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Early Postoperative Treatment of Surgical Scars Using a Fractional Carbon Dioxide Laser: A Split-Scar, Evaluator-Blinded Study

Authors
 Sang Hee Lee  ;  Zhenlong Zheng  ;  Mi Ryung Roh 
Citation
 DERMATOLOGIC SURGERY, Vol.39(8) : 1190-1196, 2013 
Journal Title
DERMATOLOGIC SURGERY
ISSN
 1076-0512 
Issue Date
2013
MeSH
Adult ; Cicatrix/surgery* ; Female ; Humans ; Lasers, Gas/therapeutic use* ; Male ; Middle Aged ; Patient Satisfaction ; Postoperative Care ; Postoperative Complications/surgery* ; Prospective Studies ; Treatment Outcome
Keywords
Adult ; Cicatrix/surgery* ; Female ; Humans ; Lasers, Gas/therapeutic use* ; Male ; Middle Aged ; Patient Satisfaction ; Postoperative Care ; Postoperative Complications/surgery* ; Prospective Studies ; Treatment Outcome
Abstract
BACKGROUND:
Although focus has recently been directed toward the early treatment of surgical scars, the optimal time at which to initiate treatment with fractional laser and its effect on scar remodeling remains controversial.
OBJECTIVES:
To assess the safety and efficacy of treating surgical scars using an ablative carbon dioxide (CO2 ) fractional laser during the early postoperative period.
MATERIALS AND METHODS:
We performed a prospective, split-scar, evaluator-blinded study on 16 postoperative scars of 15 patients. Patients began treatment 3 weeks after surgery and were treated in two sessions of CO2 fractional laser therapy on half of the scar at 2-week intervals. All patients were followed for 3 months after the final treatment session.
RESULTS:
Three months after the last treatment, a greater decrease in Vancouver Scar Scale score was noted in the treated half of the scars, especially in terms of texture and thickness. Patients also expressed a significantly greater degree of satisfaction with the treated side as assessed using a subjective 4-point scale. Only one patient experienced any adverse effect, which was the development of hypertrophy, on the treated and untreated side of the scar.
CONCLUSION:
CO2 fractional laser is an effective treatment modality for surgical scars in the early postoperative period.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/dsu.12228/abstract
DOI
10.1111/dsu.12228
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Dermatology (피부과학교실) > 1. Journal Papers
Yonsei Authors
Roh, Mi Ryung(노미령) ORCID logo https://orcid.org/0000-0002-6285-2490
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/87637
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