The use of carbon dioxide and intense pulsed light laser for the treatment of hypertrophic burn scars: A case series

Autor: Sophia Dahm, Geoffrey Lee, Heather Cleland, Hana Menezes, Sally Ng
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Scars, Burns & Healing, Vol 9 (2023)
Druh dokumentu: article
ISSN: 2059-5131
20595131
DOI: 10.1177/20595131231202103
Popis: Introduction Hypertrophic scarring is a common and debilitating consequence of burn scars. While there is limited evidence for current treatment options, laser therapy has been shown to be effective, low risk and minimally invasive. This study assesses the use of carbon dioxide lasers and intense pulsed light devices in the treatment of hypertrophic burn scars. Methods In this case series, patients were recruited from a hypertrophic burn scar waitlist and completed a Patient and Observer Scar Assessment Scale prior to and six weeks after laser therapy. The Nordlys (intense pulsed light) and CO 2 RE (carbon dioxide) systems from Candela Medical were used, with a range of settings used depending on the assessment of the burn scar. The differences between scores were calculated for the total Patient and Observer Scar Assessment Scale score, pain, itch, colour, stiffness, thickness, irregularity and the overall opinion of the scar. Statistical analysis was completed using a paired, two-tailed student T test. Results A total of 31 patients were recruited for this trial with a range of scar locations, surface areas and mechanism of burn injury. The calculated difference in mean showed a significant reduction for the overall Patient and Observer Scar Assessment Scale score (1.93, p
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