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Management of nucleated plantar keratomas with a carbon dioxide laser.

Laser enucleation of superficial epidermal keratoses and ablation of dermal and subdermal lesions is an effective method for long-term relief from painful plantar lesions. This technique also provides gross visualization of the remaining tissues, a specimen for microscopic evaluation, and a definitive diagnosis. The procedure is relatively atraumatic with a minimal amount of postoperative pain, disability and scarring, and a high percentage of acceptable results.