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Efficacy and Safety of Fractional CO(2) Laser Resurfacing in Non-hypertrophic Traumatic and Burn Scars

BACKGROUND: Fractional photothermolysis is one of the most effective treatment options used to resurface scars of different aetiologies. AIM: To assess the efficacy and safety of fractional CO(2) laser resurfacing treatment in the management of non-hypertrophic traumatic and burn scars. MATERIALS AN...

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Autores principales: Majid, Imran, Imran, Saher
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4645146/
https://www.ncbi.nlm.nih.gov/pubmed/26644740
http://dx.doi.org/10.4103/0974-2077.167276
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author Majid, Imran
Imran, Saher
author_facet Majid, Imran
Imran, Saher
author_sort Majid, Imran
collection PubMed
description BACKGROUND: Fractional photothermolysis is one of the most effective treatment options used to resurface scars of different aetiologies. AIM: To assess the efficacy and safety of fractional CO(2) laser resurfacing treatment in the management of non-hypertrophic traumatic and burn scars. MATERIALS AND METHODS: Twenty-five patients affected by non-hypertrophic traumatic and burn scars were treated with four sessions of fractional CO(2) laser resurfacing treatment at 6-weekly intervals. Patients were photographed at each visit and finally, 3 months after the end of treatment schedule. Response to treatment was assessed clinically as well as by comparing the initial photograph of the patient with the one taken at the last follow-up visit 3-months after the final treatment session. Changes in skin texture, surface irregularity and pigmentation were assessed on a quartile grading scale and scored individually from 0 to 4. A mean of the three individual scores was calculated and the response was labelled as ‘excellent’ if the mean score achieved was >2. A score of 1-2 was labeled as good response while a score below 1 was labeled as ‘poor’ response. The subjective satisfaction of each patient with the treatment offered was also assessed at the last follow-up visit. RESULTS: The commonest site of scarring treated was the face followed by hands. Response to treatment was rated as excellent in 60% (15/25) patients while 24% (6/25) and 16% (4/25) patients were labeled as good and poor responders, respectively. Skin texture showed better response than other variables with average score of 2.44. Linear post-traumatic scars were seen to respond less than other morphological types. Majority of the patients (19 out of 25) were highly satisfied with the treatment offered. No long-term adverse effects were noted in any patient. CONCLUSIONS: Fractional photothermolysis with a fractional CO(2) laser gives excellent results in patients with post-burn scars with minimal adverse effects. LIMITATIONS: Lack of a control group and small sample size are limitations of this study.
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spelling pubmed-46451462015-12-07 Efficacy and Safety of Fractional CO(2) Laser Resurfacing in Non-hypertrophic Traumatic and Burn Scars Majid, Imran Imran, Saher J Cutan Aesthet Surg Original Article BACKGROUND: Fractional photothermolysis is one of the most effective treatment options used to resurface scars of different aetiologies. AIM: To assess the efficacy and safety of fractional CO(2) laser resurfacing treatment in the management of non-hypertrophic traumatic and burn scars. MATERIALS AND METHODS: Twenty-five patients affected by non-hypertrophic traumatic and burn scars were treated with four sessions of fractional CO(2) laser resurfacing treatment at 6-weekly intervals. Patients were photographed at each visit and finally, 3 months after the end of treatment schedule. Response to treatment was assessed clinically as well as by comparing the initial photograph of the patient with the one taken at the last follow-up visit 3-months after the final treatment session. Changes in skin texture, surface irregularity and pigmentation were assessed on a quartile grading scale and scored individually from 0 to 4. A mean of the three individual scores was calculated and the response was labelled as ‘excellent’ if the mean score achieved was >2. A score of 1-2 was labeled as good response while a score below 1 was labeled as ‘poor’ response. The subjective satisfaction of each patient with the treatment offered was also assessed at the last follow-up visit. RESULTS: The commonest site of scarring treated was the face followed by hands. Response to treatment was rated as excellent in 60% (15/25) patients while 24% (6/25) and 16% (4/25) patients were labeled as good and poor responders, respectively. Skin texture showed better response than other variables with average score of 2.44. Linear post-traumatic scars were seen to respond less than other morphological types. Majority of the patients (19 out of 25) were highly satisfied with the treatment offered. No long-term adverse effects were noted in any patient. CONCLUSIONS: Fractional photothermolysis with a fractional CO(2) laser gives excellent results in patients with post-burn scars with minimal adverse effects. LIMITATIONS: Lack of a control group and small sample size are limitations of this study. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4645146/ /pubmed/26644740 http://dx.doi.org/10.4103/0974-2077.167276 Text en Copyright: © Journal of Cutaneous and Aesthetic Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Majid, Imran
Imran, Saher
Efficacy and Safety of Fractional CO(2) Laser Resurfacing in Non-hypertrophic Traumatic and Burn Scars
title Efficacy and Safety of Fractional CO(2) Laser Resurfacing in Non-hypertrophic Traumatic and Burn Scars
title_full Efficacy and Safety of Fractional CO(2) Laser Resurfacing in Non-hypertrophic Traumatic and Burn Scars
title_fullStr Efficacy and Safety of Fractional CO(2) Laser Resurfacing in Non-hypertrophic Traumatic and Burn Scars
title_full_unstemmed Efficacy and Safety of Fractional CO(2) Laser Resurfacing in Non-hypertrophic Traumatic and Burn Scars
title_short Efficacy and Safety of Fractional CO(2) Laser Resurfacing in Non-hypertrophic Traumatic and Burn Scars
title_sort efficacy and safety of fractional co(2) laser resurfacing in non-hypertrophic traumatic and burn scars
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4645146/
https://www.ncbi.nlm.nih.gov/pubmed/26644740
http://dx.doi.org/10.4103/0974-2077.167276
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