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Comparison of the Effectiveness of Nonablative Fractional Laser versus Pulsed-Dye Laser in Thyroidectomy Scar Prevention
Annals of Dermatology ; : 615-620, 2014.
Artigo em Inglês | WPRIM | ID: wpr-226131
ABSTRACT

BACKGROUND:

The anterior neck is the site of open thyroidectomy and where postoperative scarring can cause distress to patients. Both fractional and pulsed-dye lasers are effective and safe methods for preventing and improving surgical scars.

OBJECTIVE:

This study evaluated the improvement in scar appearance with laser intervention during the wound healing process. We evaluated the effect of nonablative fractional and pulsed-dye lasers on fresh thyroidectomy scars.

METHODS:

Patients were treated 3 times at 4-week interval with a follow-up visit at the 6th month. Scars were divided into 2 halves for each optional treatment. At every visit, a questionnaire evaluating the scar and patient satisfaction was completed.

RESULTS:

Thirty patients completed the 6-month process. The mean Vancouver Scar Scale scores improved significantly from 8.0 to 4.6 and 8.2 to 4.7 with nonablative fractional and pulsed-dye lasers, respectively (p<0.001). However, there was no significant difference between the 2 methods (p=0.840).

CONCLUSION:

There remains no consensus on the optimal treatment of scars. The present study indicates nonablative fractional and pulsed-dye lasers significantly improve scars. Nonablative fractional lasers are non-inferior to pulsed-dye lasers. Further studies are required to corroborate this finding.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Tireoidectomia / Cicatrização / Inquéritos e Questionários / Seguimentos / Cicatriz / Satisfação do Paciente / Consenso / Terapia a Laser / Pescoço Tipo de estudo: Guia de Prática Clínica / Estudo observacional / Estudo prognóstico Limite: Humanos Idioma: Inglês Revista: Annals of Dermatology Ano de publicação: 2014 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Tireoidectomia / Cicatrização / Inquéritos e Questionários / Seguimentos / Cicatriz / Satisfação do Paciente / Consenso / Terapia a Laser / Pescoço Tipo de estudo: Guia de Prática Clínica / Estudo observacional / Estudo prognóstico Limite: Humanos Idioma: Inglês Revista: Annals of Dermatology Ano de publicação: 2014 Tipo de documento: Artigo