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Scar wars.

E Möller1, R Martinez2, H Rode2

  • 1Division of Plastic and Reconstructive Surgery, Red Cross War Memorial Children's Hospital, University of Cape Town, South Africa.

South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
|November 28, 2019
PubMed
Summary
This summary is machine-generated.

Ablative fractional laser (AFL) therapy combined with z-plasties and steroids significantly improved paediatric facial burn scars. This treatment enhanced scar pliability and reduced symptoms, offering a valuable option for scar management.

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Area of Science:

  • Dermatology
  • Plastic Surgery
  • Regenerative Medicine

Background:

  • Facial burn scars significantly impact paediatric quality of life.
  • Ablative fractional laser (AFL) therapy offers deep thermal injury for neocollagenesis and collagen remodeling.
  • Combined treatments like z-plasties and topical steroids have shown efficacy in scar improvement.

Purpose of the Study:

  • To evaluate the clinical significance of a single AFL session combined with z-plasties and topical steroids for paediatric facial burn scars.

Main Methods:

  • Four paediatric cases with facial burn scars underwent a single session of AFL therapy, z-plasties, and topical steroids.
  • Modified Vancouver Scar Scores (MVSS) were assessed preoperatively and at 3 and 6 months postoperatively.

Main Results:

  • Significant improvement in all MVSS components was observed at 6 months.
  • Major gains in scar pliability and symptom reduction were noted.
  • The mean MVSS decreased from 14 preoperatively to 5 and 5.5 at 3 and 6 months, respectively (p = 0.024).

Conclusions:

  • Ablative fractional laser therapy is a valuable addition to the treatment options for burn scars.
  • The combined approach demonstrates efficacy in improving paediatric facial burn scar characteristics.