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Fok et al.                                                                                                                                                                     Skin temperature of laser for Nevus of Ota

           results. This will make the delivery of skin heat transfer   Board at Chang Gung Memorial Hospital.
           easier and more precise.
                                                              REFERENCES
           In  our  study,  real-time monitoring with photothermal
           images and the prediction of temperature was reliable   1.   Hidano A, Kajima H, Ikeda S, Mizutani H, Miyasato H, Niimura M.
           when using the thermal wave equation. We were able    Natural history of nevus of Ota. Arch Dermatol 1967;95:l87-95.
           to  clearly observe how the temperature distribution   2.   Font RL,  Reynolds  AM Jr., Zimmerman  LE.  Diffuse malignant
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           study also showed different predictions of  QSRL      contalateral cerebral melanoma. Arch Ophthalmol 1977;95:1820-4.
           illumination  for different energy density. Results   4.   Taylor CR, Gange RW, Dover JS, Flotte TJ, Gonzalez E, Michaud N,
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           should  be lower  than 8 J/cm  based  on the thermal   response study. Arch Dermatol 1990;126:893-9.
                                      2
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           for doctors in determining  the optimum  laser  energy   6.   Mohan RP, Verma S, Singh AK, Singh U. Nevi of Ota: the unusual
           density while  simultaneously  minimizing  damage  to   birthmarks: a case review. BMJ Case Rep 2013;2013:bcr2013008648.
           surrounding  tissue. Nevertheless,  when  addressing   7.   Wang J, Guo ZZ, Zhang SG, Wang YJ,  Wang YB, Xing DG.
           Nevus of Ota patients with definitive treatment, exact   Microsurgical  treatment  of  meningeal  malignant  melanoma
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                                                                 Melanoma Res 2013;23:502-4.
           patient and careful consideration of age, skin type, and   8.   Tregnago  AC,  Furlan  MV,  Bezerra  SM,  Porto  GC,  Mendes  GG,
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                                                                 in association with ipsilateral nevus of Ota: report of a case and review
           In conclusion, laser illumination requires an extremely   of the literature. Head Neck 2015;37:E49-55.
           short time and its heat flux is extremely high in cutaneous   9.   Rastogi S, Chaudhari P. Pigment reduction in nevus of Ota following
                                                                 leech therapy. J Ayurveda Integr Med 2014;5:125-8.
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           Real-time photothermal imaging and prediction of   11.  Taylor CR, Flotte TJ, Gange RW, Anderson RR. Treatment of nevus of
           temperature response on the lesion site derived from   Ota by Q-switched ruby laser. J Am Acad Dermatol 1994;30:743-51.
           this study is helpful for determining the energy density   12.  Chang CJ, Nelson JS.  Q-switched ruby laser treatment  of
           for  laser treatment  of  Nevus of  Ota  patients.  The   mucocutaneous  melanosis  associated  with  peutz-jeghers  syndrome.
                                                                 Ann Plast Surg 1996;36:394-7.
           effective energy density of lasers should be lower than   13.  Chang CJ, Kou CS. Comparing the effectiveness of Q-switched Ruby
           8 J/cm  to avoid complications. This study can serve   laser treatment with that of Q-switched Nd:YAG laser for oculodermal
                 2
           as a precedent for increased and improved safety of   melanosis (Nevus of Ota). Br J Plast Surg 2011;64:339-45.
           laser surgery patients and lay groundwork for research   14.  Felton SJ, Al-Niaimi F, Ferguson JE, Madan V. Our perspective of the
           of other laser treatments.                            treatment of naevus of Ota with 1,064-, 755- and 532-nm wavelength
                                                                 lasers. Lasers Med Sci 2014;29:1745-9.
           Financial support and sponsorship                  15.  Zong W, Lin T. A retrospective study on laser treatment of nevus of
                                                                 Ota in Chinese children--a seven-year follow-up. J Cosmet Laser Ther
           This project was supported by research grants awarded from   2014;16:156-60.
           the National Science Council in Taiwan (NMRPG34661:94-  16.  Wen  X,  Li  Y,  Jiang  X.  A  randomized,  split-face  clinical  trial  of
           2213-E-182A-002, NMRPG34662: 95-2221-E-182A-003,      Q-switched alexandrite laser versus Q-switched Nd:YAG laser in the
                                                                 treatment of bilateral nevus of Ota. J Cosmet Laser Ther 2015;18:12-5.
           NMRPG376311:97-2221-E-182A-001-MY3)  and  Chang    17.  Chesnut C, Diehl J, Lask G. Treatment  of nevus of ota with a
           Gung Memorial Hospital (CMRP606, CMRP 812,            picosecond 755-nm alexandrite laser. Dermatol Surg 2015;41:508-10.
           CMRPG3B0301, CMRPG3B0302, CMRPG3E0581).            18.  Yates B, Que SK, D’Souza L, Suchecki J, Finch JJ. Laser treatment of
                                                                 periocular skin conditions. Clin Dermatol 2015;33:197-206.
           Conflicts of interest                              19.  Sober AJ. The Year Book of Dermatology. Chicago: Mosby; 1997.
           There are no conflicts of interest.                   p. 383-4.
                                                              20.  Apfelberg DB, Maser MR, Lash H, Rivers J. The argon laser for
                                                                 cutaneou lesions. JAMA 1981;245:2073-5.
           Patient consent                                    21.  Apfelberg DB. Argon and Q-switched yttrium-aluminum-garnet laser
           All patients gave informed consent.                   treatment of nevus of Ota. Ann Plast Surg 1995;35:150-3.
                                                              22.  Chang CJ, Nelson JS, Achauer  BM. Q-switiched  ruby laser  of
           Ethics approval                                       oculodermal  melanosis  (nevus of Ota).  Plast Reconstr Surg
                                                                 1996;98:784-90.
           The study was approved  by the Institutional  Review   23.  Lawrence SB, Michael RT. Laser tissue welding: a comprehensive
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