Email Alerts
RSS
Volume 39 Issue 6
Jun.  2023
Turn off MathJax
Article Contents
Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  > 2023  >  39(6): 501-506
Zhang YX,Li J.Opinion on the photoelectric therapy of scars[J].Chin J Burns Wounds,2023,39(6):501-506.DOI: 10.3760/cma.j.cn501225-20220821-00353.
Citation: Zhang YX,Li J.Opinion on the photoelectric therapy of scars[J].Chin J Burns Wounds,2023,39(6):501-506.DOI: 10.3760/cma.j.cn501225-20220821-00353.
shu

Opinion on the photoelectric therapy of scars

doi: 10.3760/cma.j.cn501225-20220821-00353

  • Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China

Funds:

General Program of National Natural Science Foundation of China 82172222

The Three-year Action Plan of Shanghai Hospital Development Center SHDC2020CR2045B

Clinical Research Program of Shanghai Ninth People's Hospital of Shanghai Jiao Tong University School of Medicine JYLJ027

More Information
    Abstract
  • Scars are problems that inevitably develop after deep dermal injury in the skin. Selecting appropriate photoelectric therapy for scars at different stages is an important part of scar management, which can shorten the acute inflammatory phase, accelerate scar maturation and regression, improve scar appearance and function, and reduce associated discomfort. Based on our team's practical experience and the current literature, this paper provides targeted photoelectric management protocols in the stages of wound healing, early scarring, hypertrophic scarring, and contracture scarring, with the aim of providing a reference for the development of standardized photoelectric therapy protocols for scars.

     

    • FullText(HTML)
  • loading
    • References(43)
  • [1]
    LewisWH, SunKK. Hypertrophic scar: a genetic hypothesis[J]. Burns, 1990,16(3):176-178. DOI: 10.1016/0305-4179(90)90033-s.
    [2]
    OgawaR, AkaishiS. Endothelial dysfunction may play a key role in keloid and hypertrophic scar pathogenesis - keloids and hypertrophic scars may be vascular disorders[J]. Med Hypotheses, 2016,96:51-60. DOI: 10.1016/j.mehy.2016.09.024.
    [3]
    CaoMinh T, XuanHai D, Thi NgocP. Effects of intense pulsed light on tissue vascularity and wound healing: a study with mouse island skin flap model[J]. Plast Surg Int, 2015,2015:429367. DOI: 10.1155/2015/429367.
    [4]
    PhillipsTJ, MortonLM, UebelhoerNS, et al. Ablative fractional carbon dioxide laser in the rreatment of chronic, posttraumatic, lower-extremity ulcers in elderly patients[J]. JAMA Dermatol, 2015, 151(8): 868-871. DOI: 10.1001/jamadermatol.2015.0645.
    [5]
    LeeHN, BaeJM, GooBC L, et al. Promotion of wound healing through low-fluence ablative fractional laser treatment in diabetic mice[J]. Lasers Med Sci, 2019, 34(2): 421-425. DOI: 10.1007/s10103-018-2559-9.
    [6]
    DuFY, YuYS, ZhouZQ, et al. Early treatment using fractional CO2 laser before skin suture during scar revision surgery in Asians[J]. J Cosmet Laser Ther, 2018,20(2):102-105. DOI: 10.1080/14764172.2017.1358452.
    [7]
    KarmisholtKE, WenandeE, Thaysen-PetersenD, et al. Early intervention with non-ablative fractional laser to improve cutaneous scarring- a randomized controlled trial on the impact of intervention time and fluence levels[J]. Lasers Surg Med, 2018, 50(1): 28-36. DOI: 10.1002/lsm.22707.
    [8]
    FriedmanO, GofsteinD, AradE, et al. Laser pretreatment for the attenuation of planned surgical scars: a randomized self-controlled hemi-scar pilot study[J]. J Plast Reconstr Aesthet Surg, 2020, 73(5): 893-898. DOI: 10.1016/j.bjps.2019.11.046.
    [9]
    CaiYJ, ZengXF, YingJY, et al. Efficacy and safety of pulsed dye laser for the treatment of surgical scars: a systematic review and meta-analysis[J]. Lasers Med Sci, 2022,37(2):1273-1282. DOI: 10.1007/s10103-021-03385-z.
    [10]
    NymannP, HedelundL, HaedersdalM. Intense pulsed light vs. long-pulsed dye laser treatment of telangiectasia after radiotherapy for breast cancer: a randomized split-lesion trial of two different treatments[J]. Br J Dermatol, 2009,160(6):1237-1241. DOI: 10.1111/j.1365-2133.2009.09104.x.
    [11]
    BellewSG, WeissMA, WeissRA. Comparison of intense pulsed light to 595-nm long-pulsed pulsed dye laser for treatment of hypertrophic surgical scars: a pilot study[J]. J Drugs Dermatol, 2005,4(4):448-452.
    [12]
    KimJC, KangSY, KimHO, et al. Efficacy of combined treatment with intense pulsed light and fractional erbium:YAG Laser in scar prevention: a randomized split wound trial[J]. Dermatol Ther, 2021, 34(5): e15061. DOI: 10.1111/dth.15061.
    [13]
    SuQ, WangF, ChaiY, et al. A prospective study on the treatment of immediate post-operative scar with narrowband intense pulsed light under polarized dermoscopy[J]. J Cosmet Laser Ther, 2021,23(5/6):137-141. DOI: 10.1080/14764172.2021.2016844.
    [14]
    VasK, GaálM, VargaE, et al. Effects of the combined PDL/Nd:YAG laser on surgical scars: vascularity and collagen changes evaluated by in vivo confocal microscopy[J]. Biomed Res Int, 2014,2014:204532. DOI: 10.1155/2014/204532.
    [15]
    KarmisholtKE, BanzhafCA, GludM, et al. Laser treatments in early wound healing improve scar appearance: a randomized split-wound trial with nonablative fractional laser exposures vs. untreated controls[J]. Br J Dermatol, 2018,179(6):1307-1314. DOI: 10.1111/bjd.17076.
    [16]
    VerhaegheE, OngenaeK, DierckxsensL, et al. Nonablative fractional laser resurfacing for the treatment of scars and grafts after Mohs micrographic surgery: a randomized controlled trial[J]. J Eur Acad Dermatol Venereol, 2013,27(8):997-1002. DOI: 10.1111/j.1468-3083.2012.04639.x.
    [17]
    ShinJU, GantsetsegD, JungJY, et al. Comparison of non-ablative and ablative fractional laser treatments in a postoperative scar study[J]. Lasers Surg Med, 2014,46(10):741-749. DOI: 10.1002/lsm.22297.
    [18]
    DatzE, SchönbergerC, ZemanF, et al. Fractional carbon dioxide laser resurfacing of skin grafts: long-term results of a prospective, randomized, split-scar, evaluator-blinded study[J]. Lasers Surg Med, 2018,50(10):1010-1016. DOI: 10.1002/lsm.22950.
    [19]
    WaibelJS, GianatasioC, RandomizedRudnick A., controlled early intervention of dynamic mode fractional ablative CO2 laser on acute burn injuries for prevention of pathological scarring[J]. Lasers Surg Med, 2020, 52(2): 117-124. DOI: 10.1002/lsm.23170.
    [20]
    KangBY, IbrahimSA, WeilA, et al. Treatment of surgical scars with combination pulsed dye and fractional nonablative laser: a randomized controlled trial[J]. Ann Surg, 2022, 276(6): 975-980. DOI: 10.1097/sla.0000000000005377.
    [21]
    中国整形美容协会瘢痕医学分会. 瘢痕早期治疗全国专家共识(2020版)[J]. 中华烧伤杂志,2021,37(2):113-125. DOI: 10.3760/cma.j.cn501120-20200609-00300.
    [22]
    ChiHS, ZhaoXR, ShenLY, et al. Optimal timing of fractional CO2 laser on cleft lip scars: a single-blind randomized controlled cohort study[J]. Dermatol Surg, 2023, 49(2): 145-148. DOI: 10.1097/dss.0000000000003688.
    [23]
    TanJL, ZhouJY, HuangL, et al. Hypertrophic scar improvement by early intervention with ablative fractional carbon dioxide laser treatment[J]. Lasers Surg Med, 2021, 53(4): 450-457. DOI: 10.1002/lsm.23301.
    [24]
    FuXJ, DongJY, WangS, et al. Advances in the treatment of traumatic scars with laser, intense pulsed light, radiofrequency, and ultrasound[J/OL]. Burns Trauma, 2019,7:1[2022-08-21]. https://pubmed.ncbi.nlm.nih.gov/30723753/.DOI: 10.1186/s41038-018-0141-0.
    [25]
    ChenHY, LeiY, OuYangHW, et al. Experimental comparative study of the effect of fractional CO2 laser combined with pulsed dye laser versus each laser alone on the treatment of hypertrophic scar of rabbit ears[J]. J Cosmet Dermatol, 2022,21(3):979-990. DOI: 10.1111/jocd.14732.
    [26]
    LiuXJ, LiuWH, FangSW, et al. Lasers and intense pulsed light for the treatment of pathological scars: a network meta-analysis[J]. Aesthet Surg J, 2022, 42(11): NP675-NP687. DOI: 10.1093/asj/sjac175.
    [27]
    彭君强,罗斌,何国,等. 窄谱强脉冲光+点阵CO2激光治疗增生性瘢痕患者的近期随访研究[J]. 中国医疗美容,2020,10(8):64-68. DOI: 10.19593/j.issn.2095-0721.2020.08.016.
    [28]
    郭琪格, 王棽, 严敏, 等. 2 940纳米点阵铒激光联合点阵微等离子体射频治疗面部萎缩性痤疮瘢痕的前瞻性随机对照研究[J]. 中华烧伤与创面修复杂志, 2023, 39(6): 512-517. DOI: 10.3760/cma.j.cn501225-20230116-00018.
    [29]
    ElmelegyNG. Hypertrophic scars of the hand: the role of electrophotobiomodulation theory as a recent line of treatment[J]. Plast Reconstr Surg, 2023, 151(2): 375-383. DOI: 10.1097/prs.0000000000009962.
    [30]
    GuoR, XuanWX, HeX, et al. Clinical efficacy and safety of pulsed dye laser combined with pingyangmycin on hyperplastic scar after acne[J]. Mediators Inflamm, 2022, 2022: 3305107. DOI: 10.1155/2022/3305107.
    [31]
    MuskatA, KostY, BalazicE, et al. Laser-assisted drug delivery in the treatment of scars, rhytids, and melasma: a comprehensive review of the literature[J]. Aesthet Surg J, 2023, 43(3): NP181- NP198. DOI: 10.1093/asj/sjac286.
    [32]
    HaedersdalM, ErlendssonAM, PaaschU, et al. Translational medicine in the field of ablative fractional laser (AFXL)-assisted drug delivery: a critical review from basics to current clinical status[J]. J Am Acad Dermatol, 2016, 74(5):981-1004. DOI: 10.1016/j.jaad.2015.12.008.
    [33]
    ParkJH, ChunJY, LeeJH. Laser-assisted topical corticosteroid delivery for the treatment of keloids[J]. Lasers Med Sci, 2017,32(3):601-608. DOI: 10.1007/s10103-017-2154-5.
    [34]
    ZhangJF, HeZQ, TangYJ, et al. CO2 fractional laser combined with triamcinolone acetonide injection for the hypertrophic scars: which is first?[J]. Lasers Med Sci, 2022,38(1):7. DOI: 10.1007/s10103-022-03693-y.
    [35]
    SeagoM, ShumakerPR, SpringLK, et al. Laser treatment of traumatic scars and contractures: 2020 international consensus recommendations[J]. Lasers Surg Med, 2020, 52(2): 96-116. DOI: 10.1002/lsm.23201.
    [36]
    LvKY, LiuHZ, XuHT, et al. Ablative fractional CO2 laser surgery improving sleep quality, pain and pruritus in adult hypertrophic scar patients: a prospective cohort study[J/OL]. Burns Trauma, 2021,9:tkab023[2022-08-21]. https://pubmed.ncbi.nlm.nih.gov/34322556/. DOI: 10.1093/burnst/tkab023.
    [37]
    张逸秋,董继英,王棽,等. 窄谱强脉冲光联合点阵二氧化碳激光治疗增生性瘢痕瘙痒的临床效果[J]. 中华烧伤杂志,2018,34(9):608-614. DOI: 10.3760/cma.j.issn.1009-2587.2018.09.010.
    [38]
    StänderS, SteinhoffM, SchmelzM, et al. Neurophysiology of pruritus: cutaneous elicitation of itch[J]. Arch Dermatol, 2003,139(11):1463-1470. DOI: 10.1001/archderm.139.11.1463.
    [39]
    ManuskiattiW, KaewkesA, YanC, et al. Hypertrophic scar outcomes in fractional laser monotherapy versus fractional laser-assisted topical corticosteroid delivery: a randomized clinical trial[J]. Acta Derm Venereol, 2021, 101(3): adv00416. DOI: 10.2340/00015555-3781.
    [40]
    EbidAA, IbrahimAR, OmarMT, et al. Long-term effects of pulsed high-intensity laser therapy in the treatment of post-burn pruritus: a double-blind, placebo-controlled, randomized study[J]. Lasers Med Sci, 2017,32(3):693-701. DOI: 10.1007/s10103-017-2172-3.
    [41]
    XiWJ, XieYX, ZhangZ, et al. 3D mesh releasing method: a retrospective analysis of fractional CO2 treatment on contracture scars[J]. Lasers Surg Med, 2021, 53(2): 227-235. DOI: 10.1002/lsm.23262.
    [42]
    LiJ, NgSK, XiWJ, et al. Efficacy and safety of a dual-scan protocol for carbon dioxide laser in the treatment of split-thickness skin graft contraction in a red Duroc pig model[J/OL]. Burns Trauma, 2021,9:tkab048[2022-08-21]. https://pubmed.ncbi.nlm.nih.gov/34988232/.DOI: 10.1093/burnst/tkab048.
    [43]
    Issler-FisherAC, FisherOM, HaertschP, et al. Ablative fractional resurfacing with laser-facilitated steroid delivery for burn scar management: does the depth of laser penetration matter?[J]. Lasers Surg Med, 2020,52(2):149-158. DOI: 10.1002/lsm.23166.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (1272) PDF downloads(148) Cited by()
    Proportional views
    Related

    Copyright © Chinese Journal of Burns京ICP备07035254号-14

    E-mail：shaoshangzazhi@163.com

    Website：https://zhsszz.xml-journal.net/

    Supported by: Beijing Renhe Information Technology Co. Ltd    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return