ElMelegy, N., Elhawary, Y., Sadaka, M. (2024). Electrophotobiomodulation: A New Step in the Reconstructive Ladder of Post-Traumatic Defects. The Egyptian Journal of Plastic and Reconstructive Surgery, 48(1), 17-23. doi: 10.21608/ejprs.2024.336305
Nader ElMelegy; Yasser Elhawary; Mohamed Saad Sadaka. "Electrophotobiomodulation: A New Step in the Reconstructive Ladder of Post-Traumatic Defects". The Egyptian Journal of Plastic and Reconstructive Surgery, 48, 1, 2024, 17-23. doi: 10.21608/ejprs.2024.336305
ElMelegy, N., Elhawary, Y., Sadaka, M. (2024). 'Electrophotobiomodulation: A New Step in the Reconstructive Ladder of Post-Traumatic Defects', The Egyptian Journal of Plastic and Reconstructive Surgery, 48(1), pp. 17-23. doi: 10.21608/ejprs.2024.336305
ElMelegy, N., Elhawary, Y., Sadaka, M. Electrophotobiomodulation: A New Step in the Reconstructive Ladder of Post-Traumatic Defects. The Egyptian Journal of Plastic and Reconstructive Surgery, 2024; 48(1): 17-23. doi: 10.21608/ejprs.2024.336305
Electrophotobiomodulation: A New Step in the Reconstructive Ladder of Post-Traumatic Defects
The Department of Plastic & Reconstructive Surgery, Faculty of Medicine, Tanta University
Abstract
Background: Researchers have tried to improve their “reconstructive ladders” by adding more steps for a larger applicability that fits most of the situations, as more methods and technology, such as free tissue transfer, robotic surgery and vascularized composite allotransplant, have become accessible. Electrophotobiomodulation was reported as a successful tool in wound management with very narrow spectrum of complications. Objective: To evaluate the safety and efficacy of Electrophotobiomodulation in reconstruction of post-traumatic defects and its place in the reconstructive ladder. Patients and Methods: Between May 2017 and January 2023, 38 patients underwent treatment with Electrophotobiomodulation, including 17 on the face, 7 on the upper limb, 3 on the upper back, and 11 on the lower limb. Both throughout sessions and at least six months after the patient’s final session, photographs of the patient and a post-treatment wound assessment were evaluated and also patient satisfaction with the result was assessed. Results: Regarding post-treatment clinical evaluation of our patients, it was excellent to good in the majority of cases (87%). Patient satisfaction rate was also excellent to good in the majority of patients (84%). Minor issues were experienced by small percent of patients (8%) including hyperpigmentation, hypopigmentation, and hypertrophic scarring. Conclusions: Electrophotobiomodulation is a safe effective technique that can induce very good wound healing without the need for any type of flap or skin graft, preserving other tissues from mutilation and hence it deserves its place in the reconstructive ladder.
1- Janis J.: The New Reconstructive Ladder: Modifications to the Traditional Model, 124: 469-70, 2009. 2- Al Deek N.F. and Wei F.C.: It is the time to say good bye to the reconstructive ladder/lift and its variants. Journal of plastic, reconstructive & aesthetic surgery: JPRAS, 70 (4): 539-40, 2017. 3- Elmelegy N.G.: Aesthetic Treatment of Acute Burns of the Face Using Electro-Photobiomodulation. Journal of Burn Care & Research, 2023. 4- Elmelegy N.G.: Hypertrophic Scars of the Hand: The Role of Electrophotobiomodulation Theory as a Recent Line of Treatment. Plastic and Reconstructive Surgery, 151 (2): 375-83, 2023. 5- Elmelegy N.: Epiderm-Abrasion-Assisted Intensive Pulsed Light and Radiofrequency in Aesthetic Treatment Extensive Facial Freckles. Aesthetic Plastic Surgery, 44 (6): 2259-67, 2020. 6- Elmelegy N.G., Hegazy A.M., Sadaka M.S. and Abdeldaim D.E.: Electrophotobiomodulation in the treatment of facial post-burn hypertrophic scars in pediatric patients. Annals of burns and fire disasters, 31 (2): 127-32, 2018. 7- Turner A.J. and Parkhouse N.: Revisiting the reconstructive ladder. Plastic and Reconstructive Surgery, 118 (1): 267-8, 2006. 8- Trivedi M.K., Yang F.C. and Cho B.K.: A review of laser and light therapy in melasma. International journal of women’s dermatology, 3 (1): 11-20, 2017. 9- Sadick N. and Rothaus K.O.: Aesthetic Applications of Radiofrequency Devices. Clinics in Plastic Surgery, 43 (3): 557-65, 2016. 10- Nair H.K.R., Chong S.S.Y. and Selvaraj D.D.J.: Photobiomodulation as an Adjunct Therapy in Wound Healing. The international journal of lower extremity wounds, 22 (2): 278-82, 2023. 11- Solmaz H., Ulgen Y. and Gulsoy M.: Photobiomodulation of wound healing via visible and infrared laser irradiation. Lasers in Medical Science, 32 (4): 903-10, 2017. 12- Novelli G., Daleffe F., Birra G., et al.: Negative pressure wound therapy in complex cranio-maxillofacial and cervical wounds. International wound journal, 15 (1): 16-23, 2018. 13- Enescu D.M., Stoicescu S., Tomiţă M., Nacea I., Ioniţă D. and Tatar R.: Management of lower extremity traumatic injuries with negative pressure wound therapy: Experience of a pediatric plastic surgery department. Injury, 51 (Suppl. 4): S9-s15, 2020. 14- Mosca R.C., Ong A.A., Albasha O., Bass K. and Arany P.: Photobiomodulation Therapy for Wound Care: A Potent, Noninvasive, Photoceutical Approach. Advances in skin & wound care, 32 (4): 157-67, 2019. 15- Whelan H.T., Smits R.L., Jr., Buchman E.V., et al.: Effect of NASA light-emitting diode irradiation on wound healing. Journal of Clinical Laser Medicine & Surgery, 19 (6): 305-14, 2001. 16- Karen Arnaud: Enhanced Secondary Intention Healing vs. Standard Secondary Intention Healing in Mohs Surgical Defects on the Head and Distal Lower Extremities. ClinicalTrials. gov. May-2023. 17- Bertone A.L.: Second-intention healing. The Veterinary clinics of North America Equine Practice, 5 (3): 539-50, 1989. 18- Boateng J.S., Matthews K.H., Stevens H.N. and Eccleston G.M.: Wound healing dressings and drug delivery systems: A review. Journal of Pharmaceutical Sciences, 97 (8): 2892-923, 2008. 19- Chetter I.C., Oswald A.V., McGinnis E., et al.: Patients with surgical wounds healing by secondary intention: A prospective, cohort study. International Journal of Nursing Studies, 89: 62-71, 2019. 20- Donaldson M.R. and Coldiron B.M.: Scars after second intention healing. Facial plastic surgery: FPS, 28 (5): 497- 503, 2012.
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