Research Article

Different Numbers of Long-Pulse 1064-nm Nd-YAG Laser Treatments for Onychomycosis: A Pilot Study

Table 3

Efficacy rates among the different groups.

Clinical efficacy rateGroup A ()Group B ()Group C ()

Week 8Total55 (35.5%)55 (31.4%)31 (27.7%)0.095
Clinical type
DLSO46 (42.6%)39 (37.9%)27 (34.2%)
WSO6 (30.0%)9 (34.6%)1 (33.3%)
PSO1 (11.1%)2 (33.3%)0%
TDO2 (11.1%)5 (12.5%)3 (11.1%)
Severity of infected nails
II47 (62.7%)46 (52.3%)28 (49.1%)
III8 (10.0%)9 (10.3%)3 (5.5%)
Location of infected nails
Fingernail4 (23.5%)9 (23.1%)4 (26.7%)
Toenail51 (37.0%)46 (33.8%)27 (27.8%)

Week 16Total60 (38.7%)73 (41.7%)56 (50.0%)0.172
Clinical type
DLSO51 (47.2%)55 (53.4%)42 (53.2%)
WSO6 (30.0%)11 (42.3%)3 (100.0%)
PSO1 (11.1%)3 (50.0%)1 (33.3%)
TDO2 (11.1%)4 (10.0%)10 (37.0%)
Severity of infected nails
II53 (70.7%)62 (70.5%)37 (64.9%)
III7 (8.8%)11 (12.6%)19 (34.6%)
Location of infected nails
Fingernail7 (41.2%)13 (33.3%)7 (46.7%)
Toenail53 (38.4%)60 (44.1%)49 (50.5%)

Week 24Total58 (37.4%)77 (44.0%)62 (55.4%)0.014
Clinical type
DLSO51 (47.2%)54 (52.4%)45 (57.0%)
WSO6 (30.0%)11 (42.3%)3 (100.0%)
PSO02 (33.3%)1 (33.3%)
TDO1 (5.6%)10 (25.0%)13 (48.2%)
Severity of infected nails
II54 (72.0%)58 (65.9%)41 (71.9%)
III4 (5.0%)19 (21.8%)21 (38.2%)
Location of infected nails
Fingernail7 (41.2%)13 (33.3%)8 (53.3%)
Toenail51 (37.0%)64 (47.1%)54 (55.7%)

Group A: four sessions; Group B: eight sessions; Group C: 12 sessions. DLSO: distal lateral subnail onychomycosis; WSO: white superficial onychomycosis; PSO: proximal subnail onychomycosis; TDO: total dystrophy onychomycosis. The clinical efficacy rate was defined as the total percentage of nails with complete response and significant response. “Complete response or cure” was defined as fully normal appearing nail measured from the proximal nail fold to involved nail; “significant response” was defined as >60% normal-appearing nail compared with the area of the initially infected nail; “moderate response” was defined as 20–60% normal-appearing nail; and “no response” was defined as <20% normal-appearing nail. , group A vs. group C (Bonferroni correction: 0.05/3). There were no significant differences for group A vs. group B and group B vs. group C.