Abstract
The present work was done in an attempt to build systematic procedures for treating warts by 810nm diode laser regarding dose parameters, application parameters and laser safety. The study was done in Al-Kindy TeachingHospital in Baghdad, Iraq during the period from 1stOctober 2003 till 1stApril 2004. Fifteen patients completed the treatment and they were followed for the period of 3 months. Recalcitrant and extensive warts were selected for the study.Patients were randomly divided into 3 groupsto be treated by different laser powers 9, 12 and 15 W, power densityof 286 W/cm2,381W/cm2,477W/cm2pulse duration of 0.2 s, interval of0.2 s and repeated pulses were used. The mode of application was either circular or radial. Pain occurred for about 1 week after treatment especially on movement (when lesions near joint)to all group and power density.Oozing occurred from lesion with scales and oedema afterlaser treatment for about 1 week. Post-inflammatory hypo-pigmentation might occur after the lesionhave healed completely. No recurrence of lesions after complete healing of lesions. Complete healing of the lesion was noticed, no scarring after complete healing of lesion.Diode laser therapy of recalcitrant and extensive viral warts could be considered as avaluable alternative to other more traditional techniques. This treatment can offer a good result in eliminating the verrucae and their sequelae of recurrence, scarring and the post-operative pain