Plantar wart surgery: Difference between revisions
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| Second-line therapy || [[Cryosurgery]], intralesional [[immunotherapy]], or pulsed dye laser therapy | | Second-line therapy || [[Cryosurgery]], intralesional [[immunotherapy]], or pulsed dye laser therapy | ||
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| Third-line therapy || [[Bleomycin]], surgical excision | | Third-line therapy || [[Bleomycin]], '''surgical excision''' | ||
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</center> | </center> | ||
* Liquid [[nitrogen]] : [[Cryosurgery]] with [[liquid nitrogen]]. A common treatment that works by producing a blister under the wart. It is painful but usually nonscarring. | |||
* Electrodesiccation and surgical excision produce scarring. If the wart recurs, the patient has a permanent scar along with the wart. | |||
* Lasers may be effective, especially the 585nm pulsed dye laser which the most effective treatment of all, and does not leave scars, but is generally a last resort treatment as it is expensive and painful, and multiple laser treatments are required (generally 4-6 treatments repeated once a month until the wart disappears). | |||
==References== | ==References== | ||
Revision as of 16:06, 7 February 2012
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Plantar wart Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Plantar wart surgery On the Web |
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American Roentgen Ray Society Images of Plantar wart surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
No treatment in common use is 100% effective. The most comprehensive medical review found that no treatment method was more than 73% effective and using a placebo had a 27% average success rate.
Surgical Therapy
The American Family Physician recommends:[2]
| First-line therapy | over the counter salicylic acid |
| Second-line therapy | Cryosurgery, intralesional immunotherapy, or pulsed dye laser therapy |
| Third-line therapy | Bleomycin, surgical excision |
- Liquid nitrogen : Cryosurgery with liquid nitrogen. A common treatment that works by producing a blister under the wart. It is painful but usually nonscarring.
- Electrodesiccation and surgical excision produce scarring. If the wart recurs, the patient has a permanent scar along with the wart.
- Lasers may be effective, especially the 585nm pulsed dye laser which the most effective treatment of all, and does not leave scars, but is generally a last resort treatment as it is expensive and painful, and multiple laser treatments are required (generally 4-6 treatments repeated once a month until the wart disappears).