{"id":42571,"date":"2022-01-06T14:54:51","date_gmt":"2022-01-06T19:54:51","guid":{"rendered":"https:\/\/aerolase.com\/article\/treatment-of-moderate-to-severe-acne-and-scars-with-a-650-microsecond-1064-nm-laser-and-isotretinoin-behandlung-von-mittelschwerer-bis-schwerer-akne-und-narben-mit-einem-650-%ce%bcs-1064-nm-laser-und\/"},"modified":"2024-06-14T19:28:07","modified_gmt":"2024-06-14T19:28:07","slug":"treatment-of-moderate-to-severe-acne-and-scars-with-a-650-microsecond-1064-nm-laser-and-isotretinoin-behandlung-von-mittelschwerer-bis-schwerer-akne-und-narben-mit-einem-650-%ce%bcs-1064-nm-laser-und","status":"publish","type":"article","link":"https:\/\/www.varshabi.com\/Aerolase\/de\/article\/treatment-of-moderate-to-severe-acne-and-scars-with-a-650-microsecond-1064-nm-laser-and-isotretinoin-behandlung-von-mittelschwerer-bis-schwerer-akne-und-narben-mit-einem-650-%ce%bcs-1064-nm-laser-und\/","title":{"rendered":"Behandlung von mittelschwerer bis schwerer Akne und Narben mit einem 650-\u03bcs-1064-nm Laser und Isotretinoin"},"content":{"rendered":"
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Michael H. Gold MD, Natalia E. Manturova MD PhD, Larisa S. Kruglova MD PhD, Evgeniya V. Ikonnikova MD<\/p>\n

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Traditionell gilt, dass Laserverfahren zur Behandlung von Akne vulgaris mindestens 6 bis 8\u00a0Monate nach Ende der systemischen Therapie mit Isotretinoin verschoben werden sollten. Dies basiert auf Daten, die darauf hindeuten, dass Dermabrasion oder Lasertherapie w\u00e4hrend der Isotretinoin-Behandlung die Keloidbildung induzieren oder die Reparatur von Hautdecken (d.\u00a0h. Hautnarbengewebe) verz\u00f6gern kann.1<\/sup>\u2013<\/sup>7 <\/sup>Die G\u00fcltigkeit dieser Praxis wurde k\u00fcrzlich in Frage gestellt.8<\/sup>\u2013<\/sup>12 <\/sup>In ihren Konsensempfehlungen berichteten Spring und Kollegen10 <\/sup>\u00fcber unzureichende Beweise daf\u00fcr, dass \u00c4rzte manuelle Dermabrasion, Hautoperationen, oberfl\u00e4chliche chemische Peelings, Laser-Haarentfernung und fraktionierte ablative und nicht-ablative Laserverfahren bei Patienten, die eine Therapie mit Isotretinoin erhalten oder k\u00fcrzlich abgeschlossen haben, hinausz\u00f6gern sollten. Die Autoren empfahlen jedoch keine mechanische Dermabrasion und eine vollst\u00e4ndig ablative Lasertherapie, w\u00e4hrend die Patienten eine systemische Isotretinoin-Behandlung erhielten.<\/p>\n<\/div>\n

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Zwei Monate sp\u00e4ter ver\u00f6ffentlichte die American Society of Dermatological Surgery ihre Konsensempfehlungen zur Sicherheit von Lasern, Dermabrasion, chemischen Peelings, Energieger\u00e4ten und Hautoperationen w\u00e4hrend und nach der Anwendung von Isotretinoin.11<\/sup>\u00a0Die Task Force kam zu folgendem Schluss: Es fehlt an Beweisen daf\u00fcr, dass \u00c4rzte Verfahren mit chemischen Peelings und nicht-ablativen Lasern (d.\u00a0h. Haarentfernungslasern und -lichtern, Gef\u00e4\u00dflasern, fraktionierten Ger\u00e4ten) bei Patienten, die gegenw\u00e4rtig Isotretinoin ausgesetzt sind oder k\u00fcrzlich ausgesetzt waren, hinausz\u00f6gern sollten. Au\u00dferdem fehlen Nachweise daf\u00fcr, dass eine oberfl\u00e4chliche und fokale Dermabrasion, wenn das Verfahren von einem gut ausgebildeten Fachmann durchgef\u00fchrt wird, nicht sicher ist. Mysore und Kollegen12<\/sup> berichteten nach Durchsicht ver\u00f6ffentlichter Studien, dass Beweise f\u00fcr die Vermeidung einer Vielzahl von Verfahren (fraktioniertes CO2<\/sub>-Skin-Resurfacing, fraktionierter Nd:YAG-Laser, fraktionierte Infrarotlaser, Laser-Haarentfernung, Mikrodermabrasion mit Aluminiumkristallen, Microneedling und Kaltstahloperationen) bei Patienten, die eine Isotretinoin-Therapie erhielten [with and without radio- frequency], schlecht oder eingeschr\u00e4nkt waren. Die Autoren schlugen vor, dass \u00c4rzte, anstatt diese Verfahren zu vermeiden, ein Testverfahren durchf\u00fchren sollten, um die Sicherheit bei ausgew\u00e4hlten Patienten, die Isotretinoin einnehmen, festzustellen.<\/p>\n

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Die vorliegende Studie untersucht die Wirksamkeit und Sicherheit der Verwendung eines Nd:YAG-Lasers mit einer Pulsdauer von 650\u00a0\u03bcs und einer Wellenl\u00e4nge von 1064\u00a0nm (LightPod Neo Elite, Aerolase Corp., Tarrytown, NY) in Kombination mit niedrig dosiertem Isotretinoin zur Behandlung von Akne und Aknenarben.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"author":2,"featured_media":38079,"parent":0,"menu_order":0,"template":"","format":"standard","article_category":[36],"class_list":["post-42571","article","type-article","status-publish","format-standard","has-post-thumbnail","hentry","article_category-acne"],"yoast_head":"\nBehandlung von mittelschwerer bis schwerer Akne und Narben mit einem 650-\u03bcs-1064-nm Laser und Isotretinoin • Aerolase<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Behandlung von mittelschwerer bis schwerer Akne und Narben mit einem 650-\u03bcs-1064-nm Laser und Isotretinoin\" \/>\n<meta property=\"og:description\" content=\"Michael H. Gold MD, Natalia E. Manturova MD PhD, Larisa S. Kruglova MD PhD, Evgeniya V. Ikonnikova MD Traditionell gilt, dass Laserverfahren zur Behandlung von Akne vulgaris mindestens 6 bis 8\u00a0Monate nach Ende der systemischen Therapie mit Isotretinoin verschoben werden sollten. 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