๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
PHYSICAL REMOVAL AND ELECTROSURGERY
PHYSICAL REMOVAL AND ELECTROSURGERY
In 1900, Thibierge introduced the extraction of comedones as the first physical therapy for acne treatment.3 While this method results in immediate improvement, it is associated with a risk of tissue damage and the possibility of incomplete extraction. Lowney et al. showed that comedone extraction reduces the recurrence rate of inflammatory comedones, while exacerbating inflamed cystic lesions. In another study, Pepall et al. used light cautery to treat macro-comedones. They reported 95% lesion clearance with no adverse effects of scarring or pigmentation. Only a few other studies investigated the efficacy of fulguration and cautery, with overall results showing that fulguration results in more noninflammatory lesion improvements compared to topical tretinoin. These studies also show that fulguration provides the same satisfactory results as electrocautery, and most patients prefer fulguration.3โ5