Comparison of Fractional Erbium-Doped Yttrium Aluminum Garnet and Carbon Dioxide Lasers in Resurfacing of Atrophic Acne Scars in Asians

Manuskiatti, Woraphong; Iamphonrat, Thanawan; Wanitphakdeedecha, Rungsima; Eimpunth, Sasima

doi:10.1111/dsu.12030

Cited by 63 publications

(69 citation statements)

References 29 publications

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“…Last, the average clinical improvement seen following Fractional Er:YAG laser treatment for burn scars is slightly less that seen after ablative Er:YAG laser and less than CO 2 laser resurfacing. This finding is in agreement with previous clinical and histologic studies comparing the effect of high-energy CO 2 and Er:YAG lasers resurfacing [23,24].…”

Section: Discussionsupporting

confidence: 93%

Evaluation of the Efficacy of Ablative vs. Fractional Er:YAG Laser Modes as a Treatment of Post-Burn Scars

Asfour¹,

Shokeir²,

Elwakil³

et al. 2017

Biol Med

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Aim: To determine the effect of Er:YAG laser in the management of post-burn scars and to compare its effect to ablative and fractional lasers. Patients and methods:50 patients with post-burn scars were recruited and randomly divided into 2 groups: Group I patients had ablative Er:YAG laser mode therapy and Group II patients had fractional Er:YAG laser rmode therapy. Vancouver scar score (VSS) was recorded for each group pre-and postoperatively, both groups showed an increase in the VSS and histopathological findings. Results:The obtained results showed morphological changes immediately after treatment, the skin surface displayed a white-gray frost, which on close inspection revealed a point pattern corresponding to individual laser columns done by fractional laser treatment. Conclusion:Ablative and fractional modes of Er:Yag laser can be used for treatment of post-burn hypertrophic scars. Ablative laser mode had better results than fractional laser mode as indicated by clinical assessment, VSS and changes of histopathological findings.

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Section: Discussionsupporting

confidence: 93%

Evaluation of the Efficacy of Ablative vs. Fractional Er:YAG Laser Modes as a Treatment of Post-Burn Scars

Asfour¹,

Shokeir²,

Elwakil³

et al. 2017

Biol Med

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“…4,5 Platelet-rich plasma has recently attracted attention in various medical fields, including plastic surgery and dermatology, for its ability to promote wound *All the authors are affiliated with the Department of Dermatology, Faculty of Medicine, Cairo University, Cairo, Egypt healing. 14 Despite the documented efficacy of FCL in the treatment of acne scars, [15][16][17][18] its drawbacks, such as long periods of erythema and edema, may cause discomfort 19 and hinder patients' daily lives 20 , limiting its use. 11,12 Lee and colleagues have proposed its potential as adjuvant therapy in the correction of acne scars.…”

mentioning

confidence: 99%

Autologous Platelet Rich Plasma: Topical Versus Intradermal After Fractional Ablative Carbon Dioxide Laser Treatment of Atrophic Acne Scars

Gawdat¹,

Hegazy²,

Fawzy³

et al. 2014

Dermatologic Surgery

134

148

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“…Ablative fractional resurfacing (AFR) using carbon dioxide (CO 2 ) (3, 4), erbium-doped yttrium aluminum garnet (Er:YAG) (5,6), and erbium-doped yttrium scandium gallium garnet (7) has been proven effective for treatment of atrophic scars. However, transient PIH is the most common adverse effect after AFR, especially in dark-pigmented individuals.…”

mentioning

confidence: 99%

Topical Corticosteroids Minimise the Risk of Postinflammatory Hyperpigmentation After Ablative Fractional CO2 Laser Resurfacing in Asians

Cheyasak¹,

Manuskiatti²,

Maneeprasopchoke³

et al. 2015

Acta Derm Venerol

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Postinflammatory hyperpigmentation (PIH) is the most common adverse effect of laser treatment in dark-skinned individuals. Little is known whether PIH can be prevented or minimised. The objective of this study was to investigate the effect of short-term application of topical corticosteroids on the incidence of PIH after ablative fractional resurfacing in Asians. Forty subjects with skin phototype IV and atrophic acne scars were treated with a fractional CO2 laser on both sides of the face. Post-operatively, clobetasol propionate 0.05% ointment was applied to one randomly selected side of the face for the first 2 days, followed by an application of petrolatum jelly for the rest of the week (petrolatum was applied to the other side for 7 days). Assessments on the clinical outcome, the wound healing process and the occurrence of PIH were obtained once weekly for the first month and at 2 and 3 months post-treatment. The side of the face treated with petrolatum alone had significantly (p < 0.001) higher incidence of PIH (75%) after laser irradiation than the side of the face treated with topical corticosteroids and petrolatum (40%). The PIH occurring on the petrolatum-treated sides had significantly higher intensity (p < 0.001) and was spread over a significantly larger area (p < 0.001), compared with the corticosteroid- and petrolatum-treated sides. In conclusion, a short-term application of topical corticosteroids postoperatively is associated with a decreased risk of PIH after ablative fractional resurfacing.

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Comparison of Fractional Erbium-Doped Yttrium Aluminum Garnet and Carbon Dioxide Lasers in Resurfacing of Atrophic Acne Scars in Asians

Abstract: Fractional Er:YAG and CO(2) lasers provided comparable outcomes of scar treatment, but fractional CO(2) laser was associated with greater treatment discomfort.

Cited by 63 publications

References 29 publications

Evaluation of the Efficacy of Ablative vs. Fractional Er:YAG Laser Modes as a Treatment of Post-Burn Scars

Evaluation of the Efficacy of Ablative vs. Fractional Er:YAG Laser Modes as a Treatment of Post-Burn Scars

Autologous Platelet Rich Plasma: Topical Versus Intradermal After Fractional Ablative Carbon Dioxide Laser Treatment of Atrophic Acne Scars

Topical Corticosteroids Minimise the Risk of Postinflammatory Hyperpigmentation After Ablative Fractional CO2 Laser Resurfacing in Asians

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Comparison of Fractional Erbium-Doped Yttrium Aluminum Garnet and Carbon Dioxide Lasers in Resurfacing of Atrophic Acne Scars in Asians

Abstract: Fractional Er:YAG and CO(2) lasers provided comparable outcomes of scar treatment, but fractional CO(2) laser was associated with greater treatment discomfort.

Cited by 63 publications

References 29 publications

Evaluation of the Efficacy of Ablative vs. Fractional Er:YAG Laser Modes as a Treatment of Post-Burn Scars

Evaluation of the Efficacy of Ablative vs. Fractional Er:YAG Laser Modes as a Treatment of Post-Burn Scars

Autologous Platelet Rich Plasma: Topical Versus Intradermal After Fractional Ablative Carbon Dioxide Laser Treatment of Atrophic Acne Scars

Topical Corticosteroids Minimise the Risk of Postinflammatory Hyper­pigmentation After Ablative Fractional CO2 Laser Resurfacing in Asians

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Topical Corticosteroids Minimise the Risk of Postinflammatory Hyperpigmentation After Ablative Fractional CO2 Laser Resurfacing in Asians