A conservative approach for deep dermal burn wounds using polarised-light therapy

被引:42
作者
Monstrey, S [1 ]
Hoeksema, H [1 ]
Saelens, H [1 ]
Depuydt, K [1 ]
Hamdi, M [1 ]
Van Landuyt, K [1 ]
Blondeel, P [1 ]
机构
[1] Univ Hosp Gent, Dept Plast Surg, B-9000 Ghent, Belgium
来源
BRITISH JOURNAL OF PLASTIC SURGERY | 2002年 / 55卷 / 05期
关键词
deep dermal wounds; polarised-light therapy; spontaneous healing; hypertrophic scarring;
D O I
10.1054/bjps.2002.3860
中图分类号
R61 [外科手术学];
学科分类号
摘要
This article reports a clinical study investigating the role of polarised-light therapy in the conservative treatment of deep dermal burn wounds. In 22 out of 67 patients with deep dermal burn wounds, clinical evaluation revealed only a very limited potential for spontaneous healing, and, despite the fact that the majority of the surgeons (four out of six) would have recommended surgery, these patients were treated conservatively with polarised-light therapy (400-2000 nm, 40 mW cm(-2), 2.4 cm(-2)) until complete closure. Evaluation by a panel of four surgeons, all experts in burn surgery, revealed that conservative treatment of these deep dermal wounds with polarised-light irradiation resulted in a significantly shorter healing time, with almost no hypertrophic scarring, and optimal aesthetic and functional results at long-term follow-up. No extension of the hospital stay was required. Polarised-light therapy may be a valuable way of avoiding surgery in patients with deep dermal burns. (C) 2002 The British Association of Plastic Surgeons.
引用
收藏
页码:420 / 426
页数:7
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