Scar assessment after fractional CO2 laser resurfacing using a questionnaire
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Background and ObjectivesSome scars have an ambiguous operative indication. In this study, we applied fractional CO2 laser therapy to improve scar management. We further administered questionnaires to assess post-therapy satisfaction rates according to several patient-related factors of scar improvement.Materials and MethodsThirty-one participants underwent 2-10 (average 4.3 ± 2.1 sessions) scar treatment sessions with a fractional CO2 laser device. The scar improvement was evaluated using the modified Patient and Observer Scar Assessment Scale and the efficacy was analyzed according to the number of sessions, sex, scar region, and type.ResultsThe patient scar assessment scale showed improvements in pain (4.12 ± 0.99), itching (4.41 ± 0.93), pliability (3.74 ± 1.06), thickness (3.64 ± 0.98), and relief (3.54 ± 2.08). In the observer scar assessment, the evaluation of the average scar improvement after the treatment showed an improvement of 2.04 ± 1.34 points in pigmentation, 1.72 ± 1.45 points in vascularity, 2.03 ± 1.56 points in pliability, 2.00 ± 1.67 points in thickness, and 1.96 ± 1.53 points in relief. The changes in the overall patient satisfaction score based on sex (p = 0.932), scar region (p = 0.059), and scar type (p = 0.556) were not statistically significant.ConclusionThe clinical results and statistical analysis demonstrated that the fractional CO2 laser is a safe and easy way to improve scars and useful regardless of the scar region and type.
Abstract
Background and ObjectivesSome scars have an ambiguous operative indication. In this study, we applied fractional CO2 laser therapy to improve scar management. We further administered questionnaires to assess post-therapy satisfaction rates according to several patient-related factors of scar improvement.Materials and MethodsThirty-one participants underwent 2-10 (average 4.3 ± 2.1 sessions) scar treatment sessions with a fractional CO2 laser device. The scar improvement was evaluated using the modified Patient and Observer Scar Assessment Scale and the efficacy was analyzed according to the number of sessions, sex, scar region, and type.ResultsThe patient scar assessment scale showed improvements in pain (4.12 ± 0.99), itching (4.41 ± 0.93), pliability (3.74 ± 1.06), thickness (3.64 ± 0.98), and relief (3.54 ± 2.08). In the observer scar assessment, the evaluation of the average scar improvement after the treatment showed an improvement of 2.04 ± 1.34 points in pigmentation, 1.72 ± 1.45 points in vascularity, 2.03 ± 1.56 points in pliability, 2.00 ± 1.67 points in thickness, and 1.96 ± 1.53 points in relief. The changes in the overall patient satisfaction score based on sex (p = 0.932), scar region (p = 0.059), and scar type (p = 0.556) were not statistically significant.ConclusionThe clinical results and statistical analysis demonstrated that the fractional CO2 laser is a safe and easy way to improve scars and useful regardless of the scar region and type.
참고문헌 (17)
- Lack EB, "Resolution of retracted scar after 585-nm pulse dye laser surgery", J Cosmet Laser Ther, 6, pp.149~151 (2004)
- Kim YH, "Scar treatment using 585-nam pulsed dye laser", Med Lasers, 5, pp.17~21 (2016)
- Tanzi EL, "Comparison of a 1450-nm diode laser and a 1320-nm Nd : YAG laser in the treatment of atrophic facial scars : a prospective clinical and histologic study", Dermatol Surg, 30(2 Pt 1), pp.152~157 (2004)
- Manstein D, "Fractional photothermolysis : a new concept for cutaneous remodeling using microscopic patterns of thermal injury", Lasers Surg Med, 34, pp.426~438 (2004)
- Laubach HJ, "Skin responses to fractional photothermolysis", Lasers Surg Med, 38, pp.142~149 (2006)
- Ross EV, "A pilot study of in vivo immediate tissue contraction with CO2 skin laser resurfacing in a live farm pig", Dermatol Surg, 25, pp.851~856 (1999)
- Lee SE, "Treatment of striae distensae using an ablative 10, 600-nm carbon dioxide fractional laser : a retrospective review of 27 participants", Dermatol Surg, 36, pp.1683~1690 (2010)
- Draaijers LJ, "The patient and observer scar assessment scale : a reliable and feasible tool for scar evaluation", Plast Reconstr Surg, 113, pp.1960~1965 (2004)
- Hantash BM, "Ex vivo histological characterization of a novel ablative fractional resurfacing device", Lasers Surg Med, 39, pp.87~95 (2007)
- McDaniel DH, "Laser therapy of stretch marks", Dermatol Clin, 20, pp.67~76 (2002)
- Glaich AS, "Fractional resurfacing for the treatment of hypopigmented scars : a pilot study", Dermatol Surg, 33, pp.289~294 (2007)
- Behroozan DS, "Fractional photothermolysis for the treatment of surgical scars : a case report", J Cosmet Laser Ther, 8, pp.35~38 (2006)
- Alster TS, "The use of fractional laser photothermolysis for the treatment of atrophic scars", Dermatol Surg, 33, pp.295~299 (2007)
- Sun Goo Kim, "The Efficacy and Safety of Ablative Fractional Resurfacing Using a 2,940-Nm Er:YAG Laser for Traumatic Scars in the Early Posttraumatic Period", Archives of Plastic Surgery, 39(3), pp.232~237 (2012), 대한성형외과학회[DOI]
- 홍수정, "Effects of Minimizing Scar Formation by Early Fractional CO2 Laser Resurfacing", Archives of Aesthetic Plastic Surgery, 20(2), pp.109~113 (2014), 대한미용성형외과학회
- Fisher GH, "Short-term side effects of fractional photothermolysis", Dermatol Surg, 31(9 Pt 2), pp.1245~1249 (2005)
- Wanner M, "Fractional photothermolysis : treatment of facial and nonfacial cutaneous photodamage with a 1, 550-nm erbium-doped fiber laser", Dermatol Surg, 33, pp.23~28 (2007)