{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T07:43:21Z","timestamp":1696059801638},"reference-count":35,"publisher":"Wiley","issue":"S6","license":[{"start":{"date-parts":[[2016,11,21]],"date-time":"2016-11-21T00:00:00Z","timestamp":1479686400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Deutsche Derma Gesell"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die Rosazea ist durch vielf\u00e4ltige vaskul\u00e4re Ver\u00e4nderungen gekennzeichnet. Neben Teleangiektasien und Erythemen treten h\u00e4ufig auch sogenannte \u201eFlushings\u201c auf. Haupteinsatzgebiete von Licht\u2010 und Lasersystemen sind diese vaskul\u00e4ren Ver\u00e4nderungen, wie Erytheme und Teleangiektasien. Neben dem KTP\u2010Laser, dem Farbstofflaser (PDL) und dem Nd:YAG\u2010Laser kommen auch Blitzlampen (IPL) zum Einsatz. Neben der R\u00fcckbildung der vaskul\u00e4ren Komponente, ist auch eine Verbesserung der papulopustul\u00f6sen Komponente beschrieben. W\u00e4hrend der KTP\u2010Laser sehr gute Ergebnisse bei Teleangiektasien zeigt, werden der Farbstofflaser und die Blitzlampen bevorzugt bei fl\u00e4chigen Erythemen eingesetzt. Der ND:YAG\u2010Laser kann bei Teleangiektasien und Erythemen eingesetzt werden, birgt aber von allen Systemen das nicht einsch\u00e4tzbare Narbenbildungsrisiko in sich.<\/jats:p><jats:p>Die Bildung von Phymen stellt eine klinische Auspr\u00e4gung der Rosazea dar. Das am h\u00e4ufigsten vorkommende ist das Rhinophym. Bei moderaten und schweren Formen steht die Abtragung im Vordergrund. Die klassische chirurgische Abtragung stellt eine M\u00f6glichkeit zur Behandlung dar, h\u00e4ufig kommt es hierbei jedoch intraoperativ zu st\u00e4rkeren Blutungen. Alternativmethode ist die Elektrochirurgie und die Dermabrasion, wobei bei beiden Methoden Narbenbildungen auftreten k\u00f6nnen. Neuere Methoden wie die CO<jats:sub>2<\/jats:sub>\u2010Laserabtragung, eventuell in Kombination mit der Erbium:YAG\u2010Abtragung, stellen sichere und komplikations\u00e4rmere Varianten dar.<\/jats:p>","DOI":"10.1111\/ddg.13144_g","type":"journal-article","created":{"date-parts":[[2016,11,21]],"date-time":"2016-11-21T12:55:39Z","timestamp":1479732939000},"page":"38-44","source":"Crossref","is-referenced-by-count":1,"title":["Physikalische Methoden zur Behandlung der Rosazea"],"prefix":"10.1111","volume":"14","author":[{"given":"Maja A.","family":"Hofmann","sequence":"first","affiliation":[{"name":"Klinik f\u00fcr Dermatologie, Venerologie und Allergologie Charit\u00e9\u2010Universit\u00e4tsmedizin  Berlin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Percy","family":"Lehmann","sequence":"additional","affiliation":[{"name":"Zentrum f\u00fcr Dermatologie, Allergologie und Dermatochirurgie Helios Kliniken 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