Comparison of the Effectiveness of Nonablative Fractional Laser versus Pulsed-Dye Laser in Thyroidectomy Scar Prevention
Annals of Dermatology
;
: 615-620, 2014.
Article
in English
| 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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Thyroidectomy
/
Wound Healing
/
Surveys and Questionnaires
/
Follow-Up Studies
/
Cicatrix
/
Patient Satisfaction
/
Consensus
/
Laser Therapy
/
Neck
Type of study:
Practice guideline
/
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Annals of Dermatology
Year:
2014
Type:
Article
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