Laser therapy in onychomycosis scientific evidence

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Published: Jul 12, 2017

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Emmanuel Navarro Flores
Universidad Miguel Hernández Elche
Spain
Biography
Vol. 3 No. 2 (2017), Especial Communication, pages 66-74
DOI: https://doi.org/10.17979/ejpod.2017.3.2.1785
Submitted: Sep 1, 2016 Accepted: Dec 30, 2016 Published: Jul 12, 2017
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Abstract

Objective: In recent years it has expanded laser treatment as an adjunct treatment of onychomycosis. There are different publications, relating to different types of laser for the treatment of onychomycosis, contain various efficacy results. This paper lists the results obtained in different studies to determine the efficacy of this therapy. To determine the efficacy of laser therapy in cases of nail fungal infections. Set the level of scientific evidence of laser treatment in fungal nail infections.
Methods: A revision work is done by literature search biomedical databases PubMed, Scopus, Embase and Web de Science® (WOS) using the keywords "laser, nail, mycosis and treatment". 50 results. those studies employing laser treatment of onychomycosis were included. Published during the last 5 years excluding those who did not meet that requirement.
Results: Initially 390 results related to laser treatment of onychomycosis of the feet are obtained; both neodymium and CO2 laser diode. In the last five years, only 121 results were obtained. Finally they chose 50 studies, of which 20 were clinical trials, 16 experimental studies and 14 reviews with results proven in vitro and application guidelines varied effectiveness of disparate treatment.
Conclusions: more clinical trials is needed, with a larger population of study to determine appropriate manner from the point of view of scientific evidence if there is a correlation between the use of laser and improved symptoms in treatment of onychomycosis, respect of antifungal topical or systemic treatments existing.

Keywords:

Laser, onychomycosis, nail.

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