Document Detail


Treatment of burn scar depigmentation by carbon dioxide laser-assisted dermabrasion and thin skin grafting.
MedLine Citation:
PMID:  10839394     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Permanent depigmentation occasionally develops after deep partial-thickness and full-thickness burn injuries, which heal by secondary intention. This problem can be solved by dermabrasion and thin split-thickness skin grafting. However, mechanical dermabrasion is a bloody procedure that risks exposing medical professionals to infectious diseases transmitted by blood products, and it is difficult to assess the extent of tissue ablation. In this study, dermabrasion of depigmented burn scar area was performed by using flash-scanned carbon dioxide laser treatment, followed by thin split-thickness skin grafting. This method was applied to 13 patients on whom burn scar depigmentation sites were located as follows: two in the facial area, four on the trunk, and seven on the extremities. Skin graft take was excellent in all patients except for one. The follow-up period for these patients ranged from 1 to 12 months, with an average of 8 months. Repigmentation appeared soon after grafting, and no depigmentation occurred again in the treated areas. In conclusion, depigmented burn scar areas can be dermabraded in a short time; depth of tissue ablation can be well controlled; and a bloodless and smooth raw surface can be created by using a flash-scanned carbon dioxide laser. These raw surfaces sustain thin skin grafts well.
Authors:
C Açikel; E Ulkür; M M Güler
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  105     ISSN:  0032-1052     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  2000 May 
Date Detail:
Created Date:  2000-06-15     Completed Date:  2000-06-15     Revised Date:  2011-02-16    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1973-8     Citation Subset:  AIM; IM    
Affiliation:
Gülhane Military Medical Academy and Medical Faculty, Haydarpaba Training Hospital, Department of Plastic and Reconstructive Surgery, Istanbul, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Adult
Burns / complications*
Cicatrix / etiology,  pathology,  surgery*
Dermabrasion* / methods
Humans
Hypopigmentation / etiology,  pathology,  surgery*
Laser Therapy* / methods
Male
Skin Transplantation* / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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