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Effects of intense pulsed light in microstomia in patients with systemic sclerosis : A pilot study

Rosholm Comstedt, Lisbeth LU ; Svensson, Åke LU ; Hesselstrand, Roger LU ; Lehti, Leena LU and Troilius Rubin, Agneta LU (2017) In Journal of Cosmetic and Laser Therapy 19(3). p.143-148
Abstract

Introduction: The effects of intense pulsed light (IPL) on collagen structures are well known in the treatment of photodamaged skin. Objective: The objective of this study was to investigate the effect of IPL on sclerotic skin by treating patients with microstomia due to systemic sclerosis. Methods and materials: 13 patients all with microstomia and systemic sclerosis were treated with IPL, PR (530-750 nm filter) and/or VL (555-950 nm filter) applicator. They were treated in the perioral area 8 times with 3–4 weeks of interval and follow-up for 6 months. The outcomes were the inter-incisal distance and the inter-ridge distance. Results: A significant increase in mouth opening of 4.1 mm (95% confidence interval, 1726–6638, p < 0.005)... (More)

Introduction: The effects of intense pulsed light (IPL) on collagen structures are well known in the treatment of photodamaged skin. Objective: The objective of this study was to investigate the effect of IPL on sclerotic skin by treating patients with microstomia due to systemic sclerosis. Methods and materials: 13 patients all with microstomia and systemic sclerosis were treated with IPL, PR (530-750 nm filter) and/or VL (555-950 nm filter) applicator. They were treated in the perioral area 8 times with 3–4 weeks of interval and follow-up for 6 months. The outcomes were the inter-incisal distance and the inter-ridge distance. Results: A significant increase in mouth opening of 4.1 mm (95% confidence interval, 1726–6638, p < 0.005) was found in the inter-ridge distance when comparing the distance before treatment with the distance at six-month follow-up. No significant difference was found in the inter-incisal distance. The patients experienced improved mobility and better control of lip movements after the treatments. Conclusion: IPL can improve the inter-ridge distance between the lips in patients with microstomia due to systemic sclerosis but does not affect the inter-incisal distance, which is also dependent on the mobility of the mandibular joints. This treatment can be considered an adjunctive therapy in patients with microstomia due to systemic sclerosis.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
botulinum toxins, Lasers and light sources, PDT
in
Journal of Cosmetic and Laser Therapy
volume
19
issue
3
pages
6 pages
publisher
Informa Healthcare
external identifiers
  • scopus:85011579755
  • wos:000401151700005
ISSN
1476-4172
DOI
10.1080/14764172.2016.1262961
language
English
LU publication?
yes
id
be2ac145-2c9e-4105-8a38-2f4312c6acf0
date added to LUP
2017-02-16 16:08:19
date last changed
2018-01-07 11:50:32
@article{be2ac145-2c9e-4105-8a38-2f4312c6acf0,
  abstract     = {<p>Introduction: The effects of intense pulsed light (IPL) on collagen structures are well known in the treatment of photodamaged skin. Objective: The objective of this study was to investigate the effect of IPL on sclerotic skin by treating patients with microstomia due to systemic sclerosis. Methods and materials: 13 patients all with microstomia and systemic sclerosis were treated with IPL, PR (530-750 nm filter) and/or VL (555-950 nm filter) applicator. They were treated in the perioral area 8 times with 3–4 weeks of interval and follow-up for 6 months. The outcomes were the inter-incisal distance and the inter-ridge distance. Results: A significant increase in mouth opening of 4.1 mm (95% confidence interval, 1726–6638, p &lt; 0.005) was found in the inter-ridge distance when comparing the distance before treatment with the distance at six-month follow-up. No significant difference was found in the inter-incisal distance. The patients experienced improved mobility and better control of lip movements after the treatments. Conclusion: IPL can improve the inter-ridge distance between the lips in patients with microstomia due to systemic sclerosis but does not affect the inter-incisal distance, which is also dependent on the mobility of the mandibular joints. This treatment can be considered an adjunctive therapy in patients with microstomia due to systemic sclerosis.</p>},
  author       = {Rosholm Comstedt, Lisbeth and Svensson, Åke and Hesselstrand, Roger and Lehti, Leena and Troilius Rubin, Agneta},
  issn         = {1476-4172},
  keyword      = {botulinum toxins,Lasers and light sources,PDT},
  language     = {eng},
  month        = {02},
  number       = {3},
  pages        = {143--148},
  publisher    = {Informa Healthcare},
  series       = {Journal of Cosmetic and Laser Therapy},
  title        = {Effects of intense pulsed light in microstomia in patients with systemic sclerosis : A pilot study},
  url          = {http://dx.doi.org/10.1080/14764172.2016.1262961},
  volume       = {19},
  year         = {2017},
}