BACKGROUND:Onychomycosis is a chronic fungal infection of the nails, and the treatment has been proven to be a challenge to healthcare professionals. OBJECTIVE: To evaluate the efficacy of fractional carbon dioxide laser-assisted delivery of topical tazarotene versus topical tioconazole in the treatment of onychomycosis. MATERIALS AND METHODS: A total of 102 patients with onychomycosis were randomly assigned to groups A and B, and both groups were treated with four sessions of fractional CO2 laser and followed by topical tazarotene 0.1% in Group A and topical tioconazole 28% in Group B. The clinical effect, KOH examination, and culture for the affected nails in the two groups were analyzed. RESULTS: One month after the last session, regarding clinical response, 35.3% showed complete improvement in Group A versus 33.3% in Group B without significant difference. There was a significant difference between the two studied groups as regards KOH test and culture result before and after treatment (p value<.001), they were turned negative in 91.7% and 100% of patients in Group A and 78.3% and 95.5% of patients in Group B, respectively. CONCLUSION:Fractional CO2 laser-assisted drug delivery is an effective and safe treatment option for onychomycosis.
RCT Entities:
BACKGROUND:Onychomycosis is a chronic fungal infection of the nails, and the treatment has been proven to be a challenge to healthcare professionals. OBJECTIVE: To evaluate the efficacy of fractional carbon dioxide laser-assisted delivery of topical tazarotene versus topical tioconazole in the treatment of onychomycosis. MATERIALS AND METHODS: A total of 102 patients with onychomycosis were randomly assigned to groups A and B, and both groups were treated with four sessions of fractional CO2 laser and followed by topical tazarotene 0.1% in Group A and topical tioconazole 28% in Group B. The clinical effect, KOH examination, and culture for the affected nails in the two groups were analyzed. RESULTS: One month after the last session, regarding clinical response, 35.3% showed complete improvement in Group A versus 33.3% in Group B without significant difference. There was a significant difference between the two studied groups as regards KOH test and culture result before and after treatment (p value<.001), they were turned negative in 91.7% and 100% of patients in Group A and 78.3% and 95.5% of patients in Group B, respectively. CONCLUSION: Fractional CO2 laser-assisted drug delivery is an effective and safe treatment option for onychomycosis.
Authors: Rania Ahmed El-Tatawy; Heba Ahmed Aliweh; Doaa Salah Hegab; Raghda Ahmed Zaki Talaat; Maii Atef Shams Eldeen Journal: Lasers Med Sci Date: 2019-04-25 Impact factor: 3.161
Authors: Alexander K C Leung; Joseph M Lam; Kin F Leong; Kam L Hon; Benjamin Barankin; Amy A M Leung; Alex H C Wong Journal: Recent Pat Inflamm Allergy Drug Discov Date: 2020
Authors: Vinzent Kevin Ortner; Nhi Nguyen; Jonathan R Brewer; Vita Solovyeva; Merete Haedersdal; Peter Alshede Philipsen Journal: Lasers Surg Med Date: 2022-04-22