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.
1- Ozyurt K., Colgecen E., Baykan H., Oztmk P. and Ozkose M.: Treatment of superficial cutaneous vascular lesions: Experience with the long-pulsed 1064 run Nd: YAG laser. The Scientific World Journal, 2012. 2- Bock O., Schmid-Ott G., Malewski P. and Miowietz U.: Quality of life of patients with keloid and hypertrophic scarring. Arch. Dermatol. Res., 297: 433-438, 2006. 3- Van loey N.E. and Van Son M.J.: Psychopathology and psychological problems in patients with burn scars: Epidemiology and management Am. Clin. Dermatol., 4: 245- 272, 2003. 4- Berman B., Viera M.H., Amini S., Huo R. and Jones I.S.: Prevention and management of hypertrophic scars and keloids after bums in children. J. Craniofac. Surg., 19: 989-1006, 2008. 5- Hultman C.S., Edkins R.E., Lee C.N., Calvert C.T. and Caims B.A.: Shine on: Review of laser- and light-based therapies for the treatment of bum scars. Dermatology Research and Practice, 2012. 6- Alster T.S. and Tanzi E.L.: Hypertrophic scars and keloids: Etiology and management. Am. J. Clin. Dermatol., 4: 235-243, 2003. 7- Tavares Biho J.M., Belerique M., Franco D., Porchat C.A. and Franco T.: Tissue expansion in bum sequelae repair. Bums, 33: 246-251, 2007. 8- Parrett B.M. and Dcmelan M.B.: Pulsed dye laser in burn scare: Current concepts and future directions. Bums, 36: 443-449, 2010. 9- Hffideersdal M., Moreau K.E., Beyer D.M., Nymann P. and Alsbjom B.: Fractional uonablative 1540nm laser resurfacing for thermal bum scars: A randomized controlled trial. Lasers Surg. Med., 41: 189-195, 2009. 10- Vrijman C., Van Drooge A.M., Limpens J., Bos J.D., Van Der Veen J.P., et al.: Laser and intense pulsed light therapy for the treatment of hypertrophic scars: A systematic review. Br. J. Dermatol., 165: 934-942, 2011. 11- Bouzari N., Davis S.C. and Nouri K.: Laser treatment of keloids and hypertrophic scars. Int. J. Dermatol., 46: 80- 88, 2007. 12- Thomas J.R. and Somenek M.: Scar revision review. Archives of facial plastic surgery, 14: 162-174, 2012. 13- Majaron B., Srinivas S.M., Huang H.E. and Nelson J.S.: Deep coagulation of dermal collagen with repetitive Er: YAG laser irradiation. Lasers Surg. Med., 26: 215-222, 2000. 14- Nouri K., Vkiulich K. and Rivas M.P.: Lasers for scars A review. J. Cosmet. Dermatol., 5: 14-22, 2006. 15- Saryazdi S. and Mohebbi A.: Evaluation of fractional CO2 laser efficacy in acne scar. J. Lasers Med. SD, 3: 56, 2012. 16- Tanzi E.L. and Alster T.S.: Treatment of atrophic facial 92 Vol. 43, No. 1 / Treatment of Post-Burn Scars of the Face by Er: YAG Laser acne scars with a Dual-Mode En YAG laser. Dennatol. Surg., 28: 551-555, 2002. 17- Gladstone H.B., Berg D. and McDonald M.: Scar revision. Dennatol. Res. Pract., 2010. 18- Weinstein C.: Computerized scanning Erbiumi: YAG laser for skin resurfacing. Dermatol. Surg., 24: 83-89, 1998. 19- Kwon S.D. and Kye Y.C.: Treatment of scars with a pulsed Er: YAG laser. Cutan Laser Ther., 2: 27-31, 2000. 20- Waibel J., Graber E., Davis S. and Badiavas E.: Effects of erbium fractional resurfacing on third degree hypertrophic bum scars. Lasers in Surgery and Medicine, 44: 11-11, 2012. 21- Dierickx C., Khatri K., Altshuler G., Erofeev A., Smimov M., et al.: Fractionated delivery of Er: YAG laser light to improve efficacy and safety of ablative resurfacing procedure. Lasers Surg. Med., 2007. 22- Eberiein A., Schepler H., Spilker G., Altmeyer P. and Hartmann B.: Erbium: YAG laser treatment of post-burn scars: Potentials and limitations. Bums, 31: 15-24, 2005. 23- Mahmoud B.H., Srivastava D., Janiga J.J., Yang J.J., Lim H.W., et al.: Safety and efficacy of erbium-doped yttrium aluminum garnet fractionated laser for treatment of acne scars in type IV to VI skin. Dermatol. Surg., 36: 602-9, 2010. 24- Manuskiatti W., Lamphonrat T.W. and Nitphakdeedecha R., Eimpunth S.: Comparison of fractional erbium-doped yttrium acne scars in Asians. Dermatol. Surg., 39: 111- 20, 2013. 25- W. James Tidwell, M.D.1, Cindy E. Owen, M.D.1, Carol Kulp-Shorten, M.D.1, Abhishek Maity, B.A.2, Michael McCall M.D.1 and Timothy S. Brown, M.D.: Fractionated Er: YAG laser versus fully ablative Er: YAG laser for sar revision: Results of a split scar, double binded, prospective trial, 37: 501-7. 26- Jang J-U., Kim S-Y., Yoon E-S., et al.: Comparison of the effectiveness of ablative and non-ablative fractional laser treatments for early stage thyroidectomy scars. Arachives of Plastic Surgery, 43 (6): 575-581, 2016. doi:10.5999/ aps.2016.43.6.575. 27- Tanzi E.L. and Alster T.S.: Comparison of a 1450-nm diode laser and a 1320-nm Nd: YAG laser in the treatment of atrophic facil scars: A prospective clinical and histologic study. Dermatol. Surg., 30: 152-157, 2004. 28- Borges J., Cuzzi T., Mandarim-de-Lacerda C.A. and Manela-Azulay M.: An Bras Dermatol. Mar-Apr., 89 (2): 250-8, 2014. 29- Alexiades-Armenakas M.R., Dover J.S. and Arndt K.A.: J. Am. Acad. Dermatol., May, 58 (5): 719-37; quiz 738- 40, 2008. 30- Preissig J., Hamilton K. and Markus R.: Current laser resurfacing technologies: A review that delves beneath the urface. Seminars in plastic surgery, 26 (3): 109-116, 2012. http://doi.org/10.1055/s-0032-1329413
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