Fractional CO2 Laser in Treatment of Surgical and Trumatic Scars
Background: Scars result from chronic wound healing response , leaving behind fibrotic tissue due to irregular collagen formation . There are different types of scar including atrophic , hypertrophic, contracture and keloid scars. Available scar revision therapies depend on the type of scar , and r...
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| Format: | Article |
| Language: | English |
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College of medicine/ University of Diyala
2019-03-01
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| Series: | Diyala Journal of Medicine |
| Subjects: | |
| Online Access: | http://djm.uodiyala.edu.iq/index.php/djm/article/view/200 |
| _version_ | 1827636473193562112 |
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| author | Khudhair Khalaf Al-Kayalli Shahad Khudhair Khalaf Mohammad Husain Motllag |
| author_facet | Khudhair Khalaf Al-Kayalli Shahad Khudhair Khalaf Mohammad Husain Motllag |
| author_sort | Khudhair Khalaf Al-Kayalli |
| collection | DOAJ |
| description |
Background: Scars result from chronic wound healing response , leaving behind fibrotic tissue due to irregular collagen formation . There are different types of scar including atrophic , hypertrophic, contracture and keloid scars. Available scar revision therapies depend on the type of scar , and range from topical creams for mild scarring , to grafting in the case of large , traumatic scars . Laser scar revision is an effective method for treating a wide rang of scars that improves skin texture and pigment as well as functional aspects .
Objective:To evaluate the results of using fractional CO2 laser in the treatment of surgical and traumatic scars.
Patients and Methods: A prospective study in which 35 patients with surgical and traumatic scars situated on different areas of the face , and of different types and size , they were 10(28.6%) males and 25(71.4%) females , their ages ranged from (8-60) years, with a mean age (27.2±8) years . The study was conducted in a private clinic in Kalar City , Al-Sulaymania Province for the period from January 2015 to December 2016 . They were examined and assessed regarding the type of scars , size , duration and previous therapy as well as the reasons behind the consultation of doctor . The patients were divided into three groups according to the type of scar , atrophic , hypertrophic and keloid . All patients were treated by fractional CO2 laser , different number of sessions were done at monthly interval after topical application of emila for induction of anesthesia , for 45 minutes . The response to treatment was classified into three degrees , good, moderate and poor response .
Results: The patients were divided into three groups according to the type of scar , they were atrophic scar 30(85.7%) patients , hypertrophic 3(8.6%) patients and keloid 2(5.7%) patients . The response to treatment in those with atrophic scars was good in 25(71.4%) patients and moderate in 5(14.3%) , while all patients with hypertrophic scars shows moderate response and those with keloid shows poor response. The sex and age had no significant effects on the response to treatment . Some patients 8(11.4%) developed hyperpigmentation at the site of therapy , specially those with darker skin (type-4) .
Conclusion: It was concluded that fractional CO2 laser was a good therapeutic selection for the treatment of atrophic surgical and traumatic scars specially in those with white skin complexion .
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| first_indexed | 2024-03-09T15:42:24Z |
| format | Article |
| id | doaj.art-f6a92fbb11f04fb39f7a90bdbee564fc |
| institution | Directory Open Access Journal |
| issn | 2219-9764 2617-8982 |
| language | English |
| last_indexed | 2024-03-09T15:42:24Z |
| publishDate | 2019-03-01 |
| publisher | College of medicine/ University of Diyala |
| record_format | Article |
| series | Diyala Journal of Medicine |
| spelling | doaj.art-f6a92fbb11f04fb39f7a90bdbee564fc2023-11-24T23:24:28ZengCollege of medicine/ University of DiyalaDiyala Journal of Medicine2219-97642617-89822019-03-01161Fractional CO2 Laser in Treatment of Surgical and Trumatic ScarsKhudhair Khalaf Al-KayalliShahad Khudhair KhalafMohammad Husain Motllag Background: Scars result from chronic wound healing response , leaving behind fibrotic tissue due to irregular collagen formation . There are different types of scar including atrophic , hypertrophic, contracture and keloid scars. Available scar revision therapies depend on the type of scar , and range from topical creams for mild scarring , to grafting in the case of large , traumatic scars . Laser scar revision is an effective method for treating a wide rang of scars that improves skin texture and pigment as well as functional aspects . Objective:To evaluate the results of using fractional CO2 laser in the treatment of surgical and traumatic scars. Patients and Methods: A prospective study in which 35 patients with surgical and traumatic scars situated on different areas of the face , and of different types and size , they were 10(28.6%) males and 25(71.4%) females , their ages ranged from (8-60) years, with a mean age (27.2±8) years . The study was conducted in a private clinic in Kalar City , Al-Sulaymania Province for the period from January 2015 to December 2016 . They were examined and assessed regarding the type of scars , size , duration and previous therapy as well as the reasons behind the consultation of doctor . The patients were divided into three groups according to the type of scar , atrophic , hypertrophic and keloid . All patients were treated by fractional CO2 laser , different number of sessions were done at monthly interval after topical application of emila for induction of anesthesia , for 45 minutes . The response to treatment was classified into three degrees , good, moderate and poor response . Results: The patients were divided into three groups according to the type of scar , they were atrophic scar 30(85.7%) patients , hypertrophic 3(8.6%) patients and keloid 2(5.7%) patients . The response to treatment in those with atrophic scars was good in 25(71.4%) patients and moderate in 5(14.3%) , while all patients with hypertrophic scars shows moderate response and those with keloid shows poor response. The sex and age had no significant effects on the response to treatment . Some patients 8(11.4%) developed hyperpigmentation at the site of therapy , specially those with darker skin (type-4) . Conclusion: It was concluded that fractional CO2 laser was a good therapeutic selection for the treatment of atrophic surgical and traumatic scars specially in those with white skin complexion . http://djm.uodiyala.edu.iq/index.php/djm/article/view/200Scar , Atrophic , Hypertrophic , Keloid , CO2 laser , Emila |
| spellingShingle | Khudhair Khalaf Al-Kayalli Shahad Khudhair Khalaf Mohammad Husain Motllag Fractional CO2 Laser in Treatment of Surgical and Trumatic Scars Diyala Journal of Medicine Scar , Atrophic , Hypertrophic , Keloid , CO2 laser , Emila |
| title | Fractional CO2 Laser in Treatment of Surgical and Trumatic Scars |
| title_full | Fractional CO2 Laser in Treatment of Surgical and Trumatic Scars |
| title_fullStr | Fractional CO2 Laser in Treatment of Surgical and Trumatic Scars |
| title_full_unstemmed | Fractional CO2 Laser in Treatment of Surgical and Trumatic Scars |
| title_short | Fractional CO2 Laser in Treatment of Surgical and Trumatic Scars |
| title_sort | fractional co2 laser in treatment of surgical and trumatic scars |
| topic | Scar , Atrophic , Hypertrophic , Keloid , CO2 laser , Emila |
| url | http://djm.uodiyala.edu.iq/index.php/djm/article/view/200 |
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