scholarly journals Microneedling‐assisted topical tranexamic acid solution versus 4% hydroquinone for treating melasma: A split‐face randomized study

Author(s):  
Mohamed S. Zaky ◽  
Zakaria M. Obaid ◽  
Eman A. Khalil ◽  
Mohamed L. Elsaie

Author(s):  
Mohamed Zaky ◽  
Zakaria Obaid ◽  
Eman Khalil ◽  
Mohamed L. Elsaie

Background Melasma, also known as chloasma or mask of pregnancy, is a common, acquired, hyperpigmentary disorder usually affecting females. Tranexamic acid (TA), a derivative of amino acid lysine has shown promising results over the past few years when used along with other therapies as well as when used as a stand-alone therapy. Aim of the Work In this study, we aimed to evaluate and compare the effectiveness of topically applied tranexamic acid after microneedling versus topically applied hydroquinone 4% alone in patients with melasma. Patients and Methods Fifty selected patients were divided randomly according to the random number allocation method into two groups (25 patients each) of A (topical 4% hydroquinone, nightly application) and B (microneedling + topical 4% TA, every other week). Results After Eight weeks of treatment, the mean modified MASI score of the HQ treated side changed from 6.604±4.02 to 3.032±1.19 with a mean decrease percentage of 54.8%±19.4%. This reduction in modified MASI score was found to be statistically significant, (p<0.001). MASI score of group B (TA + microneedling) changed from 6.348±3.84 to 3.712±1.19 with mean decrease percentage of 57.4%±23.4% which was also statistically significant, (p<0.001). Conclusion We demonstrated safety and efficacy of both used modalities and with minimal side effects. Topical HQ application achieved minimal non significant higher satisfactory results among raters and subjects



2020 ◽  
Vol 30 (6) ◽  
pp. 1003-1008 ◽  
Author(s):  
Manuel Morales Santias ◽  
Jesus Mas Martinez ◽  
Javier Sanz-Reig ◽  
Enrique Martínez Gimenez ◽  
Carmen Verdu Román ◽  
...  


2017 ◽  
Vol 25 (1) ◽  
pp. 230949901668472 ◽  
Author(s):  
Deniz Cankaya ◽  
Uygar Dasar ◽  
Ahmet Burak Satilmis ◽  
Serdar Hakan Basaran ◽  
Mustafa Akkaya ◽  
...  

Aims: The combined (IV (intravenous) + topical) use of tranexamic acid (TXA) has been shown to be a safe method and more effective than single (IV or topical) application. The optimal administration method of TXA is still being investigated and safety, efficiency and cost are the three main crucial parameters in achieving the best administration method. We aimed to determine whether combined (oral + topical) use of TXA reduced blood loss and transfusion rates more than single (topical) administration in TKA and whether oral + topical use is as safe and efficient as the IV + topical use, in addition to the main advantage of relatively low cost. Methods: In this prospective, randomized study, 100 patients were randomly assigned to either the topical TXA group or the combined (oral + topical) TXA group. There were no significant differences between the groups in age, body mass index or gender. The haemoglobin and haematocrit levels of each patient were recorded preoperatively and on post-operative days 0, 1, 2 and 3. The post-operative suction drainage and blood transfusion volumes were also recorded. Results: There were statistically significant differences between the groups in haemoglobin and haematocrit levels on post-operative days 0, 1, 2 and 3 ( p < 0.05) in favour of the combined group. The post-operative drainage amounts ( p = 0.0001), measured blood loss volume ( p = 0.003) and transfusion rates ( p = 0.03) were lower in the combined (oral + topical) group compared to the topical group. Conclusions: Of the different methods of TXA administration, the combined use of oral and topical TXA is a safe, efficient and low-cost method in reducing blood loss and transfusion rates after TKA.



2014 ◽  
Vol 29 (8) ◽  
pp. 1528-1531 ◽  
Author(s):  
Jay N. Patel ◽  
Jonathon M. Spanyer ◽  
Langan S. Smith ◽  
Jiapeng Huang ◽  
Madhusudhan R. Yakkanti ◽  
...  


2020 ◽  
Vol 35 (9) ◽  
pp. 2015-2021 ◽  
Author(s):  
Rungsima Wanitphakdeedecha ◽  
Francesca Sy-Alvarado ◽  
Poramin Patthamalai ◽  
Thanya Techapichetvanich ◽  
Sasima Eimpunth ◽  
...  


2015 ◽  
Vol 29 (05) ◽  
pp. 423-429 ◽  
Author(s):  
Talal Zahoor ◽  
Mark Meyer ◽  
Lock Ochsner ◽  
George Chimento ◽  
Bradford Waddell


2019 ◽  
Vol 61 ◽  
pp. 114-119 ◽  
Author(s):  
Ketan Yerneni ◽  
John F. Burke ◽  
Alexander Tuchman ◽  
Xudong J. Li ◽  
Lionel N. Metz ◽  
...  


2018 ◽  
Vol 28 (7) ◽  
pp. 1335-1339 ◽  
Author(s):  
Javier Sanz-Reig ◽  
Jesus Mas Martinez ◽  
Carmen Verdu Román ◽  
Manuel Morales Santias ◽  
Enrique Martínez Gimenez ◽  
...  


2018 ◽  
Vol 25 (9) ◽  
pp. 1062-1064 ◽  
Author(s):  
Justin Morgenstern ◽  
Sahaana Rangarajan ◽  
Corey Heitz ◽  
Chris Bond ◽  
William K. Milne


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