A Review of Laser Therapies for the Treatment of Scarring and Vascular Anomalies

被引:12
|
作者
Nunez, Johanna H. [1 ]
Strong, Amy L. [2 ]
Comish, Paul [1 ]
Hespe, Geoffrey E. [2 ]
Harvey, Jalen [1 ]
Sorkin, Michael [2 ]
Levi, Benjamin [1 ]
机构
[1] Univ Texas Southwestern Med Ctr Dallas, Dept Surg, Ctr Organogenesis Res & Trauma, 5323 Harry Hines Blvd Bldg E,5th Floor,Room 514A, Dallas, TX 75390 USA
[2] Univ Michigan, Dept Surg, Sect Plast Surg, Ann Arbor, MI 48109 USA
关键词
laser treatment; acne scar; vascular anomalies; keloid; hypertrophic scar; PULSED-DYE-LASER; CARBON-DIOXIDE LASER; FACIAL ACNE SCARS; NONABLATIVE FRACTIONAL LASER; RANDOMIZED SPLIT-FACE; PORT-WINE STAINS; HYPERTROPHIC SCARS; BURN SCARS; LYMPHANGIOMA CIRCUMSCRIPTUM; ERYAG LASER;
D O I
10.1089/wound.2021.0045
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Significance: Laser use has become part of the gold standard of treatment as an effective adjuvant in multimodal therapy for pathologic scarring caused by burns, trauma, acne, and surgery, as well as vascular anomalies. Understanding indications and applications for laser therapy is essential for physicians to improve patient outcomes. Recent Advances: Since the 1980s, the medical use of lasers has continuously evolved with improvements in technology. Novel lasers and fractionated technologies are currently being studied in the hopes to improve treatment efficacy, while reducing complications. Recent advancements include acne treatment with novel picosecond lasers, new hypertrophic scar therapies with simultaneous laser and intense pulsed light use, and novel systems such as lasers with intralesional optical fiber delivery devices. In addition, optimizing the timing of laser therapy and its use in multimodal treatments continue to advance the field of photothermolysis. Critical Issues: Selecting the correct laser for a given indication is the fundamental decision when choosing a laser balancing effective treatment with minimal complications. This article covers the principles of laser therapy, the preferred lasers used for the treatment of scarring and vascular anomalies, and discusses the current evidence behind these laser choices. Future Directions: To optimize laser therapy, larger randomized control trials and split scar studies are needed. Continued advancement through better randomized controlled studies will help to improve patient outcomes on a broader scale.
引用
收藏
页码:68 / 84
页数:17
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