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Combination Treatment of Nd:YAG Picosecond-domain Laser and Fractional CO2 Laser for Contracted Neck Scar with Hyperpigmentation

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초록

There is growing interest in minimizing postoperative scarring after a thyroidectomy. Among the many treatment types, laser therapy, especially picosecond-domain laser therapy, is accepted as a standard method. In the present case, a patient with a pigmented, contracted scar was treated using the combination of a picosecond laser and ablative fractional (AF) CO2 laser. After 15 sessions of 1,064-nm picosecond with micro lens array (MLA) and AF CO2 laser application, the patient showed significant improvement in their pigmented lesions and scar contracture with no noticeable side effects for 16 months. These results suggest that a combination of picosecond laser with MLA and AF CO2 laser can treat pigmented, contracted scars safely and effectively.

Abstract

There is growing interest in minimizing postoperative scarring after a thyroidectomy. Among the many treatment types, laser therapy, especially picosecond-domain laser therapy, is accepted as a standard method. In the present case, a patient with a pigmented, contracted scar was treated using the combination of a picosecond laser and ablative fractional (AF) CO2 laser. After 15 sessions of 1,064-nm picosecond with micro lens array (MLA) and AF CO2 laser application, the patient showed significant improvement in their pigmented lesions and scar contracture with no noticeable side effects for 16 months. These results suggest that a combination of picosecond laser with MLA and AF CO2 laser can treat pigmented, contracted scars safely and effectively.

참고문헌 (8)

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  2. 태경, "로봇 갑상선 수술", 대한이비인후-두경부외과학회지, 53(8), pp.463~469 (2010), 대한이비인후과학회
  3. Hae-Jin Lee, "Postinflammatory Hyperpigmentation Successfully Treated with 1,064-nm Picosecond-Domain Neodymium:Yttrium-Aluminum- Garnet Laser", Medical Lasers, 7(1), pp.52~54 (2018), 대한의학레이저학회[DOI]
  4. Choi JE, "Ablative fractional laser treatment for hypertrophic scars : comparison between Er : YAG and CO2 fractional lasers", J Dermatolog Treat, 25, pp.299~303 (2014)
  5. Balu M, "In vivo multiphoton-microscopy of picosecond-laserinduced optical breakdown in human skin", Lasers Surg Med, 49, pp.555~562 (2017)
  6. Kwang Hyeon Ahn, "Usefulness of a 1,064 nm Microlens Array-type, Picoseconddominant Laser for Pigmented Scars with Improvement of Vancouver Scar Scale", Medical Lasers, 8(1), pp.19~23 (2019), 대한의학레이저학회[DOI]
  7. Habbema L, "Minimally invasive non-thermal laser technology using laser-induced optical breakdown for skin rejuvenation", J Biophotonics, 5, pp.194~199 (2012)
  8. Jung JY, "Early postoperative treatment of thyroidectomy scars using a fractional carbon dioxide laser", Dermatol Surg, 37, pp.217~223 (2011)

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