The Use of CO2 Fractional Photothermolysis for the Treatment of Burn Scars

被引:65
作者
Levi, Benjamin [1 ]
Ibrahim, Amir [1 ]
Mathews, Katie [1 ]
Wojcik, Brandon [1 ]
Gomez, Jason [1 ]
Fagan, Shawn [1 ]
Austen, William Gerald, Jr. [1 ]
Goverman, Jeremy [1 ]
机构
[1] Harvard Univ, Sch Med, Div Burns, Massachusetts Gen Hosp, Cambridge, MA 02138 USA
关键词
CARBON-DIOXIDE LASER; HYPERTROPHIC SCARS; ACNE SCARS; KELOIDS; MANAGEMENT; CO2-LASER;
D O I
10.1097/BCR.0000000000000285
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
A recent advancement in the treatment of burn scars has been the use of the carbon dioxide (CO2) laser to perform fractional photothermolysis. In this analysis, we describe our results and patient-reported outcomes with the use of fractional CO2 laser for the treatment of burn-related scarring. We performed a retrospective study of all patients who underwent CO2 laser procedures for treatment of symptomatic burn scars and skin grafts at one accredited regional burn center. Burn injury and laser treatment demographics, as well as complications, are reported. A questionnaire was administered to all patients and included patient-reported outcome measures aimed at understanding the patient experience and their subjective response to treatment. A total of 387 CO2 laser procedures were performed on 131 patients for the treatment of symptomatic burn scars and skin grafts between October 1, 2011, and May 1, 2014 (average, 2.95 procedures/patient; range, 1-11). Average time between injury and first laser was 597.35 days (range, 60-13,475). Average time between laser treatments (when multiple) was 117.73 days (range, 22-514). There were no infections requiring treatment with oral antibiotics. Overall patient satisfaction with laser therapy was 96.7%. Patients reported reductions in neuropathic pain, tightness (contracture), and pruritus (54.0, 50.6, and 49.0%, respectively). Fractional photothermolysis utilizing the CO2 laser is a safe and effective modality for the treatment of symptomatic burn scars, donor sites, and skin grafts. Patient satisfaction with this procedure is high, and complications are low. Significant improvements in scar appearance, pliability, tightness, neuropathic pain, and pruritus were commonly reported.
引用
收藏
页码:106 / 114
页数:9
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