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Alster,

doi:10.1016/s1076-0512(98)00171-x

Cited by 21 publications

(7 citation statements)

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“…[12,20,24,55,59,62,63,67] The effect of treatment is to change 1 or more of the parameters characterized by scarring, such as abnormal pigmentation, scars, eminence above the level of intact skin, cohesion, and vascularization. These parameters assessed in VSS determine the outcome of the surgery.…”

Section: Discussionmentioning

confidence: 99%

“…[14–19] In contrast, a carbon dioxide (CO 2 ) laser is effective in the treatment of mature scars when at least 1 year has passed from the trauma burn injury. [20–23] In 2012, the company Lumenis introduced a modification to the high-energy CO 2 laser (UltraPulse® Encore; Lumenis, Santa Clara, CA, USA) by adding a module for the treatment of scars—Synergistic Coagulation and Ablation for Advanced Resurfacing (SCAAR FX). The device generates hundreds of very deep microchannels that intersect haphazardly to arrange collagen fibers of highly contracted scars.…”

Section: Introductionmentioning

confidence: 99%

“…[12,20,21,25] Low-power lasers range from 1 mW to up to 500 mW and are generally used for therapeutic purposes such as tissue repair and pain management. In this category, the following types are included:

gaseous medium: argon, helium–neon, CO 2 , and krypton;

semiconductor medium: gallium arsenide, gallium aluminium, and gallium aluminium arsenide; and

crystalline medium: neodymium–yttrium aluminium garnet and ruby.

…”

Section: Introductionmentioning

confidence: 99%

“…[12,25] Satisfactory results were reported in about 75% of abnormal scars that were treated. [12,20–23] …”

Section: Introductionmentioning

confidence: 99%

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A new CO2 laser technique for the treatment of pediatric hypertrophic burn scars

Żądkowski¹,

Nachulewicz²,

Mazgaj³

et al. 2016

Medicine

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Treatment of hypertrophic scars arising as a result of thermal burns in children is still a big problem. The results of the treatment are not satisfactory for patients and parents, and new methods of treatment are still investigated.We present the use of one of the most modern carbon dioxide (CO2) lasers (Lumenis Encore laser equipped with a Synergistic Coagulation and Ablation for Advanced Resurfacing module) in the treatment of hypertrophic scars in children after burns.From March to April of 2013, a group of 47 patients aged 6 to 16 years underwent 57 laser surgery treatments. The average time from accident was 7.5 years. The results of treatment were investigated in 114 areas. The assessed areas were divided into 2 groups: 9-cm2 area 1, where the thickness of the scar measured by physician was the lowest and 9-cm2 area 2, where the thickness of the scar was the biggest. The results were considered on the Vancouver Scar Scale (VSS) independently by the surgeon and by parents 1, 4, and 8 months after the procedure. In addition, ultrasound evaluation of the scar thickness before and after laser procedure was made.VSS total score improved in all areas assessed by both the physician and parents. The biggest change in total VSS score in area 1 in the evaluation of the investigator was obtained at follow-up after the 1st month of treatment (average 7.23 points before and 5.18 points after the 1st month after surgery—a difference of 2.05 points). Scar ratings by parents and the physician did not differ statistically (P < 0.05). In the ultrasound assessment, the improvement was statistically significant, more frequently for both minimum and maximum thickness of the scars (B-mode measures) (P < 0.05).The use of a CO2 laser in the treatment of hypertrophic scars in children is an effective and safe method. The use of a CO2 laser improves the appearance and morphology of scarring assessed using the VSS by both the parents and the physician. The treatment also reduced the thickness of scars evaluated by ultrasound.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

gaseous medium: argon, helium–neon, CO 2 , and krypton;

semiconductor medium: gallium arsenide, gallium aluminium, and gallium aluminium arsenide; and

crystalline medium: neodymium–yttrium aluminium garnet and ruby.

…”

Section: Introductionmentioning

confidence: 99%

“…[12,25] Satisfactory results were reported in about 75% of abnormal scars that were treated. [12,20–23] …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A new CO2 laser technique for the treatment of pediatric hypertrophic burn scars

Żądkowski¹,

Nachulewicz²,

Mazgaj³

et al. 2016

Medicine

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“…585-nm pulsed dye laser (PDL) has been effectively used to reduce scar erythema, size and associated symptoms. [ 4 5 6 7 8 9 10 11 12 13 14 15 ] The combinations of carbon dioxide laser (CO 2 ) with PDL[ 11 ] and CO 2 with yttrium aluminium garnet laser (YAG)[ 16 ] have also been tried for the treatment of keloids.…”

Section: Introductionmentioning

confidence: 99%

Fractional carbon dioxide, long pulse Nd:YAG and pulsed dye laser in the management of keloids

Annabathula

Sekar

Srinivas

2017

J Cutan Aesthet Surg

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Background:Keloids are abnormal wound responses characterised by excessive deposition of collagen and glycoprotein. They are both aesthetically and symptomatically distressing for most of the patients. There are reports of keloid management with pulsed dye laser (PDL), fractional carbon dioxide (CO2) laser and neodymium-doped yttrium aluminium garnet (Nd:YAG) laser individually and also in combination of CO2 with PDL and CO2 with Nd:YAG. Here, we discuss a combination of all the 3 lasers as a therapy for keloids.Aim:This study aims to assess the efficacy of fractional CO2 laser, long pulse Nd:YAG laser and PDL in the management of keloids.Materials and Methods:Fifteen patients with keloids were treated by fractional CO2 laser, followed by PDL and long pulse Nd:YAG laser at monthly intervals. Four patients discontinued the study and were lost for follow-up. Photographs were taken at the beginning of the treatment and at the end of five sessions. Clinical improvement was analysed based on a visual analogue scale graded by three blinded observers after assessing the clinical photographs for the improvement in size, colour and aesthetic impression.Results:Of the 11 patients, one patient had excellent improvement, one patient had good improvement, four patients had moderate improvement, two patients had mild improvement and three had no improvement.Conclusion:Lasers may have a synergistic effect when combined with other modalities of treatment but cannot be used as monotherapy in the treatment of keloids.

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Pediatric cosmetic dermatology

Lahti

Shabshin

Lewis

et al. 2003

Clinics in Dermatology

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Abstract: Concomitant use of the high-energy, pulsed CO2 and PDL laser systems was superior to CO2 laser vaporization alone for revision of nonerythematous hypertrophic scars. Once again, the vascular specificity of the 585-nm PDL has been linked to improvement in hypertrophic scar tissue.

Cited by 21 publications

References 0 publications

A new CO2 laser technique for the treatment of pediatric hypertrophic burn scars

A new CO2 laser technique for the treatment of pediatric hypertrophic burn scars

Fractional carbon dioxide, long pulse Nd:YAG and pulsed dye laser in the management of keloids

Pediatric cosmetic dermatology

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