age: 62 years 65 years old old SkinSkin type:type: IV III SpotSpot size:size: pixels 7X79x9 pixels Power: Power: MedMedium (30 Watts) Energy: Energy: 100120mj/Pixel mJ/Pixel PPS:PPS: 1Hz 1I Hz of passes: No.No. of passes: 1I 2 of sessions: No.No. of sessions: 1 1 Pre-treatment: Pre-treatment: EMLA7%5%+ 1Benzocaine hour before repeated Lidocaine 20%and Cream, every 15 minutes Ibuprofen 400mg Oral Capsules Post-treatment: Vaseline Post-treatment: Immediately: Topical Betametasone Cream Next 5 Days: Aquaphor Cream The Pixel CO2 program presented here is endorsed by Michael Shohat, MD. Pixel CO2 treatment parameters are provided as a guide and are not substitute for clinical observation of laser-tissue interaction and clinical endpoints. Training is available for the Pixel CO2. General Enquiries: 1300 668 140 Customer Support: 1300 886 385 National Fax: 1300 668 440 Email: info@medtel.com.au MTSUALMBBR06JAU0413 - CASE 4 www.medtel.com.au Clinical Case Studies Recommended parameters for Skin Resurfacing Case 5 Pre-Treatment Post-treatment Age: 37 years old Skin type: III Power: 70W Energy: 5W PPS: Ontime 150 msec, off-time 150 msec No. of passes: multiple No. of sessions: 2 Pre-treatment: EMLA 5% 1 hour before and repeated every 15 minutes Post-treatment: Vaseline The Pixel CO2 program presented here is endorsed by Prof. Arie Orenstein. Pixel CO2 treatment parameters are provided as a guide and are not substitute for clinical observation of laser-tissue interaction and clinical endpoints. Training is available for the Pixel CO2. General Enquiries: 1300 668 140 Customer Support: 1300 886 385 National Fax: 1300 668 440 Email: info@medtel.com.au MTSUALM06BBRJAU0413 - CASE 5 www.medtel.com.au Clinical Case Studies Recommended parameters for Skin Resurfacing Case Case 6 7 Pre-treatment Pre-treatment Post-treatment Post-treatment Age: Age: Skin type: Skin type: 62old years old 58 years III III Spot size: Spot size: Power:Power: 9x9 pixels 9X9 pixels MediumMedium Energy:Energy: PPS: PPS: No. of passes: 120mj/Pixel40mj/Pixel 120mj/Pixel-face; periorbital 1Hz& perioral I Hz 2 No. of No. passes: of sessions: 1I (1st-face, 1 2nd- periorbital &perioral) No. of sessions: 1 Pre-treatment: Pre-treatment: EMLA 5% 1 hour before and repeated EMLA cream – 1 hour before and repeated every 15 minutes every 15 minutes 1 tablet of ketorolac Post-treatment: Vaseline Post-treatment: La Roche water thermal and Fisogel A.I. cream in frequent use Apply Photoderm A.R. sun protector for 3 weeks The Pixel CO2 program presented here is endorsed by Patricia Gutierrez, MD, Mexico City, Mexico. Pixel CO2 treatment parameters are provided as a guide and are not substitute for clinical observation of laser-tissue interaction and clinical endpoints. Training is available for the Pixel CO2. General Enquiries: 1300 668 140 Customer Support: 1300 886 385 National Fax: 1300 668 440 Email: info@medtel.com.au MTSUALMBBR06JAU0413 - CASE 6 www.medtel.com.au Clinical Case Studies Recommended parameters for Skin Resurfacing Case 7 Pre-treatment Post-treatment Age: 62 years old Skin type: III Spot size: 9x9 pixels Power: Medium Energy: 120mj/Pixel PPS: 1Hz No. of passes: 2 No. of sessions: 1 Pre-treatment: EMLA 5% 1 hour before and repeated every 15 minutes Post-treatment: Vaseline The Pixel CO2 program presented here is endorsed by Prof. Arie Orenstien. Pixel CO2 treatment parameters are provided as a guide and are not substitute for clinical observation of laser-tissue interaction and clinical endpoints. Training is available for the Pixel CO2. General Enquiries: 1300 668 140 Customer Support: 1300 886 385 National Fax: 1300 668 440 Email: info@medtel.com.au MTSUALMBBR06JAU0413 - CASE 7 www.medtel.com.au Recommended parameters for 〉〉 Clinical Case Studies Skin Resurfacing Case 8 Pre-treatment Post-treatment Age: 56 years old Pre-treatment: Skin type: III Spot size: 9X9 pixels Digital photography, blocking by injections of lidocaine 3%,clean treatment area with 70% Alcohol, dry treatment area with dry gauze pad. LPower: High Energy: 120 mJ/Pixel Post-treatment: PPS: 1 Hz No. of passes: 1 No. of sessions: 1 Biafine cream was applied immediately over the entire treatment area. Patient was instructed to apply Biafine for the next 2-3 days followed by applying Vaseline for 5-7 days until flaking/peeling phase ends. Simultaneously, the patient was instructed to take 400mg Zovirax oral anti-herpes (pills) twice a day for 1 week. The Pixel CO2 program presented here is endorsed by Michael Shohat, MD. Pixel CO2 treatment parameters are provided as a guide and are not substitute for clinical observation of laser-tissue interaction and clinical endpoints. Training is available for the Pixel CO2. General Enquiries: 1300 668 140 Customer Support: 1300 886 385 National Fax: 1300 668 440 Email: info@medtel.com.au MTSUALMBBR06JAU0413 - CASE 8 www.medtel.com.au