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Hypertrophic bake scars aftermath cogent morbidity, including itching, pain, stiffness, and contracture. Best practices for administration abide to evolve. Lasers accept afresh been added to ysis algorithms, but break and ability accept not been absolutely defined. We advised the appulse of laser therapies on hypertrophic bake scars.
We conducted a prospective, before-after abstraction in bake patients with hypertrophic scars. Procedures were performed added than 6 months afterwards bake asion and were again monthly. The pulsed-dye laser was acclimated for pruritus and erythema, admitting the apportioned CO2 laser was acclimated for acerbity and aberrant texture. All procedures were performed in the OR, with anesthesia. Outcomes are as follows: (1) Vancouver Scar Scale (objective changes in pigmentation, erythema, pliability, height; range, 0–15) and (2) UNC Scar Scale (subjective changes in pain, itching, tingling, stiffness; range, 0–12). Before-after array were compared by Student t test, with acceptation igned to P ethics of <0.05.
During 2011, we advised 147 patients (mean age, 26.9 years; beggarly TBSA, 16.1%) over 415 sessions (2.8 sessions/patient), including pulsed dye laser (n = 327) and CO2 (n = 139), beggarly apparent breadth of 83 cm2. Etiology included blaze (75), bake (37), and added (35). Treatments occurred 16 months (median) and 48 months (mean) afterwards bake injury. Vancouver Scar Scale decreased from 10.4 (SD, 2.4) to 5.2 (1.9) (P < 0.0001). UNC Scar Scale decreased from 5.4 (2.5) to 2.1 (1.7) (P < 0.0001). Beggarly breadth of aftereffect was 4.7 months.
Laser therapies decidedly advance both the signs and affection of hypertrophic bake scars, as abstinent by cold and abstract instruments.
From the *Division of Plastic Surgery and †NC Jaycee Bake Center, University of North Carolina Health Care System, Chapel Hill, NC.
Received November 7, 2012, and accustomed for publication, afterwards revision, November 18, 2012.
Presented at the 55th Annual Scientific Meeting, of the Southeastern Society of Plastic and Reconstructive Surgeons, June 2–6, 2012, Amelia Island, FL.
Conflicts of absorption and sources of funding: Supported in allotment by the Ethel and James Valone Plastic Surgery Research Endowment, University of North Carolina.
Reprints: Charles Scott Hultman, MD, MBA, FACS, Division of Plastic Surgery; Suite 7038, Burnett Womack, CB#7195, University of North Carolina at Chapel Hill, Chapel Hill, NC 27516-7195. E-mail: email@example.com.