Abstract | BACKGROUND:
Photodynamic therapy ( PDT) has gradually developed into a promising modality for actinic cheilitis (AC), and many new PDT strategies are emerging. However, comprehensive reviews evaluating the efficacy of PDT strategies for AC are lacking. OBJECTIVE: To systematically review the safety and efficacy of PDT strategies for AC. METHODS: A systematic review was conducted using three databases to compare several types of PDT for AC in terms of clinical response (CR), histopathology response (HR), cosmetic result, and adverse events. RESULTS: A total of 19 studies were included, and 292 subjects were finally enrolled. The complete CR rate of ALA-patch PDT, traditional photodynamic therapy (T- PDT), and daylight photodynamic therapy (DL- PDT) was 80.00% (24/30), 65.14% (114/179), and 76.74% (33/43), respectively. The rate of painless patients was 87.10% (27/31) in DL- PDT, whereas the rate was only 31.25% (15/48) in T- PDT. The rates of moderate and severe local phototoxicity were 47.78% (43/90) in T- PDT, 0.00% (0/23) in DL- PDT, and 21.05% (4/19) in ALA-patch PDT. CONCLUSION: Published literature suggests that ALA-patch PDT seem to achieve high complete CR rate. Besides, DL- PDT might be a well-tolerated therapy compared with T- PDT and ALA-patch PDT. However, these assumptions are made based on very limited data. It is necessary to conduct a long-term larger sample randomized controlled trial to further evaluate the efficacy and adverse events of various PDT schemes for AC.
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Authors | Yuling Yang, Shuzhan Shen, Peiru Wang, Xiuli Wang |
Journal | Photodiagnosis and photodynamic therapy
(Photodiagnosis Photodyn Ther)
Vol. 38
Pg. 102782
(Jun 2022)
ISSN: 1873-1597 [Electronic] Netherlands |
PMID | 35218940
(Publication Type: Journal Article, Review, Systematic Review)
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Copyright | Copyright © 2022. Published by Elsevier B.V. |
Chemical References |
- Photosensitizing Agents
- Aminolevulinic Acid
|
Topics |
- Aminolevulinic Acid
(therapeutic use)
- Cheilitis
(drug therapy)
- Humans
- Keratosis, Actinic
(drug therapy)
- Photochemotherapy
(methods)
- Photosensitizing Agents
(adverse effects)
- Treatment Outcome
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