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LIQUID NITROGEN

1.  What happens during liquid nitrogen treatment?

During treatment, the skin turns white. This lasts about 10 seconds and the white colour disappears when the skin thaws.

The skin turns red immediately after treatment.

 

There may be some pain for about 10 minutes following the procedure. Longer duration of pain is unusual but may occur.

 

If you feel weak or dizzy after treatment, lie down with your feet up or sit down and place your head between your knees for a few minutes until you feel better.

 

A blister usually develops by the evening or the next day.

 

Sometimes, the blister becomes haemorrhagic and is filled with dark coloured fluid.

A haemorrhage blister

2.  Skin care following liquid nitrogen treatment

  • Leave the roof of the blister intact.

  • If the blister is large, it may be pricked and drained using a sterile needle. The needle may be sterilised by heating it over a flame.  Allowing it to cool before pricking the blister.

  • If the blister is left alone, it will form a black scab in a few days.

  • Do not peel the scab. Allow it to fall off on its own.

  • Apply Nuban ointment to the blistered area twice a day for 5 days or until complete healing takes place.

  • Vitasure repair may be applied over the treated areas to sooth the skin and aid healing.

 

The treated area may heal with a white scar.  This is safer than a skin cancer which could otherwise develop.

 

 

 

3.  What is Liquid Nitrogen used for?

 

Solar Keratoses (Sun spots)

 

Seborrhoeic Keratoses

 

Solar lentigenes (Liver spots)

 

Viral warts

 

Molluscum contagiosum

Keloids

 

DSC_5168

Solar keratoses affecting the hand - from years of excessive sun exposure. They are pre-cancerous

seborrhoeic keratosis 2548

A seborrhoeic keratosis is benign (non-cancerous) and responds well to liquid nitrogen

solar lentigenes 1385 2

Solar lentigines are not cancerous but indicate how much sun exposure occurred throughout life

Viral wart 2651

Viral wart. Treatment is with liquid nitrogen, electrocautery, various topical agents, bleomycin injections and tuberculin antigen immunotherapy

Keloid shoulder 2521

Keloid shoulder following acne scars

DSC_2528

Keloid treated with intralesional liquid nitrogen

molluscum_contagiosum_child01

Molluscum contagiosum is a viral infection producing small bumps with a central umbilication

4.  Why treat solar keratoses with liqiuid nitrogen?

Solar keratoses are pre-cancerous and could progress to squamous cell carcinoma if left untreated. Which keratoses will progress cannot be predicted. It is therefore necessary to treat all solar keratoses.

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