Clinical and histologic effects from CO2 laser treatment of keloids

被引:0
|
作者
Gianfranco Nicoletti
Francesco De Francesco
Carmine Michele Mele
Chiara Cataldo
Roberto Grella
Sergio Brongo
Marina Accardo
Giuseppe Andrea Ferraro
Francesco D’Andrea
机构
[1] Second University of Naples,Department of Orthopedic, Traumatologic, Rehabilitative and Plastic
[2] Second University of Naples,Reconstructive Sciences
[3] Second University of Naples,Section of Pathology, Department of Public Health
来源
Lasers in Medical Science | 2013年 / 28卷
关键词
Clinical effects; CO; laser; Keloids; Histologic effects;
D O I
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学科分类号
摘要
Keloids and hypertrophic scars are abnormal responses to wound healing. In general, keloids exhibit a proliferative growth beyond the margins of the scar and remain persistent; while hypertrophic scars are contained to the original wound and may regress over time. In particular, keloid formation is one of the most challenging clinical problems, with increasing frequency in surgical practice. Many treatments are available such as intralesional corticosteroids, topical applications, cryotherapy, surgical excision, radiation therapy, silicone gel sheeting, pressure therapy, and laser therapy. There are no set guidelines for the treatment of keloids and the most common treatments are individualized and depended on the distribution, size, thickness, and consistency of lesions. The authors have evaluated carbon dioxide laser successfully in the treatment of keloids and the aim of this study was to determine the immediate and long-term histologic and clinical effects of keloids after carbon dioxide laser. Fifty consecutive patients (40 females, 10 males, ages 18–60 years, mean age 40 years) with moderate to severe keloids were evaluated. All the patients received regional treatments (deltoid, elbow, chin, and ear) in an outpatient setting with a high-energy pulsed CO2 laser. Significant immediate and prolonged clinical improvement in skin tone, texture, and appearance of carbon dioxide laser was examined in all patients. Dermal remodeling was observed also on histologic examination of biopsied tissue after treatment. Carbon dioxide laser appears to be effective and well tolerated for the treatment of keloids, avoiding the adverse effects and lengthy recovery time.
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页码:957 / 964
页数:7
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