Shine on: Review of Laser- and Light-Based Therapies for the Treatment of Burn Scars
Restoration of form and function after burn injury remains challenging, but emerging laser and pulsed light technologies now offer hope for patients with hypertrophic scars, which may be associated with persistent hyperemia, chronic folliculitis, intense pruritis, and neuropathic pain. In addition t...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Dermatology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2012/243651 |
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| _version_ | 1832567675928182784 |
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| author | C. Scott Hultman Renee E. Edkins Clara N. Lee Catherine T. Calvert Bruce A. Cairns |
| author_facet | C. Scott Hultman Renee E. Edkins Clara N. Lee Catherine T. Calvert Bruce A. Cairns |
| author_sort | C. Scott Hultman |
| collection | DOAJ |
| description | Restoration of form and function after burn injury remains challenging, but emerging laser and pulsed light technologies now offer hope for patients with hypertrophic scars, which may be associated with persistent hyperemia, chronic folliculitis, intense pruritis, and neuropathic pain. In addition to impairing body image, these scars may limit functional recovery, compromise activities of daily living, and prevent return to work. Three different platforms are now poised to alter our reconstructive algorithm: (1) vascular-specific pulsed dye laser (PDL) to reduce hyperemia, (2) ablative fractional CO2 laser to improve texture and pliability of the burn scar, and (3) intense pulsed light (IPL) to correct burn scar dyschromia and alleviate chronic folliculitis. In this paper, we will provide an overview of our work in this area, which includes a systematic review, a retrospective analysis of our preliminary experience, and interim data from our on-going, prospective, before-after cohort trial. We will demonstrate that laser- and light-based therapies can be combined with each other safely to yield superior results, often at lower cost, by reducing the need for reconstructive surgery. Modulating the burn scar, through minimally invasive modalities, may replace conventional methods of burn scar excision and yield outcomes not previously possible or conceivable. |
| format | Article |
| id | doaj-art-ad754991214741829727a4385811c7fe |
| institution | Kabale University |
| issn | 1687-6105 1687-6113 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Dermatology Research and Practice |
| spelling | doaj-art-ad754991214741829727a4385811c7fe2025-02-03T01:00:49ZengWileyDermatology Research and Practice1687-61051687-61132012-01-01201210.1155/2012/243651243651Shine on: Review of Laser- and Light-Based Therapies for the Treatment of Burn ScarsC. Scott Hultman0Renee E. Edkins1Clara N. Lee2Catherine T. Calvert3Bruce A. Cairns4Division of Plastic Surgery, University of North Carolina School of Medicine, Chapel Hill, NC 27599-7195, USADivision of Plastic Surgery, University of North Carolina School of Medicine, Chapel Hill, NC 27599-7195, USADivision of Plastic Surgery, University of North Carolina School of Medicine, Chapel Hill, NC 27599-7195, USAThe NC Jaycee Burn Center, University of North Carolina, Chapel Hill, NC 27599-7195, USAThe NC Jaycee Burn Center, University of North Carolina, Chapel Hill, NC 27599-7195, USARestoration of form and function after burn injury remains challenging, but emerging laser and pulsed light technologies now offer hope for patients with hypertrophic scars, which may be associated with persistent hyperemia, chronic folliculitis, intense pruritis, and neuropathic pain. In addition to impairing body image, these scars may limit functional recovery, compromise activities of daily living, and prevent return to work. Three different platforms are now poised to alter our reconstructive algorithm: (1) vascular-specific pulsed dye laser (PDL) to reduce hyperemia, (2) ablative fractional CO2 laser to improve texture and pliability of the burn scar, and (3) intense pulsed light (IPL) to correct burn scar dyschromia and alleviate chronic folliculitis. In this paper, we will provide an overview of our work in this area, which includes a systematic review, a retrospective analysis of our preliminary experience, and interim data from our on-going, prospective, before-after cohort trial. We will demonstrate that laser- and light-based therapies can be combined with each other safely to yield superior results, often at lower cost, by reducing the need for reconstructive surgery. Modulating the burn scar, through minimally invasive modalities, may replace conventional methods of burn scar excision and yield outcomes not previously possible or conceivable.http://dx.doi.org/10.1155/2012/243651 |
| spellingShingle | C. Scott Hultman Renee E. Edkins Clara N. Lee Catherine T. Calvert Bruce A. Cairns Shine on: Review of Laser- and Light-Based Therapies for the Treatment of Burn Scars Dermatology Research and Practice |
| title | Shine on: Review of Laser- and Light-Based Therapies for the Treatment of Burn Scars |
| title_full | Shine on: Review of Laser- and Light-Based Therapies for the Treatment of Burn Scars |
| title_fullStr | Shine on: Review of Laser- and Light-Based Therapies for the Treatment of Burn Scars |
| title_full_unstemmed | Shine on: Review of Laser- and Light-Based Therapies for the Treatment of Burn Scars |
| title_short | Shine on: Review of Laser- and Light-Based Therapies for the Treatment of Burn Scars |
| title_sort | shine on review of laser and light based therapies for the treatment of burn scars |
| url | http://dx.doi.org/10.1155/2012/243651 |
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