지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 575 - 581 (7page)
이용수
초록· 키워드
오류제보하기
Background Open thyroidectomy is conventionally performed at the anterior side of neck, which is a body part with a comparatively great degree of open exposure; due to this, postoperative scarring may cause distress in patients. We aimed to compare the effects of ablative and nonablative fractional laser treatments on thyroidectomy scars. We examined medical records in a retrospective manner and analyzed scars based on their digital images by using the modified Manchester Scar Scale (mMSS). Methods Between February 2012 and May 2013, 55 patients with thyroidectomy scars were treated with ablative (34 patients) or nonablative (21 patients) fractional laser. Each patient underwent 4 laser treatment sessions in 3-4 week intervals, 1-2 months postoperatively. Scar improvement was assessed using patient images and the mMSS scale. Results The mean decrease in scar score was 3.91 and 3.47 in the ablative and nonablative groups, respectively; the reduction between 2 groups did not exhibit any significant difference (P=0.16). We used the scale once again to individually evaluate scar attributes. The nonablative group accounted for a considerably higher color score value (P=0.03); the ablative group accounted for a considerably higher contour score value (P<0.01). Patient satisfaction was high and no complications occurred. Conclusions Both types of fractional laser treatments can be used successfully for thyroidectomy scar treatment with minimal complications; however, results indicate that higher effectiveness may be obtained from the use of ablative and nonablative lasers for hypertrophic scars and early erythematous scars, respectively. Therefore, the appropriate laser for scar treatment should be selected according to its specific characteristics.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Conologue TD / 2006 / Treatment of surgical scars with the cryogen-cooled 595 nm pulsed dye laser starting on the day of suture removal / Dermatol Surg 32:13~20
Manstein D / 2004 / Fractional photothermolysis: a new concept for cutaneous remodeling using microscopic patterns of thermal injury / Lasers Surg Med 34:426~438
Geronemus RG / 2006 / Fractional photothermolysis: current and future applications. / Lasers Surg Med 38:169~176
Laubach HJ / 2006 / Skin responses to fractional photothermolysis / Lasers Surg Med 38:142~149
Fisher GJ / 2008 / Looking older: fibroblast collapse and therapeutic implications / Arch Dermatol 144:666~672
Manstein D / 2004 / Fractional photothermolysis: a new concept for cutaneous remodeling using microscopic patterns of thermal injury / Lasers Surg Med 34:426~438
Geronemus RG / 2006 / Fractional photothermolysis: current and future applications. / Lasers Surg Med 38:169~176
Laubach HJ / 2006 / Skin responses to fractional photothermolysis / Lasers Surg Med 38:142~149
Fisher GJ / 2008 / Looking older: fibroblast collapse and therapeutic implications / Arch Dermatol 144:666~672
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