Laser Therapy for Pediatric Burn Scars: Focusing on a Combined Treatment Approach
|
|
- Derrick Bailey
- 6 years ago
- Views:
Transcription
1 ORIGINAL ARTICLE Laser Therapy for Pediatric Burn Scars: Focusing on a Combined Treatment Approach Jennifer Zuccaro,* MSc, Inga Muser, BSc,* Manni Singh, BSc,* Janelle Yu, BSc,* Charis Kelly, RN (EC), MN, NP,* Joel Fish, MD, MSc, FRCSC* Treatment with laser therapy has the potential to greatly improve hypertrophic scarring in individuals who have sustained burn injuries. More specifically, recent research has demonstrated the success of using pulsed dye laser therapy to help reduce redness and postburn pruritus and using ablative fractional CO 2 laser therapy to improve scar texture and thickness. This study describes our early experience using laser therapy in our pediatric burn program and details our specific treatment approach when using each laser individually and in combination during the same procedure. A retrospective before after study of patients with hypertrophic burn scars who were treated with laser therapy at our pediatric institution was performed. One hundred and twenty-five patients were treated over a total of 289 laser sessions with more than 50% of patients under the age of 5 years at the first treatment. The majority of procedures were performed using both the pulsed dye and CO 2 lasers in combination. Before after Vancouver Scar Scale scores decreased from 7.37 (SD, 2.46) to 5.76 (SD, 2.29) after a single treatment. The results obtained from this study support the use of laser therapy to improve hypertrophic burn scars in the pediatric population. Rigorous randomized controlled trials are needed to confirm the effectiveness of this therapy. (J Burn Care Res 2018;39: ) BACKGROUND Laser therapy is a new form of scar treatment that can improve the physical symptoms that are associated with hypertrophic scarring. 1 At present, there are many different medical lasers available; however, two lasers, in particular, are often used to treat hypertrophic scars. Namely, the pulsed dye laser (PDL) can be used to reduce scar redness and pruritus, while the ablative fractional CO 2 laser (AFCL) can improve the overall texture and thickness of the scar. 1 3 An important advantage of using laser therapy to treat hypertrophic scars is that both PDL and AFCL can be safely combined at the same procedure to sequentially treat From the *Department of Plastic and Reconstructive Surgery, Hospital for Sick Children and Institute of Medical Science, University of Toronto, Toronto, Ontario, Canada. Conflict of interest statement. None declared. Address correspondence to Jennifer Zuccaro, MSc, Department of Plastic and Reconstructive Surgery, Hospital for Sick Children, 555 University Avenue, Suite 5420 Toronto, Ontario M5G 1X8, Canada. jennifer.zuccaro@sickids.ca American Burn Association All rights reserved. For permissions, please journals.permissions@oup.com X/2017 doi: /jbcr/irx008 different symptoms. 1 Unlike conservative treatments such as pressure garments or silicone applications that slowly improve the scar over time, laser therapy has the potential to produce significant improvements in as little as one session. 2 Moreover, scar-related outcomes following treatment with laser therapy can be formally evaluated using a range of subjective and objective scar assessment tools. 4 Laser therapy was first introduced in our pediatric burn program for the treatment of hypertrophic burn scars in Since its introduction, we have treated over 100 patients. This study describes our early experience using laser therapy for children with hypertrophic burn scars and details our specific treatment approach when using each laser individually (PDL or AFCL) and, more commonly, in combination (PDL and AFCL). METHOD Study Characteristics This study was performed at a single pediatric institution in North America. Our institution has the largest pediatric burn program in Canada and was verified by the American Burn Association in 2013 as 457
2 458 Zuccaro et al May/June 2018 a pediatric burn center. In addition, we are the only Canadian pediatric hospital to offer laser therapy as a treatment option for hypertrophic burn scars. Institutional Research Ethics Board approval was obtained before commencing this study. A retrospective before after review was then performed for all patients who received laser therapy for their burn scars from January 2014 to May Although some patients may have received acute burn care at other institutions, all laser therapy procedures and subsequent follow-up visits were performed in our burn program. Included in this study were patients who had received at least one session of laser therapy to treat a hypertrophic scar resulting from a burn injury during the study period. Cases in which laser therapy was used to treat scars resulting from other etiologies (ie, trauma, surgery) were excluded. During the study period, 125 patients were treated over a total of 289 laser procedures. Data Collection Relevant demographic data (age, sex, and Fitzpatrick skin type), burn details (etiology and total body surface area), before after Vancouver Scar Scale (VSS) scores and before after Toronto Pediatric Itch Scale (TPIS) scores were collected. The VSS is a widely used burn scar assessment tool, 5 while the TPIS is a validated postburn pruritus scale for use in children aged less than 5 years. 6 Information regarding the type(s) of laser used (including specific settings) and timing between procedures was also collected. IBM SPSS v23.0 was used to analyze the data. Descriptive statistics were used to summarize the data, and t tests were used to compare before after TPIS scores and VSS scores. In addition, several subgroup analyses modeled after a study by Hultman et al were also performed to learn more about timing of therapy, age at treatment, and type of laser used. 2 P <.05 indicated statistical significance. Treatment Approach At our institution, the decision to offer laser therapy is made by medically trained members of the burn team (surgeon, nurse practitioner, physiotherapist, and occupational therapist). The majority of patients who have been diagnosed with a hypertrophic burn scar are eligible to receive laser therapy and are only excluded if 1) they have a concomitant skin condition that could be exacerbated by the laser (chronic skin condition and/or history of severe keloid scarring), 2) they cannot tolerate the sedation used to perform procedures, or 3) it is deemed unnecessary by the patient/caregiver or clinician (ie, minimally symptomatic scar in nonfunctional area). The number of laser sessions recommended to each patient is dependent on several factors including symptom severity, functional impact, scar size (more sessions are needed to treat larger scars), response to initial treatment, and patient/caregiver opinion. Every laser therapy procedure is performed by a single burn surgeon and nurse practitioner in an operating room or in a procedural sedation room under intravenous sedation to minimize pain. The findings from a quality improvement project to assess the anesthetic practices used to carry out laser procedures in our burn program have been previously published. 7 The lasers used in our practice include a 595-nm Pulsed Dye Laser (Syneron Candela VBeam Perfecta, Wayland, MA) and an 10,600 nm ablative fractional CO 2 laser (Syneron Candela CO 2 RE, Wayland, MA). As noted, PDL is typically used to help reduce erythema and pruritus, while AFCL is used to improve scar texture and thickness. 1 3 The type(s) of laser used in each procedure and the corresponding laser settings are primarily dependent on the characteristics of the scar. For example, for scars that are very firm and thick (>5 mm in height), AFCL settings are adjusted for deep ablation and two to three pulses of the laser are stacked directly on top of one another (referred to as stacking or double/triple pulsing ). Each patient s Fitzpatrick skin type is also used to inform laser settings before treatment. To prevent complications such as blistering or dyspigmentation when treating darker skin, the PDL settings for fluence are lowered because of increased energy absorption by melanin. 8 In our burn program, each laser is used individually (PDL or AFCL) or in combination during the same procedure (PDL and AFCL). A combined approach is typically used in cases where patients have symptoms that would benefit from the use of both lasers (ie, scars that have erythema and/or pruritus and/or abnormal texture and/or increased height). During procedures in which both lasers are used, PDL is always used first, followed by AFCL. Typically, each site is treated with a single pass of each laser unless the scar is very thick in which case the aforementioned AFCL stacking method may be used. Topical lidocaine ointment (5%) is applied to the scarred area for all patients following each laser treatment, while topical triamcinolone (40 mg/ ml) is only applied to patients who are treated with AFCL. The justification and approach for applying topical triamcinolone to scars treated with AFCL has been previously outlined by Waibel et al. 9 Following each laser treatment, petroleum jelly-impregnated gauze is applied to the treated area and covered with a dry dressing and secured with tape. The dressing
3 Volume 39, Number 3 Zuccaro et al 459 is removed after 24 to 48 hours, and the treatment area is cleaned with soapy water and covered with a new moist dressing once a day for 3 to 5 days. After this time, the treatment area can continue to heal without a dressing. Patients are not given prescription pain medication or antibiotics following the procedure but are advised to use acetaminophen or ibuprofen if mild discomfort occurs. RESULTS One hundred and twenty-five patients received laser therapy for the treatment of hypertrophic burn scars during the study period. The mean age at treatment was 6.62 years (SD, 5.36), and the mean TBSA of the burn was 13.1% (SD, 12.2). Specific patient demographic information is included in Table 1. Two hundred and eighty-nine laser sessions were performed, with the majority of patients receiving two to three treatments (62%). The mean interval between the injury and first laser was 31.9 months (range: months). The mean interval between the first two laser therapy treatments was 4.8 months (range: 1 20 months). All patients were treated with either PDL (n = 7), AFCL (n = 117), or both PDL and AFCL (n = 165). The mean fluence used for PDL was 6.45 J/cm 2 (SD, 1.10; range: 5 9 J/ cm 2 ), and the mean core energy setting for AFCL was mj (SD, 1.88; range: mj). The two most commonly used settings for AFCL were fusion and deep modes. In total, 51 patients with 71 scarred areas had completed before after VSS scores for at least one procedure. As shown in Table 2, before after total VSS scores decreased from 7.37 (SD, 2.46) to 5.76 (SD, 2.29) after a single treatment (P <.005). In addition, each individual aspect of the VSS (pigmentation, vascularity, pliability, and height) also significantly decreased between each session (P <.05). Several subgroup analyses modeled after the study by Hultman et al were also performed including early vs late treatment timing (<12 months from injury vs >12 months from injury) and younger vs older at first laser session (<5 years of age vs >5 years of age). 2 The results of these analyses are shown in Tables 3 and 4. In the early vs late treatment group analysis, significant differences in scores for overall VSS scores were observed before each laser session (P <.05), while in the younger vs older analysis, there were no significant differences in overall VSS scores (P >.05). Lastly, before after TPIS scores (range: 0 4) for patients aged 5 years or younger are shown in Table 5. Table 1. Patient demographics DISCUSSION n % Gender Male Female Age Fitzpatrick skin type I. White or very pale skin II. Pale white with beige tinted skin III. Beige to light brown (olive) skin IV. Light to moderate brown skin V. Medium to dark brown skin VI. Dark brown to black skin Missing Etiology Scald Fire/flame Contact Chemical Friction Total body surface area (%) > Missing Survival following a burn injury has been greatly increased because of advances in burn care. Despite improvements in acute care, however, many patients may still develop hypertrophic scars that have permanent functional and social implications. 4,10 Hypertrophic scarring occurs when the normal healing process is disrupted causing increased inflammation, issues with wound repair, and excess collagen accumulation. 11 As a result, hypertrophic scars are typically characterized by their red appearance, rigid and raised texture, and clinical symptoms such as pruritus and pain. 10,11 Conservative treatment for hypertrophic scars is compromised of a range of therapies that may include any of the following: range of motion exercises, massage, pressure garments, steroid injections, and silicone applications; however, the effectiveness of these therapies is often variable as patients may respond differently to each treatment and compliance is difficult to measure. 12,13 Thus, burn care specialists
4 460 Zuccaro et al May/June 2018 Table 2. Before after Vancouver Scar Scale scores VSS Component, n = 71 Pigmentation Vascularity Pliability Height Total VSS Before 1.56, SD , SD , SD , SD , SD 2.46 Before 1.32, SD 1.0 across North America have begun to investigate more novel scar therapies. Laser therapy is a new form of scar treatment that can specifically target the symptoms associated with hypertrophic burn scars. More specifically, PDL and AFCL have emerged as beneficial modalities for treating hypertrophic scars. 1 PDL can reduce scar redness by selective photothermolysis of blood vessels thereby reducing hypervascularity. 14,15 In addition, PDL may also be used to help reduce pruritus. 1,16 Although the mechanism through which PDL reduces pruritus remains unknown, Allison et al have suggested that it may be the result of a change in scar regulatory chemicals. 16 Alternatively, AFCL can be used to help correct the texture and thickness of scars and may also help restore function in the scarred area. 1,2,17,18 AFCL has the capacity to vaporize sections of scar tissue thereby stimulating collagen remodeling and improved wound healing. 1,17 In this study, we demonstrate that PDL and AFCL can be used to improve hypertrophic burn scars in a pediatric population. In particular, significant improvements in mean overall VSS score and its individual components (pigmentation, vascularity, pliability, and height) were observed. These results align well with conclusions made by similar P < , SD 0.68 < , SD 0.91 < , SD 0.83 < , SD 2.29 <.005 Table 3. Before after Vancouver Scar Scale scores in early vs late treatment groups n = 70 Total VSS <12 mo post injury (n = 36) 8.63, SD , SD 2.34 >12 mo post injury (n = 34) 6.11, SD , SD 2.0 P <.05 <.05 Table 4. Before after Vancouver Scar Scale scores in young vs old treatment groups n = 71 Total VSS <5 y at first laser (n = 39) 7.62, SD , SD 2.29 >5 y at first laser (n = 32) 7.06, SD , SD 2.30 P NS NS Table 5. Before after Toronto Pediatric Itch Scale scores TPIS score n = (SD 0.70) 0.35 (SD 0.74) <.005 studies investigating the use of laser therapy for burn scars. 2,18,19 Moreover, the results of the subgroup analyses show that both young children and older children can benefit from laser treatment. In addition to improving VSS scores, treatment with laser therapy was also found to improve overall TPIS scores in a subset of patients in our study. Given that the TPIS can only be used for children under the age of 5 years, we were unable to evaluate the effect of laser therapy on pruritus in older patients. To improve our understanding regarding the use of laser therapy to treat postburn pruritus in older children, we plan to integrate the validated Itch Man scale into our standard practice. 20,21 One of the unique aspects of this review is that the majority of laser procedures were performed using both PDL and AFCL at the same session as opposed to using each laser individually. It is worth noting that this is one of the few studies that addresses how both PDL and AFCL can be safely combined at the same procedure. 1,22 Moreover, it is the first review to our knowledge to detail how this combined technique can be used to treat pediatric patients. Using both lasers at the same procedure is advantageous for numerous reasons. First, using a combined approach reduces the overall number of treatments required per patient as it allows the clinician to treat the different symptoms that are targeted by each individual laser in one session as opposed to two. Given that intravenous sedation is used in all laser procedures performed in our burn program, undergoing fewer laser sessions is highly beneficial to the patient and their family. Combining both lasers at the same session decreases the number of times a patient must receive sedation and also P
5 Volume 39, Number 3 Zuccaro et al 461 decreases the number of times a family must make arrangements to visit the hospital for procedures. In addition, using a combined approach to treat hypertrophic burn scars is practical and does not cause the clinician operating the laser undue burden. Instead, it allows the clinician to use the additional procedure time gained from combining treatments to treat a greater number of patients. Lastly, combining PDL and AFCL is a safe practice. This finding is supported by an expert panel in burn care who recommend that PDL and AFCL may be safely used in alternating or combined procedures. 1 Although patient safety was not formally studied in this review, we did not observe any major adverse events during the study period. The complications that were observed were minor and included several cases of folliculitis, one case of blistering, and one machine malfunction. Despite the success of this study, there are several important limitations that must be considered. First, given that individuals who assessed the scar at each laser session were the same clinicians who performed the procedures (burn surgeon and nurse practitioner), the potential for rater bias must be considered. Although the raters were blinded to the VSS scores they assigned at previous laser sessions, it is possible that they could have been biased toward favoring laser therapy given its recent introduction in our burn program. To remedy this issue, future studies must use blinded raters who are independent of the study team. Another limitation to consider is that although the VSS is a widely used scar scale, it does not provide any information regarding 1) how the patient perceives their scar and 2) objective changes in scar symptoms following laser treatment. Furthermore, Blome-Eberwein et al have also suggested that the VSS may not sensitive enough to detect minor changes in scarring. 4 Integrating patient-reported outcome tools such as the Patient and Observer Scar Assessment Scale as well as objective scar assessment tools such as ultrasound to measure scar thickness will provide a more comprehensive assessment of the scar than the VSS alone. 4,23 25 A final limitation to consider is that because this was a retrospective review, some of the records included in the analysis were incomplete or had missing data. In addition, the follow-up period was not standardized and therefore differed for each patient. It is well known that most scars will naturally improve over time; thus, without a standardized end point, it is impossible to disentangle the effect that time and the laser treatment itself have on improving scar symptoms. Implementing a follow-up visit at least 1 year after laser treatment has been stopped will provide us with a standardized end point for assessment and help minimize confounding. That being said, deciding how many sessions of laser therapy to offer or when to discontinue laser treatment also remains challenging. First, it can be difficult for a clinician to predict whether or not an additional session of laser therapy will continue to produce a positive result. Second, defining what it means to have a positive result following treatment with laser therapy is unclear. Aside from evaluating the physical symptoms associated with scarring, the patient s opinion of their scar must also be taken into consideration. For example, if the redness of a scar has significantly improved according to the VSS yet the patient still feels self-conscious about the appearance of their scar, should this be considered a positive result or a lack of response? Future research is still needed to determine laser treatment algorithms that can help clinicians decide when to discontinue laser therapy. Given the limitations, it is clear that a rigorous randomized controlled trial (RCT) must be performed to correctly evaluate the effectiveness of laser therapy for burn scars. The ideal RCT would integrate objective scar assessment measures, such as ultrasound, cutometry, colorimetry, as well as patient-reported measures, such as the Patient and Observer Scar Assessment Scale, to comprehensively assess all scar-related outcomes. A split-scar design in which half the scar is treated with laser therapy, while the other half is treated with standard care (patient = own control) would be optimal. However, recruiting pediatric patients to participate in such a study could be challenging because of the sedation required to carry out each procedure. CONCLUSION The information presented in this study contributes to the growing body of evidence that supports the use of laser therapy for hypertrophic burn scars. Overall, we observed significant improvements in the symptoms associated with hypertrophic scarring among patients treated with laser therapy. In addition, we demonstrated that combining PDL and AFCL at the same procedure can be highly advantageous for both the patient and the treating clinician. Future research should focus on proving the effectiveness of PDL and AFCL for hypertrophic scar treatment by carrying out rigorous, prospective RCTs. If future studies can confirm the effectiveness of laser therapy, burn clinicians may become more likely to invest in laser therapy for their patients, which could ultimately lead to a shift in standard scar treatment practices.
6 462 Zuccaro et al May/June 2018 REFERENCES 1. Anderson RR, Donelan MB, Hivnor C et al. Laser treatment of traumatic scars with an emphasis on ablative fractional laser resurfacing: consensus report. JAMA Dermatol 2014;150: Hultman CS, Friedstat JS, Edkins RE, Cairns BA, Meyer AA. Laser resurfacing and remodeling of hypertrophic burn scars: the results of a large, prospective, beforeafter cohort study, with long-term follow-up. Ann Surg 2014;260: Donelan MB, Parrett BM, Sheridan RL. Pulsed dye laser therapy and z-plasty for facial burn scars: the alternative to excision. Ann Plast Surg 2008;60: Blome-Eberwein S, Gogal C, Weiss MJ, Boorse D, Pagella P. Prospective evaluation of fractional CO 2 laser treatment of mature burn scars. J Burn Care Res 2016;37: Baryza MJ, Baryza GA. The Vancouver scar scale: an administration tool and its interrater reliability. J Burn Care Rehabil 1995;16: Everett T, Parker K, Fish J et al. The construction and implementation of a novel postburn pruritus scale for infants and children aged five years or less: introducing the Toronto Pediatric Itch Scale. J Burn Care Res 2015;36: Wong B, Keilman J, Zuccaro J et al. Anesthetic practices for laser rehabilitation of pediatric burn scars. J Burn Care Res 2016;38:e36 e Shah S, Alster T. Laser treatment of dark skin: an updated review. Am J Clin Dermatol 2011;1: Waibel JS, Wulkan AJ, Shumaker PR. Treatment of hypertrophic scars using laser and laser assisted corticosteroid delivery. Lasers Surg Med 2013;45: Alster TS, Tanzi EL. Hypertrophic scars and keloids: etiology and management. Am J Clin Dermatol 2003;4: Gauglitz GG, Korting HC, Pavicic T, Ruzicka T, Jeschke MG. Hypertrophic scarring and keloids: pathomechanisms and current and emerging treatment strategies. Mol Med 2011;17: Arno AI, Gauglitz GG, Barret JP, Jeschke MG. Up-to-date approach to manage keloids and hypertrophic scars: a useful guide. Burns 2014;40: Richard R, Baryza MJ, Carr JA et al. Burn rehabilitation and research: proceedings of a consensus summit. J Burn Care Res 2009;30: Hultman CS, Edkins RE, Lee CN, Calvert CT, Cairns BA. Shine on: review of laser- and light-based therapies for the treatment of burn scars. Dermatol Res Pract 2012;2012: Bailey JK, Burkes SA, Visscher MO et al. Multimodal quantitative analysis of early pulsed-dye laser treatment of scars at a pediatric burn hospital. Dermatol Surg 2012;38: Allison KP, Kiernan MN, Waters RA, Clement RM. Pulsed dye laser treatment of burn scars: alleviation or irritation? Burns 2003;29: Ozog DM, Liu A, Chaffins ML et al. Evaluation of clinical results, histological architecture, and collagen expression following treatment of mature burn scars with a fractional carbon dioxide laser. JAMA Dermatol 2013;149: Khandelwal A, Yelvington M, Tang X, Brown S. Ablative fractional photothermolysis for the treatment of hypertrophic burn scars in adult and pediatric patients: a single surgeon s experience. J Burn Care Res 2014;35: Levi B, Ibrahim A, Mathews K et al. The use of CO 2 fractional photothermolysis for the treatment of burn Scars. J Burn Care Res 2016;37: Blackney P, Marvin J. Itch Man Scale. Galveston, TX: Shriners Hospitals for Children; Morris V, Murphy LM, Rosenberg M, Rosenberg L, Holzer CE 3rd, Meyer WJ 3rd. Itch assessment scale for the pediatric burn survivor. J Burn Care Res 2012;33: Alster TS, Lewis AB, Rosenbach A. Laser scar revision: comparison of CO 2 laser vaporization with and without simultaneous pulsed dye laser treatment. Dermatol Surg 1998;24: Draaijers LJ, Tempelman FR, Botman YA et al. The patient and observer scar assessment scale: a reliable and feasible tool for scar evaluation. Plast Reconstr Surg 2004;113: Cheng W, Saing H, Zhou H, Han Y, Peh W, Tam PK. Ultrasound assessment of scald scars in Asian children receiving pressure garment therapy. J Pediatr Surg 2001;36: Lau JC, Li-Tsang CW, Zheng YP. Application of tissue ultrasound palpation system (TUPS) in objective scar evaluation. Burns 2005;31:
Is Pulse-Dye Laser Therapy an Effective Treatment for Burn Scars?
Philadelphia College of Osteopathic Medicine DigitalCommons@PCOM PCOM Physician Assistant Studies Student Scholarship Student Dissertations, Theses and Papers 2014 Is Pulse-Dye Laser Therapy an Effective
More informationThe Patient and Observer Scar Assessment Scale: A Reliable and Feasible Tool for Scar Evaluation
The Patient and Observer Scar Assessment Scale: A Reliable and Feasible Tool for Scar Evaluation Lieneke J. Draaijers, M.D., Fenike R. H. Tempelman, M.D., Yvonne A. M. Botman, M.D., Wim E. Tuinebreijer,
More informationBACKGROUND. Pathologic Scars
Medical and Rehabilitation Innovations Laser Therapy for Hypertrophic Scars & Keloids in Burns 2016 BACKGROUND Laser therapy has recently emerged as a promising option for treatment of hypertrophic scars
More informationDisclosures. Laser Treatment of Scars. Options for Cutaneous Scarring. Laser Treatment of Erythematous Scars. Laser Scar Revision Scar Type
Fundamentals: Instrumentation, and Skin Type Paul M. Friedman, M.D. Director, Dermatology & Laser Surgery Center Clinical Assistant Professor University of Texas Medical School, Houston, TX Clinical Assistant
More informationQuantitative Assessment of Pulse Dye Laser Therapy in the Management of Hypertrophic Burn Scars
Review Article imedpub Journals http://www.imedpub.com 2015 Quantitative Assessment of Pulse Dye Laser Therapy in the Management of Hypertrophic Burn Scars Abstract Background: Several studies have reported
More informationAblative Fractional Laser Resurfacing: A Promising Adjunct to Surgical Reconstruction
MILITARY MEDICINE, 181, 6:e616, 2016 Ablative Fractional Laser Resurfacing: A Promising Adjunct to Surgical Reconstruction LT David Griffin, MC USN*; LCDR Megan Brelsford, MC USN ; CDR Eamon O Reilly,
More informationAnalysis of Frequency of Use of Different Scar Assessment Scales Based on the Scar Condition and Treatment Method
Analysis of Frequency of Use of Different Scar Assessment Scales Based on the Scar Condition and Treatment Method Seong Hwan Bae, Yong Chan Bae Department of Plastic and Reconstructive, Pusan National
More informationNO MORE NEWS AN EVIDENCE BASED APPROACH ON LASERS IN SKIN OF COLOR PATIENTS DR. EDUARDO WEISS, M.D., FAAD
NO MORE NEWS AN EVIDENCE BASED APPROACH ON LASERS IN SKIN OF COLOR PATIENTS DR. EDUARDO WEISS, M.D., FAAD KEY POINTS Hispanics/Latinos are the fastest growing segment of the skin of color population Use
More informationA Keloid Edge Precut, Preradiotherapy Method in Large Keloid Skin Graft Treatment
A Keloid Edge Precut, Preradiotherapy Method in Large Keloid Skin Graft Treatment WENBO LI, MD, YOUBIN WANG, MD, XIAOJUN WANG, MD, AND ZHIFEI LIU, MD* BACKGROUND Keloids are scars that extend beyond the
More informationSurgical Excision Followed by Low Dose Rate Radiotherapy in the Management of Resistant Keloids
Original Article 81 Surgical Excision Followed by Low Dose Rate Radiotherapy in the Management of Resistant Keloids Ali Akbar Mohammadi 1 *, Mohammad Mohammadian Panah 2, Mohammad Reza Pakyari 1, Raziyeh
More informationScar Management: Academic-Clinician Collaborations in Identifying and Mapping Evidence
Scar Management: Academic-Clinician Collaborations in Identifying and Mapping Evidence Dr Matthew Stephenson Research Fellow, Academic Lead JBI Burns Node Joanna Briggs Institute, University of Adelaide
More informationCurrent Concepts in Burn Rehabilitation
Current Concepts in Burn Rehabilitation 7 th Congress of the Baltic Association of Rehabilitation Tallinn, Estonia September 2010 R. Scott Ward, PT, PhD Professor and Chair Department of Physical Therapy
More informationClinical Summary. treatment and prevention of hypertrophic scars have been well documented in the literature.
Introduction: Introduction: Since the introduction of silicone in the early 1980s, its therapeutic effects on predominantly the i, ii treatment and prevention of hypertrophic scars have been well documented
More informationClinical Policy Title: Laser treatments for hypertrophic scars
Clinical Policy Title: Laser treatments for hypertrophic scars Clinical Policy Number: 17.02.07 Effective Date: June 1, 2017 Initial Review Date: May 19, 2017 Most Recent Review Date: May 19, 2017 Next
More informationLouisiana State University Medical Center - Regional Burn Center Shreveport, LA. The Management of Face and Neck Scars With Silon-STS
Louisiana State University Medical Center - Regional Burn Center Shreveport, LA The Management of Face and Neck Scars With Silon-STS KM Sittig; SB Abney; NS Classen; CM Saulsbery; KN Landry Louisiana State
More informationInternational Journal of Medical Science and Education
International Journal of Medical Science and Education www.ijmse.com Original Research Article pissn- 2348 4438 eissn-2349-3208 A PROSPECTIVE STUDY OF POST BURN CONTRACTURE: INCIDENCE, PREDISPOSING FACTORS,
More informationThe Prevention and Management of Acute Skin Reactions Related to Radiation Therapy
Evidence-Based Series 13-7 IN REVIEW A Quality Initiative of the Program in Evidence-Based Care (PEBC), Cancer Care Ontario (CCO) The Prevention and Management of Acute Skin Reactions Related to Radiation
More informationACNE IS A COMMON DISORder,
ORIGINAL ARTICLE Evaluation of Acne Scar Treatment With a 1450-nm Midinfrared Laser and 30% Trichloroacetic Acid Peels Paul J. Carniol, MD; Jyothi Vynatheya; Eric Carniol Objective: To evaluate the efficacy
More informationFRACTIONAL PHOTOTHERMOLYsis
ORIGINAL ARTICLE 1550-nm Nonablative Laser Resurfacing for Facial Surgical Scars Annette M. Pham, MD; Ryan M. Greene, MD, PhD; Heather Woolery-Lloyd, MD; Joely Kaufman, MD; Lisa D. Grunebaum, MD Objective:
More informationIn-vivo histopathological study of YouLaser MT interaction with the skin. A laser device emitting combined 1540 and nm wavelengths.
Histology report No. 02/04-12, date April 2nd, 2012 Page 1 In-vivo histopathological study of YouLaser MT interaction with the skin. A laser device emitting combined 1540 and 10600 nm wavelengths. Paolo
More informationA Pilot Study to Investigate the Efficacy of Tobramycin Dexamethasone Ointment in Promoting Wound Healing
Dermatol Ther (2012) 2:12 DOI 10.1007/s13555-012-0012-8 ORIGINAL RESEARCH A Pilot Study to Investigate the Efficacy of Tobramycin Dexamethasone Ointment in Promoting Wound Healing Rachel Andrew Gwendolyn
More informationHands-on: Lasers. NonAblative Rejuvenation
Hands-on: Lasers NonAblative Rejuvenation Anthony M. Rossi, MD Assistant Attending Memorial Sloan Kettering Cancer Center Assistant Professor Weill Cornell Medical College DISCLOSURE OF RELEVANT RELATIONSHIPS
More information1,927-nm Fractional Thulium Fiber Laser for the Treatment of Nonfacial Photodamage: A Pilot Study
1,927-nm Fractional Thulium Fiber Laser for the Treatment of Nonfacial Photodamage: A Pilot Study KRISTEL D. POLDER, MD, y APRIL HARRISON, PA-C, y LEIGH ELLEN EUBANKS, MD, y AND SUZANNE BRUCE, MD y BACKGROUND
More informationUpdate on Phase 2a Clinical Trial Results of RXI-109 Treatment to Reduce the Formation of Hypertrophic Dermal Scars and Keloids
Update on Phase 2a Clinical Trial Results of RXI-109 Treatment to Reduce the Formation of Hypertrophic Dermal Scars and Keloids Presenter: Pamela A. Pavco, PhD Chief Development Officer RXi Pharmaceuticals
More informationLaser Scar Revision: Comparison Study of 585-nm Pulsed Dye Laser With and Without Intralesional Corticosteroids
Laser Scar Revision: Comparison Study of 585-nm Pulsed Dye Laser With and Without Intralesional Corticosteroids TINA ALSTER, MD Washington Institute of Dermatologic Laser Surgery, Washington, DC BACKGROUND.
More informationComparison of intralesional triamcinolone and intralesional verapamil in the treatment of keloids
Original Article Comparison of intralesional triamcinolone and intralesional verapamil in the treatment of keloids Muhammad Uzair, Ghazala Butt, Khawar Khurshid, Sabrina Suhail Pal Department of Dermatology,
More informationClinical Summary. Introduction. What are Scars? There are three main types of scars:
Introduction Clinical Summary Since the introduction of silicone in the early 1980s for the prevention and treatment of hypertrophic & keloid scars, it s therapeutic effects have been well documented in
More informationAesthetic Improvement of Burn Scar by Tangential Excision and Thin Split Thickness Skin Graft
ORIGINAL ARTICLE Arch Aesthetic Plast Surg 2013;19(3):148-153 pissn: 2234-0831 Aesthetic Improvement Burn Scar by Tangential Excision and Thin Split Thickness Skin Graft So-Min Hwang, Jang Hyuk Kim, Hyung-Do
More informationAdvances in the treatment of traumatic scars with laser, intense pulsed light, radiofrequency, and ultrasound
Fu et al. Burns & Trauma (2019) 7:1 https://doi.org/10.1186/s41038-018-0141-0 REVIEW Advances in the treatment of traumatic scars with laser, intense pulsed light, radiofrequency, and ultrasound Xiujun
More informationBurns. A Comprehensive Review Assessment & Management
Burns A Comprehensive Review Assessment & Management 1 Objectives Understand types of Burns Understand the pathophysiology of the Burns Understand Rule of Nine Understand Classification of Burns Identify
More informationThis chapter gives background information about the scarring process. Treatment options for problematic scars are also discussed.
Chapter 15 SCAR FORMATION KEY FIGURES: Hypertrophic scar Buried dermal suture This chapter gives background information about the scarring process. Treatment options for problematic scars are also discussed.
More informationEfficacy and safety of ablative fractional carbon dioxide laser for acne scars
Original Article Efficacy and safety of ablative fractional carbon dioxide laser for acne scars Tahir Jamil Ahmad*, Farhana Muzaffar**, Haroon Nabi *, Sarmad Malik*, Ayesha Noreen*, Rabiya Hayat *Department
More informationINFORMED-CONSENT-SKIN GRAFT SURGERY
INFORMED-CONSENT-SKIN GRAFT SURGERY 2000 American Society of Plastic Surgeons. Purchasers of the Patient Consultation Resource Book are given a limited license to modify documents contained herein and
More informationDaryl Mossburg, BSN RN Clinical Specialist Sciton, Inc.
Daryl Mossburg, BSN RN Clinical Specialist Sciton, Inc. What is Halo? Indications for Use Physics/Science Patient Selection & Contraindications Treatment Overview & Guidelines Halo Technology/System Overview
More informationWordCraft Web Solutions
A Guide To Laser Treatments for Acne Scars Acne is one of the most dreaded skin problems faced by teenagers and sometimes they even follow you into adulthood. Acne vulgaris can happen to anyone, resulting
More informationSkin lesions & Abrasions
Skin lesions & Abrasions What Are Skin Lesions? A skin lesion is a part of the skin that has an abnormal growth or appearance compared to the skin around it Types of Skin Lesions Two types of skin lesions
More informationLidocaine PATIENT INFORMATION GUIDE
Lidocaine PATIENT INFORMATION GUIDE Table of Contents GLOSSARY............................................. 3 ABOUT RADIESSE (+)................................... 4 SAFETY INFORMATION.................................
More informationDual wavelength (1540nm nm) mixed technology for fractional resurfacing in skin rejuvenation Background
Dual wavelength (1540nm + 10600 nm) mixed technology for fractional resurfacing in skin rejuvenation Dr. Paolo Sbano, M.D. Specialist in Dermatology and Venereology Department of Dermatology of Belcolle
More informationClinical Study Treatment of Mesh Skin Grafted Scars Using a Plasma Skin Regeneration System
Plastic Surgery International Volume 00, Article ID 87448, 4 pages doi:0.55/00/87448 Clinical Study Treatment of Mesh Skin Grafted Scars Using a Plasma Skin Regeneration System Takamitsu Higashimori, Taro
More informationA Bio-Oil guide to Scars
A Bio-Oil guide to Scars ii The material in this brochure has been drawn from various sources and collated by Bio-Oil to provide one user-friendly reference on scars. Contents What is a scar? 2 Why do
More informationYOUR KELO-COTE GUIDE TO LIVING WITH YOUR SURGICAL SCAR
YOUR KELO-COTE GUIDE TO LIVING WITH YOUR SURGICAL SCAR CONTENTS WHAT IS THE DEFINITION OF A SCAR? 3 WHAT TYPES OF SCARS ARE THERE? 3 SCARS RESULTING FROM SURGERY 4 HOW COMMON ARE SCARS? 4 WHY DO THEY FORM?
More informationAbnormal Scars, Management Options
106) Edriss A. S., Měšťák J. Charles University in Prague, First Faculty of Medicine and University Hospital Na Bulovce, Department of Plastic Surgery, Prague, Czech Republic Received April 28, 2008; Accepted
More informationINTENSE PULSED LIGHT VERSUS ADVANCED FLUORESCENT TECHNOLOGY PULSED LIGHT FOR PHOTODAMAGED SKIN: A SPLIT-FACE PILOT COMPARISON
22 COPYRIGHT 2007 INTENSE PULSED LIGHT VERSUS ADVANCED FLUORESCENT TECHNOLOGY PULSED LIGHT FOR PHOTODAMAGED SKIN: A SPLIT-FACE PILOT COMPARISON Martin Braun MD Vancouver Laser & Skin Care Centre Inc, Vancouver,
More informationComparision of efficacy of local administration of contractubex & corticosteroids for hypertrophic scar in maxillofacial region
Original Article Comparision of efficacy of local administration of contractubex & corticosteroids for hypertrophic scar in maxillofacial region 3 5 Muralee Mohan, B. Rajendra Prasad, S. M. Sharma, Tripthi
More informationSPECIAL TOPIC. AboutSkin Dermatology & DermSurgery, Greenwood Village, CO b. The Aesthetic Clinique, Destin, FL c
November 2016 611 Volume 15 Issue 11 Copyright 2016 ORIGINAL ARTICLES SPECIAL TOPIC Multi-Center Pilot Study to Evaluate the Safety Profile of High Energy Fractionated Radiofrequency With Insulated Microneedles
More informationPhotodamaged skin occurs as a result of its
Plasma Skin Resurfacing for Regeneration of Neck, Chest, and Hands: Investigation of a Novel Device TINA S. ALSTER, MD, AND SAILESH KONDA, BS BACKGROUND Many noninvasive treatments to rejuvenate photodamaged
More informationNonablative Infrared Skin Tightening in Type IV to V Asian Skin: A Prospective Clinical Study
Nonablative Infrared Skin Tightening in Type IV to V Asian Skin: A Prospective Clinical Study SZE-HON CHUA, FRCP (EDIN), POR ANG, MRCP (UK), y LAWRENCE S. W. KHOO, MRCP (UK), y AND CHEE-LEOK GOH, FRCP
More informationCLINICAL EVALUATION REPORT ON THE EFFICACY AND SAFETY OF THE CORE SYSTEM FOR FACIAL ENHANCEMENT TREATMENTS
CLINICAL EVALUATION REPORT ON THE EFFICACY AND SAFETY OF THE CORE SYSTEM FOR FACIAL ENHANCEMENT TREATMENTS BACKGROUND Efforts to improve fractional ablative laser systems have led to the development of
More informationAt the conclusion of this course the learner will be able to
Objectives At the conclusion of this course the learner will be able to 1. Discuss basic anatomy and pathophysiology of burns 2. Describe burn injuries in terms of size, depth, coloration and characteristics
More informationEffect of Erbium:YAG Laser Treatment on Scar Pain
ISPUB.COM The Internet Journal of Anesthesiology Volume 8 Number 2 R Cork, L Alexander, C Shepherd, A Porrata, N Ming Citation R Cork, L Alexander, C Shepherd, A Porrata, N Ming.. The Internet Journal
More informationAll surgery carries some uncertainty and risk
Dr Mi chel s on@mi chel s onmd. com All surgery carries some uncertainty and risk While scar revision is normally safe, there is always the possibility of complications. These may include infection, bleeding,
More informationTreatment of periorbital wrinkles with 1,550 and 1,565 nm Er:Glass fractional photothermolysis lasers: A simultaneous split-face trial
Treatment of periorbital wrinkles with 1,550 and 1,565 nm Er:Glass fractional photothermolysis lasers: A simultaneous split-face trial Jin Young Jung Department of Medicine The Graduate School, Yonsei
More informationTo update the management algorithm for pathologic scarring to reflect best practice standards at
Updated International Clinical Recommendations on Scar Management: Part 2 Algorithms for Scar Prevention and Treatment Michael H. Gold, MD,* Michael McGuire, MD, Thomas A. Mustoe, MD, x Andrea Pusic, MD,
More informationInitial assessment. ATLS/ABLS protocol and assess for other injuries/fractures based on mechanism. Inhalational injury. Vascular compromise:
Complex Hand Burns Brent Egeland, MD Assistant Professor Dell Medical School Department of Surgery and Perioperative Care Institute of Reconstructive Plastic Surgery Plastic, Hand, and Reconstructive Microsurgery
More informationDO NOT DUPLICATE. Negative pressure wound therapy (NPWT) has revolutionized the
Original research WOUNDS 2013;25(4):89 93 From the Aesthetic and Plastic Surgery Institute, University of California Irvine, Orange, CA and Long Beach Memorial Medical Center, Long Beach, CA Address correspondence
More informationComparison of Efficacy of Herbal Extract Plus Silicone Gel and Silicone Gel for the Prevention Postburn Hypertrophic Scars
Comparison of Efficacy of Herbal Extract Plus Silicone Gel and Silicone Gel for the Prevention Postburn Hypertrophic Scars Kosin Nimpoonyakampong MD*, Lertpong Somcharit MD*, Nantaporn Namviriyachote Pham.D**,
More informationCorporate Medical Policy
Corporate Medical Policy Laser Treatment of Port Wine Stains File Name: Origination: Last CAP Review: Next CAP Review: Last Review: laser_treatment_of_port_wine_stains 9/2010 8/2017 8/2018 8/2017 Description
More informationCARPAL TUNNEL SYNDROME
CARPAL TUNNEL SYNDROME Carpal tunnel syndrome results from the pinching or entrapping of the median nerve in the underside of the wrist. The actual pathology in most cases is due to either a decrease in
More informationXF Microlens Optic and XD Microlens Compression Optic for Non-Ablative Fractional Skin Treatment with the Palomar Icon System
Optic and XD Microlens Compression Optic for Non-Ablative Fractional Skin Treatment with the Palomar Icon System Sean Doherty, M.D., 1 Brooke Seckel, M.D., 1 James Childs Ph.D., 2 David Tabatadze Ph.D.,
More informationCover Page. The handle holds various files of this Leiden University dissertation
Cover Page The handle http://hdl.handle.net/1887/45227 holds various files of this Leiden University dissertation Author: Dokter, Jan Title: Epidemiology of burns Issue Date: 2016-12-20 Chapter 4 Reduction
More informationBBLs BroadBand Light. Daryl Mossburg, RN BSN Clinical Specialist Sciton, Inc. All rights reserved.
BBLs BroadBand Light Daryl Mossburg, RN BSN Clinical Specialist 1 2009 Sciton, Inc. All rights reserved. BBL - BroadBand Light BBL module incorporated into JOULE BBLs Standalone System 2 2009 Sciton, Inc.
More informationName of Policy: Pulsed Dye Laser Treatment of Recalcitrant Verrucae
Name of Policy: Pulsed Dye Laser Treatment of Recalcitrant Verrucae Policy #: 187 Latest Review Date: July 2010 Category: Surgery Policy Grade: Active Policy but no longer scheduled for regular literature
More informationINFORMED CONSENT FOR OTOPLASTY (BAT EARS)
MBCHB (Pret) MMED Plastic & Reconstructive Surgeon PR NR: 0360000056537 INFORMED CONSENT FOR OTOPLASTY (BAT EARS) Patient's name:... I authorize dr... the Doctor (and his assistants) to perform an otoplasty
More informationRealief Therapy for relief of peripheral neuropathy symptoms: A description of mechanisms and outcomes
Realief Therapy for relief of peripheral neuropathy symptoms: A description of mechanisms and outcomes What is Realief Therapy? The research compiled by Realief Neuropathy Centers from more than five years
More informationNONABLATIVE RESURFACING
`AESTHETIC LASER SURGERY 0094-1298/00 $15.00 +.00 NONABLATIVE RESURFACING David J. Goldberg, MD TYPES OF LASERS AND THEIR DIFFERENCES Pulsed char-free CO2 laser skin resurfacing has provided a method of
More informationInteresting Case Series. Reconstruction of Dorsal Wrist Defects
Interesting Case Series Reconstruction of Dorsal Wrist Defects Maelee Yang, BS, and Joseph Meyerson, MD The Ohio State University Wexner Medical Center, Columbus Correspondence: maelee.yang@osumc.edu Keywords:
More informationClinical Comparative Study of Aquacel and Paraffin Gauze Dressing for Split-Skin Donor Site Treatment
ORIGINAL ARTICLE Clinical Comparative Study of Aquacel and Paraffin Gauze Dressing for Split-Skin Donor Site Treatment Yoav Barnea, MD, Aharon Amir, MD, David Leshem, MD, Arik Zaretski, MD, Jerry Weiss,
More informationChapter 21: FotoFacial RF Pro Treatment of Specific Clinical Subtypes
Chapter 21: FotoFacial RF Pro Treatment of Specific Clinical Subtypes 1. Erythema in Skin Types 1-3 (with or without Flushing, Laxity and Wrinkles) using the SR/SRA Head 116 The program usually takes 5-7
More informationNumber: Policy *Please see amendment for Pennsylvania Medicaid at the end. Last Review 01/26/2017 Effective: 10/23/1995 Next Review: 01/25/2018
1 of 9 Number: 0062 Policy *Please see amendment for Pennsylvania Medicaid at the end of this CPB. Aetna considers burn garments and associated physical and occupational therapy medically necessary when
More informationInformed Consent. Informed Consent for Acne Treatment with the Sciton BBL Pulsed Light Module. Patient Acct# Introduction.
Informed Consent Informed Consent for Acne Treatment with the Sciton BBL Pulsed Light Module Patient Acct# Please initial all of the following sections confirming that you have read and understand each
More informationCitation for published version (APA): van Drooge, A. M. (2014). Improvement of disfiguring skin conditions by laser therapy
UvA-DARE (Digital Academic Repository) Improvement of disfiguring skin conditions by laser therapy van Drooge, A.M. Link to publication Citation for published version (APA): van Drooge, A. M. (2014). Improvement
More informationInformed Consent for SkinTyte Treatment with the Sciton BBL Pulsed Light Module. Patient Acct#
Informed Consent Informed Consent for SkinTyte Treatment with the Sciton BBL Pulsed Light Module Patient Acct# Please initial all of the following sections confirming that you have read and understand
More informationIn Vivo Histological Evaluation of a Novel YSGG Ablative Fractional Device for Cutaneous Remodeling
In Vivo Histological Evaluation of a Novel YSGG Ablative Fractional Device for Cutaneous Remodeling Walfre Franco, PhD a1, Brian D. Zelickson, MD b, Victor E. Ross, MD c a Cutera Inc., Brisbane, CA b Abbott
More informationFast acting Complex formulations Clinically proven ingredients Economical price
Fast acting Complex formulations Clinically proven ingredients Economical price UK s top selling Professional Skincare PharmaClinix Ltd, Unit 3 Issigonis House, Cowley Road, London, W3 7UN, UK Scar Repairex
More informationUniversity of Groningen
University of Groningen Optimizing VAP scars after childhood cancer treatment de Bruijn, C. M. A.; Hoff, Fieke; Bruggeman-Westermann, M. M.; Terra, Jorrit; van Dijk, T. H.; de Bont, Evelina; Peek, A. M.
More informationAnalysis of Upper Extremity Motion in Children After Axillary Burn Scar Contracture Release
Analysis of Upper Extremity Motion in Children After Axillary Burn Scar Contracture Release Mitell Sison-Williamson, MS, Anita Bagley, PhD, Kyria Petuskey, MS, Sally Takashiba, BS, Tina Palmieri, MD Burns
More informationInformation and Consent For Intracel
Information and Consent For Intracel What is Intracel? Intracel is a state of the art treatment for stimulating skin without the down time of total resurfacing using traditional invasive treatments. The
More informationFree flaps and Pedicled flaps in lower limb reconstruction
Free flaps and Pedicled flaps in lower limb reconstruction UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationScars do not discriminate. An unavoidable consequence of injury. A review of scar assessment scales
A review of scar assessment scales Tuyet A Nguyen, 1,2 Stephanie I Feldstein, MD, 1,3 Peter R Shumaker, MD, 4 Andrew C Krakowski, MD 1,3 n Abstract At our current level of understanding, scars are an unavoidable
More informationNon-ablative Acne Scar Reduction with a Short-Pulsed 1064-nm Nd:YAG Laser a Pilot Study
Non-ablative Acne Scar Reduction with a Short-Pulsed 1064-nm Nd:YAG Laser a Pilot Study Graeme Lipper, MD; Maritza Perez, MD Advanced Dermcare, Danbury, CT Presented by Graeme Lipper, MD at the American
More informationPresentation Product & clinics
Presentation Product & clinics Design What s Long Pulse Nd:YAG? medium YAG (Yuttrium Aluminum Garnet : Y 3 Al 5 O 12 ) + Nd 3+ The Wavelength Penetrates All kind of Hair removal Each laser possesses specific
More informationINFORMED- CONSENT- BREAST IMPLANT REMOVAL SURGERY
INFORMED- CONSENT- BREAST IMPLANT REMOVAL SURGERY INSTRUCTIONS This is an informed- consent document that has been prepared to help your plastic surgeon inform you concerning breast implant removal, its
More informationCONSENT FOR LASER/LIGHT-BASED TREATMENT
107 West 15th St. Hays, KS (785) 639-1873 A DAY & M E D SPA CONSENT FOR LASER/LIGHT-BASED TREATMENT I authorize David Lenser, MD or Terri Lenser, RN to perform laser/pulsed light cosmetic skin treatments
More informationRapid Recovery Hyperbarics 9439 Archibald Ave. Suite 104 Rancho Cucamonga CA,
Foot at risk Age Well By Dr LIEW NGOH CHIN Are limb amputations due to diabetes preventable? DIABETES mellitus is a major global health problem and has reached epidemic proportions in many developed and
More informationMulti-Application Platform. Summary of Peer-reviewed Articles for Various Clinical Indications April 2016
Multi-Application Platform Summary of Peer-reviewed Articles for Various Clinical Indications April 2016 Various Clinical Indications Atrophic acne scars and acne Photo-aged skin, pigmentation & hyperpigmentation
More informationEffectiveness of Fitting Pressure Garments for Minor and Moderate Burn Patients: A Literature Review
Effectiveness of Fitting Pressure Garments for Minor and Moderate Burn Patients: A Literature Review PI-WEN HUANG Department of Industrial and Systems Engineering, Chung Yuan Christian University, Taoyuan,
More informationWHITE PAPER SmartXide 2 V 2 LR. MonaLisa Touch Dual Probe Therapy for the Treatment of Lichen Sclerosus and Vaginal Atrophy
WHITE PAPER SmartXide 2 V 2 LR MonaLisa Touch Dual Probe Therapy for the Treatment of Lichen Sclerosus and Vaginal Atrophy DEKA White Paper SMARTXIDE 2 V 2 LR November 2015 MonaLisa Touch Dual Probe Therapy
More informationTreatment of aging skin using the SharpLight Omnimax Stacked multiple modality platform
of aging skin using the SharpLight Omnimax Stacked multiple modality platform Dr. Lisa Kellett, M.D.,.R.C.P.(C), D.A.B.D. 08 Avenue Road, M5R 2H3 Abstract Background: Lasers have proven extremely effective
More informationDIFFERENT SCARS AND THEIR MANAGEMENT
DIFFERENT SCARS AND THEIR MANAGEMENT Dr R. Newaj Specialist Dermatologist MBBCh (Wits) FCDerm (SA) Arwyp medical centre, Kemptonpark and Intercare Irene, Centurion COMMON CAUSES OF WOUNDS AND INJURIES
More informationHallux Rigidus. Normal. Normal Arthritis Arthritis
Richard M. Marks, MD Professor and Director Division of Foot and Ankle Department of Orthopaedic Surgery Medical College of Wisconsin Hallux Rigidus Explanation: Hallux Rigidus is characterized as degeneration
More informationClinical Articles. Peer Reviewed Articles
Clinical Articles Peer Reviewed Articles System Used Acne Scars Evaluation of a Novel Fractional Resurfacing Device for Treatment of Acne Scarring. Walgrave, S., et al. (2009). Lasers in Surgery and Medicine,41(2),
More informationWhat is an otoplasty?
What is an otoplasty? Otoplasty in an operation performed to reduce one or both prominent ears. Children with prominent ears have excess cartilage in the bowl or concha that protruded the ear out away
More informationLaser Resurfacing. Birmingham Regional Skin Laser Centre
What is laser resurfacing? Laser resurfacing is a treatment to help reduce the appearance of raised birthmarks, moles, acne scarring and sun-damaged skin. It can also help to reduce and reshape the nose
More informationA Novel Approach for Acne Treatment
A Novel Approach for Acne Treatment E.V. Ross, M.D.; M.A. Blair, M.D.; B.S. Graham, M.D.; Naval Medical Center, San Diego, CA D.Y. Paithankar, Ph.D.; B.A. Saleh, M.Eng.; Candela Corporation, Wayland, MA
More informationA PROSPECTIVE STUDY ON AURICULAR BURNS
Int. J. Pharm. Med. & Bio. Sc. 2013 Ramesha K T et al., 2013 Research Paper ISSN 2278 5221 www.ijpmbs.com Vol. 2, No. 4, October 2013 2013 IJPMBS. All Rights Reserved A PROSPECTIVE STUDY ON AURICULAR BURNS
More informationFrequently Asked Questions
1112:V15:05:PB1540 Frequently Asked Questions For the use only of a Registered Medical Practitioner or a Hospital or a Laboratory Dear Doctor, Warm regards from Cipla Xterna!!! We, at Cipla Xterna, a dedicated
More informationErin P. Frazier, OTR/L Occupational Therapist Jessica Maher, PT, MSPT Physical Therapist
Management of Burns for The Pediatric Patient Erin P. Frazier, OTR/L Occupational Therapist efrazier@mwph.org Jessica Maher, PT, MSPT Physical Therapist jmaher@mwph.org Mt. Washington Pediatric Hospital
More informationSkin Integrity and Wound Care
Skin Integrity and Wound Care By Dr. Amer Hasanien & Dr. Ali Saleh Skin Integrity and Wound Care Skin integrity: the presence of normal Skin & Uninterrupted skin layers by wounds. Factors affecting appearance
More informationFIG Services, Inc. P.O. Box 1161 Hendersonville, NC (828) Ph (828) Fx FIGservices.com. July 22, 2013
FIG Services, Inc. P.O. Box 1161 Hendersonville, NC 28793 (828) 698.9486 Ph (828) 698.9327 Fx FIGservices.com July 22, 2013 Mr. & Mrs. Stuart Sharpe 6090 Millwick Drive Alpharetta, GA 30005 P 404-915-9911
More informationComparative study of dermaroller therapy versus trichloroacetic acid CROSS for the treatment of atrophic acne scars
Original Article Comparative study of dermaroller therapy versus trichloroacetic acid CROSS for the treatment of atrophic acne scars Neerja Puri Consultant Dermatologist, Punjab Health Systems Corporation,
More information