Asfour, A., Shokair, H., El Wakeel, T., Gharib, F., El Bassiouny, M. (2019). Treatment of Post-Burn Scars of the Face by Er: YAG Laser. The Egyptian Journal of Plastic and Reconstructive Surgery, 43(1), 85-92. doi: 10.21608/ejprs.2019.65161
Abdel Rahman Asfour; Hisham Shokair; Tarek El Wakeel; Fouad Gharib; Mahmoud El Bassiouny. "Treatment of Post-Burn Scars of the Face by Er: YAG Laser". The Egyptian Journal of Plastic and Reconstructive Surgery, 43, 1, 2019, 85-92. doi: 10.21608/ejprs.2019.65161
Asfour, A., Shokair, H., El Wakeel, T., Gharib, F., El Bassiouny, M. (2019). 'Treatment of Post-Burn Scars of the Face by Er: YAG Laser', The Egyptian Journal of Plastic and Reconstructive Surgery, 43(1), pp. 85-92. doi: 10.21608/ejprs.2019.65161
Asfour, A., Shokair, H., El Wakeel, T., Gharib, F., El Bassiouny, M. Treatment of Post-Burn Scars of the Face by Er: YAG Laser. The Egyptian Journal of Plastic and Reconstructive Surgery, 2019; 43(1): 85-92. doi: 10.21608/ejprs.2019.65161
Treatment of Post-Burn Scars of the Face by Er: YAG Laser
1Maadi Plastic Surgery Center, Cairo, Medical Applications of Lasers Department/ National Institute of Laser Enhanced Sciences, Cairo University
2National Institute of Laser Enhanced Sciences, Cairo University
3National Institute of Laser Enhanced Sciences, Cairo University and Department of Plastic Surgery
4Faculty of Medicine, Menofia University, Menofia Governorate, Egypt
Abstract
Aim: To determine the effects of Er:YAG laser in the management of facial post-burn scars by ablative and fractional lasers. Background: Post burn scars of the face can be hypertrophic, atrophic, keloid, hyper pigmented or hypo pigmented scars, Erbium-Yag laser was documented to treat these scars effectively. Patients and Methods: 15 patients with facial post-burn scars were treated by Er:YAG laser. The lower 3rd is affected in 70% of the cases, middle 3rd is affected in 20% and upper 3rd is affected in 10% of the cases. Fractional mode was used for 9 patients with pigmentation and vascularity, and 6 patients was treated by ablative mode for height and pliability. Results: The patients were assessed clinically by Vancouver scar assessment scale (VSS) as regard pliability, height, vascularity and hyperpigmentation and assessed histopathologically by hematoxyline-eosin (H&E) and Masson’s Trichrome. The 1st group shows improvement in pigmentation by VSS assessment in 66.7% and hypevascularity in 60.0% of the patients, while in the second group improvement occurred in height in 86.7% and pliability in 80.0% of the patients. Conclusion: Ablative and fractional modes of laser Er: YAG can be used for treatment of facial post-burn hypertrophic scars with good results.
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