Treatment of Hypertrophic Burn and Traumatic Scars With a 2,940-nm Fractional Ablative Erbium-doped Yttrium Aluminium Garnet Laser: A Pilot Study.

Abstract

BACKGROUND:

In recent years, fractional ablative lasers at low density have proven to be the centerpiece in a multimodality approach to treating hypertrophic burn scars.

OBJECTIVE:

To determine the safety and efficacy of fractional ablative erbium-doped yttrium aluminium garnet (Er:YAG) laser in the treatment of hypertrophic burn scars.

METHODS:

Eleven patients received 3 fractional ablative Er:YAG laser to hypertrophic burn scars at 400 to 800 μm, density 11%, no coagulation, and single pass at 4-week intervals.

RESULTS:

Overall, average improvement was noted to be 2.27 of 3 as determined by blinded observers. A significant improvement was noted in all measured parameters including dyschromia, atrophy hypertrophy, vascularity, and texture.

CONCLUSION:

This is a pilot study showing the safety and efficacy of fractional ablative Er:YAG laser treatment is a safe and effective treatment modality in the treatment of hypertrophic scars.

• Authors: Adam J Wulkan, Ashley Rudnick, Evangelos Badiavas, Jill S Waibel
• Journal: Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] (Dermatol Surg) Vol. 46 Issue 6 Pg. 789-793 (06 2020) ISSN: 1524-4725 [Electronic] United States
• PMID: 31876571 (Publication Type: Journal Article)

Topics

• Adolescent
• Adult
• Aged
• Burns (complications, surgery)
• Cicatrix, Hypertrophic (diagnosis, etiology, surgery)
• Female
• Humans
• Laser Therapy (adverse effects, instrumentation, methods)
• Lasers, Solid-State (therapeutic use)
• Male
• Middle Aged
• Patient Satisfaction
• Pilot Projects
• Prospective Studies
• Treatment Outcome
• Young Adult