Study of Efficacy of Radiofrequency Cautery in Treatment of Xanthelasma
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Date
2024-01
Journal Title
Journal ISSN
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Publisher
Society for Scientific Research
Abstract
Background- Xanthelasma is a most common xanthoma presented clinically as a yellowish oval papule and plaques over and around periorbital region. Only from cosmetic point of view do patients need to remove these lesions. Our study aimed to evaluate the efficacy of radiofrequency cauterization as a treatment modality in xanthelasma. Methods- It is a prospective interventional study in which 40 patients with 114 lesions were included. Radiofrequency (RF) cautery was done after local anaesthesia is given. The study was conducted from August 2013 to August 2014 at a tertiary care hospital. Before and after therapy, pictures were taken, and patients were checked on every four to six weeks. Result: Forty patients with 114 xanthelasma lesions were included in the study. The patients were mostly in their fourth or fifth decade, with ages ranging from 29 to 62. In the study group, the male to female ratio was 1:2. Xanthelasma was most commonly found over the inner and upper eyelids, followed by the outer and lower eyelids. Bilateral involvement was seen in most cases. The majority of patients were classified as grade-3, indicating xanthelasma over the medial side of the upper and lower eyelids. Conclusion- RF cauterization is a cost-effective xanthelasma palpebrarum treatment with a lower recurrence rate. It's safe, minimally complication-prone, and often associated with underlying plasma lipid disease. Despite its potential, there's no approved long-term treatment alternative. RF cauterization is convenient for dermatologists.
Description
Keywords
Cautery, Electrosurgery, Eyelid lesions, Hypercholesterolemia, Palpebrarum, Radiofrequency, Xanthelasma, Yellowish lesions
Citation
Bisoyi D, Khan AS, Puhan MR, Mohanty P, Lenka S, Mohanty J. Study of Efficacy of Radiofrequency Cautery in Treatment of Xanthelasma. SSR Institute of International Journal of Life Sciences. 2024 Jan; 10(1): 3575-3581