Assuntos
Assistência ao Convalescente , Cirurgia de Mohs , Dor Pós-Operatória , Satisfação do Paciente , Cuidados Pós-Operatórios , Hemorragia Pós-Operatória , Humanos , Cirurgia de Mohs/efeitos adversos , Medição da Dor , Dor Pós-Operatória/diagnóstico , Dor Pós-Operatória/etiologia , Hemorragia Pós-Operatória/diagnóstico , Hemorragia Pós-Operatória/etiologia , Estudos Prospectivos , Telefone , Fatores de TempoAssuntos
Antineoplásicos Imunológicos/efeitos adversos , Toxidermias/etiologia , Ceratoacantoma/induzido quimicamente , Nivolumabe/efeitos adversos , Idoso , Antineoplásicos Imunológicos/administração & dosagem , Biópsia por Agulha , Carcinoma de Células Renais/tratamento farmacológico , Carcinoma de Células Renais/patologia , Toxidermias/patologia , Feminino , Dermatoses da Mão/induzido quimicamente , Dermatoses da Mão/patologia , Humanos , Imuno-Histoquímica , Imunoterapia/efeitos adversos , Imunoterapia/métodos , Ceratoacantoma/patologia , Neoplasias Renais/tratamento farmacológico , Neoplasias Renais/patologia , Nivolumabe/uso terapêutico , Prognóstico , Medição de RiscoRESUMO
BACKGROUND: Scarring following skin surgery is an unavoidable certainty. Scars resulting from Mohs Micrographic Surgery (MMS) can cause both cosmetic and functional problems. Various lasers have been used to treat scars, but the role of the microsecond pulsed 1064 nanometer neodymium-doped yttrium aluminum garnet (1064 nm Nd:YAG) in treating surgical scars is not well-defined. OBJECTIVE: We aim to examine the clinical application of the 1064 nm Nd:YAG laser in improving surgical scars. METHODS: Ten patients who were unhappy with cosmetic or functional outcomes of their surgical scars following MMS were treated with 1-3 sessions of the 1064 nm Nd:YAG laser to improve their scars. Therapy completion was determined by patient satisfaction with the appearance of their scars and/or resolution of any contractures that formed following surgery. RESULTS: All ten patients were pleased with the improved appearance of their scars. Four patients saw complete resolution of an ectropion or eclabium that formed secondary to scar contractures from MMS. The side effects of laser treatments were limited to 1-2 hours of erythema, and there were no incidences of adverse effects or recurrence of contractures. CONCLUSION: Our clinical experience with the 1064 nm Nd:YAG laser provides promising data on improving appearance of and functionality from post-surgical scars.