Treatment of Post-Burn Scars of the Face by Er: YAG Laser | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Article 15, Volume 43, Issue 1, January 2019, Page 85-92 PDF (19.83 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2019.65161 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Abdel Rahman Asfour* 1; Hisham Shokair2; Tarek El Wakeel3; Fouad Gharib4; Mahmoud El Bassiouny3 | ||||
| 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. | ||||
| Keywords | ||||
| Lasers – Burn scar – Er: YAG: Ablative – Fractional; modes | ||||
| References | ||||
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