Complications in Cosmetic Laser Surgery: A Review of 494 Food and Drug Administration Manufacturer and User Facility Device Experience Reports. Issue 4 (14th February 2014)

• Record Type: Journal Article
• Authors: Zelickson, Zachary; Schram, Sarah; Zelickson, Brian
• Is Part Of: Dermatologic surgery. Volume 40:Issue 4(2014)
• Page Start: 378
• Page End: 382
• Publication Date: 2014-02-14
• Subjects: Skin -- Surgery -- Periodicals; Skin -- Diseases -- Surgery -- Periodicals; 617.477
• DOI: 10.1111/dsu.12461
• Languages: English
• ISSNs: 1076-0512

Abstract

<abstract abstract-type="main" id="dsu12461-abs-0001"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="dsu12461-sec-0001" sec-type="section"> <title>Background</title> <p>Complications in cosmetic laser and energy based surgery affect a number of patients every year and may cause scars, burns, blisters, and pigmentation damage.</p> </sec> <sec id="dsu12461-sec-0002" sec-type="section"> <title>Objective</title> <p>To evaluate documented complications in cosmetic laser‐ and energy‐based surgeries, determine the most common errors, and recommend a simple procedural sequence to reduce patient complications.</p> </sec> <sec id="dsu12461-sec-0003" sec-type="section"> <title>Materials and Methods</title> <p>U.S. Food and Drug Administration Manufacturer and User Facility Device Experience Adverse Event Reports after cosmetic laser‐ and energy‐based procedures with varied devices were reviewed (N = 494). The laser manufacturer, device used, event type, injury type, cause, operator, and indication for treatment for each case were identified.</p> </sec> <sec id="dsu12461-sec-0004" sec-type="section"> <title>Results</title> <p>In the 494 cases reviewed between 2006 and 2011, the most common complications were burns, scarring, blistering, pigmentation damage, and infection. The most common cause of these complications was user error by a healthcare provider (30%), followed by laser device malfunction (20%) and patient error (4%). Indications for treatment were unknown for 69% of cases, and 38% of the cases were an unknown cause of complication.</p> </sec> <sec id="dsu12461-sec-0005" sec-type="section"> <title>Conclusions</title> <p>User error was a major factor in laser surgery complications. To improve safety and reduce errors, we propose the implementation of a procedural sequence for cosmetic laser surgery.</p> </sec> </abstract>