Improvement of Burn Scars Treated With Fractional Ablative CO2 Lasers-A Systematic Review and Meta-analysis Using the Vancouver Scar Scale
| Autor: | Gregory Goodman, Heather Cleland, Cheng Lo, Patrick D Mahar, Philip S Bekhor, Jill S. Waibel, Anneliese B Spinks |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Burn injury Cicatrix Hypertrophic MEDLINE Scars 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Ablative case medicine Humans Regeneration Pooled data Burn scar Co2 laser business.industry Rehabilitation 030208 emergency & critical care medicine Treatment Outcome Meta-analysis Keloid Emergency Medicine Lasers Gas Surgery Radiology medicine.symptom business Burns Follow-Up Studies |
| Zdroj: | Journal of burn careresearch : official publication of the American Burn Association. 42(2) |
| ISSN: | 1559-0488 |
| Popis: | Fractional ablative CO2 laser is being used increasingly to treat burn scars; however, objective measures of outcome success vary widely. This systematic review and meta-analysis extracts and pools available data to assess the outcomes of patients with burn scars treated with fractional ablative CO2 laser. A search of MEDLINE, EMBASE, and the gray literature was performed. The review included studies that reported patients with a confirmed diagnosis of scarring as a result of a burn injury, who were treated with fractional ablative CO2 laser and whose progress was recorded using the Vancouver Scar Scale (VSS). Eight studies were included in the systematic review and meta-analysis. Treatment regimens varied amongst studies, as did patient outcomes. Pooled data revealed an average VSS improvement of 29% across 282 patients following fractional CO2 ablative laser treatment. Although the heterogeneity of treatment regimens across studies limits this systematic review’s ability to provide specific treatment recommendations, the overall trend towards improvement of burns scars treated with fractional CO2 laser based on the VSS encourages further exploration of this modality as a therapeutic tool. |
| Databáze: | OpenAIRE |
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