Enhancement of Contour Using Laser Scar Treatment in the One- Stage Nasal Ala Reconstruction with Nasolabial Fold Flap
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Postoperative scarring around the nasolabial area and alar rim poses very high cosmetic concerns, leading to patient dissatisfaction. Several strategies, like laser therapy, have been developed to improve its clinical aspects. However, to date, little is known about when in the early wound healing phases laser exposure would have the most optimal results. This paper introduces a remarkable case of effectively treating a 32-year-old male patient with scarring on the alar rim and nasolabial fold using early active laser treatment. We started carbon dioxide (CO2) laser therapy early in the second month after surgery. In the course of laser treatment, we performed a combined treatment using an ablative fractional CO2 laser device and the combination of pulsed-dye laser and neodymium: yttrium-aluminum-garnet laser. A total of 7 sessions of CO2 laser therapy and 3 sessions of cynergy laser therapy were performed, and the patient was followed-up for evaluation. These early laser treatments resulted in both patient and clinical satisfaction. In this case, we confirmed that early treatment with CO2 laser and cynergy laser can have a positive effect on scarring of the alar rim and nasolabial fold.
Abstract
Postoperative scarring around the nasolabial area and alar rim poses very high cosmetic concerns, leading to patient dissatisfaction. Several strategies, like laser therapy, have been developed to improve its clinical aspects. However, to date, little is known about when in the early wound healing phases laser exposure would have the most optimal results. This paper introduces a remarkable case of effectively treating a 32-year-old male patient with scarring on the alar rim and nasolabial fold using early active laser treatment. We started carbon dioxide (CO2) laser therapy early in the second month after surgery. In the course of laser treatment, we performed a combined treatment using an ablative fractional CO2 laser device and the combination of pulsed-dye laser and neodymium: yttrium-aluminum-garnet laser. A total of 7 sessions of CO2 laser therapy and 3 sessions of cynergy laser therapy were performed, and the patient was followed-up for evaluation. These early laser treatments resulted in both patient and clinical satisfaction. In this case, we confirmed that early treatment with CO2 laser and cynergy laser can have a positive effect on scarring of the alar rim and nasolabial fold.
참고문헌 (18)
- Castello JR, "Bilateral nasal ala reconstruction of the cocaine-injured nose with 2 free reverse-flow helical rim flaps", Ann Plast Surg, 73, pp.304~306 (2014)
- Durgun M, "Repair of full-thickness nasal alar defects using nasolabial perforator flap", Ann Plast Surg, 75, pp.414~417 (2015)
- Monstrey S, "Updated scar management practical guidelines:non-invasive and invasive measures", J Plast Reconstr Aesthet Surg, 67, pp.1017~1025 (2014)
- Elsaie ML, "Lasers for scars: a review and evidence-based appraisal", J Drugs Dermatol, 9, pp.1355~1362 (2010)
- Berlin AL, "A prospective study of fractional scanned nonsequential carbon dioxide laser resurfacing: a clinical and histopathologic evaluation", Dermatol Surg, 35, pp.222~228 (2009)
- Vrijman C, "Laser and intense pulsed light therapy for the treatment of hypertrophic scars: a systematic review", Br J Dermatol, 165, pp.934~942 (2011)
- Nouri K, "585-nmpulsed dye laser in the treatment of surgical scars starting on the suture removal day", Dermatol Surg, 29, pp.65~73 (2003)
- 조성은, "Local Flap Surgical Scar Management Caused by Skin Cancer Using Fractional CO2 Laser Treatment", Archives of Aesthetic Plastic Surgery, 21(1), pp.18~22 (2015), 대한미용성형외과학회
- Rohrer TE, "Evaluating the efficacy of using a shortpulsed erbium:YAG laser for intraoperative resurfacing of surgical wounds", Lasers Surg Med, 30, pp.101~105 (2002)
- Tierney E, "Treatment of surgical scars with nonablative fractional laser versus pulsed dye laser: a randomized controlled trial", Dermatol Surg, 35, pp.1172~1180 (2009)
- Conologue TD, "Treatment of surgical scars with the cryogen-cooled 595 nm pulsed dye laser starting on the day of suture removal", Dermatol Surg, 32, pp.13~20 (2006)
- Alam M, "Clinical effect of a single pulsed dye laser treatment of fresh surgical scars: randomized controlled trial", Dermatol Surg, 32, pp.21~25 (2006)
- 홍수정, "Effects of Minimizing Scar Formation by Early Fractional CO2 Laser Resurfacing", Archives of Aesthetic Plastic Surgery, 20(2), pp.109~113 (2014), 대한미용성형외과학회
- Lee SH, "Early postoperative treatment of surgical scars using a fractional carbon dioxide laser: a splitscar, evaluator-blinded study", Dermatol Surg, 39, pp.1190~1196 (2013)
- Selçuk CT, "Reconstruction of full-thickness nasal alar defects using cartilagesupported nonfolded nasolabial flaps", J Craniofac Surg, 23, pp.1624~1626 (2012)
- Berlin AL, "Cutaneous photoaging treated with a combined 595", 1064 nm laser, 2007, pp.9, 214~217
- Trelles MA, "Treatment of leg veins with combined pulsed dye and Nd:YAG lasers: 60 patients assessed at 6 months", Lasers Surg Med, 42, pp.609~614 (2010)
- Vas K, "Effects of the combined PDL", Nd:YAG laser on surgical scars:vascularity and collagen changes evaluated by in vivo confocal microscopy, 2014, pp.2014, 204532~