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Non-ablative fractional resurfacing in the treatment of scar contracture.

Identifieur interne : 000013 ( PubMed/Checkpoint ); précédent : 000012; suivant : 000014

Non-ablative fractional resurfacing in the treatment of scar contracture.

Auteurs : Robert Finney ; Richard Torbeck ; Nazanin Saedi

Source :

RBID : pubmed:26251257

Abstract

A 28-year-old female presented with extensive scarring after a traumatic injury to her right lower extremity. She had been hit by a vehicle one year prior to presentation and had several open fractures with extensive overlying cutaneous damage, which required multiple surgeries and skin grafts. She had limited range of motion of the affected limb secondary to scar contracture.

DOI: 10.1002/lsm.22400
PubMed: 26251257


Affiliations:


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pubmed:26251257

Le document en format XML

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<name sortKey="Finney, Robert" sort="Finney, Robert" uniqKey="Finney R" first="Robert" last="Finney">Robert Finney</name>
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<nlm:affiliation>Department of Dermatology and Cutaneous Biology, Thomas Jefferson University, 833 Chestnut St., Ste. 740, Philadelphia, Pennsylvania, 19107.</nlm:affiliation>
<wicri:noCountry code="subField">19107</wicri:noCountry>
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<name sortKey="Torbeck, Richard" sort="Torbeck, Richard" uniqKey="Torbeck R" first="Richard" last="Torbeck">Richard Torbeck</name>
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<nlm:affiliation>Department of Dermatology and Cutaneous Biology, Thomas Jefferson University, 833 Chestnut St., Ste. 740, Philadelphia, Pennsylvania, 19107.</nlm:affiliation>
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<name sortKey="Saedi, Nazanin" sort="Saedi, Nazanin" uniqKey="Saedi N" first="Nazanin" last="Saedi">Nazanin Saedi</name>
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<nlm:affiliation>Department of Dermatology and Cutaneous Biology, Thomas Jefferson University, 833 Chestnut St., Ste. 740, Philadelphia, Pennsylvania, 19107.</nlm:affiliation>
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<div type="abstract" xml:lang="en">A 28-year-old female presented with extensive scarring after a traumatic injury to her right lower extremity. She had been hit by a vehicle one year prior to presentation and had several open fractures with extensive overlying cutaneous damage, which required multiple surgeries and skin grafts. She had limited range of motion of the affected limb secondary to scar contracture.</div>
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<Month>02</Month>
<Day>29</Day>
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<ISSN IssnType="Electronic">1096-9101</ISSN>
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<Volume>48</Volume>
<Issue>2</Issue>
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<Year>2016</Year>
<Month>Feb</Month>
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<Title>Lasers in surgery and medicine</Title>
<ISOAbbreviation>Lasers Surg Med</ISOAbbreviation>
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<ArticleTitle>Non-ablative fractional resurfacing in the treatment of scar contracture.</ArticleTitle>
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<AbstractText Label="BACKGROUND AND OBJECTIVES" NlmCategory="OBJECTIVE">A 28-year-old female presented with extensive scarring after a traumatic injury to her right lower extremity. She had been hit by a vehicle one year prior to presentation and had several open fractures with extensive overlying cutaneous damage, which required multiple surgeries and skin grafts. She had limited range of motion of the affected limb secondary to scar contracture.</AbstractText>
<AbstractText Label="STUDY DESIGN/MATERIALS AND METHODS" NlmCategory="METHODS">The patient received 6 treatments with a non-ablative fractional resurfacing (NAFR) device with two wavelengths (Fraxel DUAL, Solta Medical, Hayward, CA) spaced 4-8 weeks apart. The patient received two treatments with the 1927 nm NAFR thulium laser (10 mJ, 30% density, 8 passes) and two treatments with the 1550 nm NAFR laser (40 mJ, 17-26% density, 8 passes). Before and after treatment photographs were taken, as well as range of motion measurements with respect to her right ankle.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The patient had 50-75% improvement in the texture and discoloration. There was both subjective and objective improvement in the range of motion of her right lower extremity. The patient experienced mild erythema and edema, both of which resolved after 7-10 days.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Recent studies have shown great functional improvement in scar contractures with ablative fractional laser treatments; however, these treatments are accompanied by significant downtime along with risk of further scarring and infection. NAFR is an accessible treatment with a low side effect profile and to our knowledge has not been reported as efficacious in the treatment of scar contracture. This case report is novel in its demonstration of the utility of a dual wavelength NAFR in the treatment of scar contracture and functional impairment. Lasers Surg. Med. 48:170-173, 2016. © 2015 Wiley Periodicals, Inc.</AbstractText>
<CopyrightInformation>© 2015 Wiley Periodicals, Inc.</CopyrightInformation>
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<Keyword MajorTopicYN="N">NAFR</Keyword>
<Keyword MajorTopicYN="N">functional impairment</Keyword>
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