Using the Dual Wavelength Low Level Laser Therapy on Split Thickness Skin Grafts in the Management of Third Degree Burns Versus the Conventional Tie-Over Method Without Laser Application, A Comparative Study

Aim: The golden standard treatment for patients with full thickness burn is split-thickness skin grafting (STSG). Dual wavelength low level laser therapy (LLLT) after grafting increases fibroblast proliferation, collagen synthesis, wound contraction and promotes wound healing. Methods: The study was conducted at Cairo university hospitals (Kasr El-Ainy Burn Unit; KABU) over a period of six months from 1/1/2018 to 30/6/2018. 30 Patients with 3rd degree burn grafted after early excision were divided into two equal groups (study and control group) randomly. The study group was treated by low level laser over the graft while the control group was treated traditionally by tie-over dressings. The healed surface areas were measured and results were analyzed. The person who analyzed the results was blinded. Results: The mean healed surface area of the laser group was higher than that of the control group. Conclusion: Dual wavelength low level laser therapy is safe, effective and cheap technique that improves graft survival, wound healing and prevention of dehiscence in patients with full thickness burn.