Sclerotherapy of telangiectasias: a painless two-step technique.
Details
Serval ID
serval:BIB_CB454CB71CBA
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Sclerotherapy of telangiectasias: a painless two-step technique.
Journal
Dermatologic Surgery
ISSN
1524-4725 (Electronic)
ISSN-L
1076-0512
Publication state
Published
Issued date
2012
Volume
38
Number
6
Pages
860-864
Language
english
Notes
Publication types: Comparative Study ; Journal Article ; Randomized Controlled TrialPublication Status: ppublish
Abstract
BACKGROUND: Sclerotherapy of telangiectasias and reticular leg veins can be unpleasant and painful for some patients.
OBJECTIVE: To determine pain level with two different sclerotherapy techniques in a prospective randomized trial.
METHODS: Patients with symmetrical telangiectasias and reticular veins on both legs (C(1A) or (S)E(P)A(S)P(N1) were randomized to the standard (successive injections of chromated glycerin mixed with one-third lidocaine-epinephrine 1%) or two-step technique (first treating only reticular veins with a single injection at the base of each cluster of telangiectasias and then successively injecting all remaining telangiectasias a few minutes later. Pain was assessed using a 100-point visual analogue scale (0 = no pain, 100 = maximum pain).
RESULTS: Data from 53 consecutive patients could be evaluated. The two-step technique was significantly less painful (28.2) than the standard technique (40.6, p < .001).
CONCLUSION: The two-step technique with chromated glycerin mixed with one-third lidocaine-epinephrine 1% significantly reduces sclerotherapy pain. This may be a useful technique for patients who are particularly sensitive or afraid of sclerotherapy.
OBJECTIVE: To determine pain level with two different sclerotherapy techniques in a prospective randomized trial.
METHODS: Patients with symmetrical telangiectasias and reticular veins on both legs (C(1A) or (S)E(P)A(S)P(N1) were randomized to the standard (successive injections of chromated glycerin mixed with one-third lidocaine-epinephrine 1%) or two-step technique (first treating only reticular veins with a single injection at the base of each cluster of telangiectasias and then successively injecting all remaining telangiectasias a few minutes later. Pain was assessed using a 100-point visual analogue scale (0 = no pain, 100 = maximum pain).
RESULTS: Data from 53 consecutive patients could be evaluated. The two-step technique was significantly less painful (28.2) than the standard technique (40.6, p < .001).
CONCLUSION: The two-step technique with chromated glycerin mixed with one-third lidocaine-epinephrine 1% significantly reduces sclerotherapy pain. This may be a useful technique for patients who are particularly sensitive or afraid of sclerotherapy.
Keywords
Adult, Aged, Anesthetics, Local/administration & dosage, Drug Combinations, Epinephrine/administration & dosage, Female, Follow-Up Studies, Glycerol/administration & dosage, Humans, Injections, Intralesional, Leg/blood supply, Lidocaine/administration & dosage, Middle Aged, Prospective Studies, Sclerotherapy/methods, Skin/blood supply, Solvents/administration & dosage, Telangiectasis/therapy, Treatment Outcome, Vasoconstrictor Agents/administration & dosage
Pubmed
Web of science
Create date
12/09/2012 17:07
Last modification date
20/08/2019 15:46
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