Treatment of Vitiligo with Suction Epidermal Grafting by the Use of an Ultrapulse CO2 Laser with a Computerized Pattern Generator

BACKGROUND Laser ablation is used to remove the recipient epidermis in the suction epidermal grafting in vitiligo surgery. OBJECTIVE To evaluate the effectiveness and safety of a suction epidermal grafting method after the removal of the epidermis by the use of the Ultrapulse CO2 laser with a computerized pattern generator. METHODS Eleven patients with 34 lesions of refractory stable vitiligo were studied. RESULTS Of the 34 lesion sites, excellent repigmentation was seen in 30 and the other 4 had good repigmentation. No complications occurred. CONCLUSION The Ultrapulse CO2 laser is particularly well suited for deepithelialization in vitiligo surgery.

[1]  Jeffrey S. Chang,et al.  Transplant of Cultured Autologous Pure Melanocytes after Laser‐Abrasion for the Treatment of Segmental Vitiligo , 2000, The Journal of dermatology.

[2]  S. Yun,et al.  Suction Device for Epidermal Grafting in Vitiligo: Employing a Syringe and a Manometer to Provide an Adequate Negative Pressure , 2000, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.].

[3]  M. Sachdev,et al.  Suction blister grafting for stable vitiligo using pulsed erbium:YAG laser ablation for recipient site , 2000, International journal of dermatology.

[4]  M. Kanter,et al.  Successful use of the ultrapulse CO2 laser for the deepithelialization of TRAM flaps in breast reconstruction. , 2000, Plastic and reconstructive surgery.

[5]  G. Hallock Value in microsurgery of the ultrapulse carbon dioxide laser for rapid skin deepithelialization , 2000, Microsurgery.

[6]  G. Hallock An endoscopic technique for decompressive fasciotomy. , 1999, Annals of plastic surgery.

[7]  G. Hallock Deepithelialization prior to onlay grafting using the UltraPulse carbon dioxide laser. , 1999, Annals of plastic surgery.

[8]  D. Rice,et al.  Consideration of the UltraPulse carbon dioxide laser as a tool for skin deepithelialization. , 1999, Annals of plastic surgery.

[9]  D. Classen The extended deep inferior epigastric flap: a case series. , 1999, Annals of plastic surgery.

[10]  K. Lo,et al.  Surgical pearl: fine gauze is a useful carrier for epidermal graft in the treatment of vitiligo by means of the suction blister method. , 1999, Journal of the American Academy of Dermatology.

[11]  A. M. Kahn,et al.  Repigmentation in Vitiligo Patients: Melanocyte Transfer via Ultra‐Thin Grafts , 1998, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.].

[12]  R. Kaufmann,et al.  Grafting of in vitro cultured melanocytes onto laser-ablated lesions in vitiligo. , 1998, Acta dermato-venereologica.

[13]  Y. Kye,et al.  Treatment of vitiligo with autologous epidermal grafting by means of pulsed erbium: YAG laser. , 1998, Journal of the American Academy of Dermatology.

[14]  R. Falabella Surgical therapies for vitiligo. , 1997, Clinics in dermatology.

[15]  B. Smoller,et al.  UltraPulse carbon dioxide laser with CPG scanner for deepithelialization: clinical and histologic study. , 1997, Plastic and reconstructive surgery.

[16]  A. M. Kahn,et al.  Grafting following Short‐Pulse Carbon Dioxide Laser De‐epithelialization , 1996, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.].

[17]  L. David,et al.  Rapid Laser Scanning for Facial Resurfacing , 1995, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.].

[18]  S. Im,et al.  Treatment of stable vitiligo with autologous epidermal grafting and PUVA. , 1995, Journal of the American Academy of Dermatology.

[19]  A. M. Kahn,et al.  Vitiligo: treatment by dermabrasion and epithelial sheet grafting--a preliminary report. , 1993, Journal of the American Academy of Dermatology.

[20]  M. Koga Epidermal grafting using the tops of suction blisters in the treatment of vitiligo. , 1988, Archives of dermatology.

[21]  D. F. FERGUSON,et al.  The Value of , 2009 .