A Case of the Treatment of Surgical Scar with 595nm Pulsed Dye Laser

595nm Pulsed Dye Laser를 이용한 수술 흉터 치료 1예

  • Park, Ki-Nam (Department of Otorhinolaryngology-Head and Neck Surgery, Sungkyunkwan University School of Medicine) ;
  • Yoo, Seung-Jae (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Chungbuk National University) ;
  • Chung, Man-Ki (Department of Otorhinolaryngology-Head and Neck Surgery, Sungkyunkwan University School of Medicine) ;
  • Son, Young-Ik (Department of Otorhinolaryngology-Head and Neck Surgery, Sungkyunkwan University School of Medicine) ;
  • Chun, Hyung-Ki (Department of Otorhinolaryngology-Head and Neck Surgery, Sungkyunkwan University School of Medicine) ;
  • Kim, Won-Seok (Department of Dermatology, Sungkyunkwan University School of Medicine) ;
  • Jeong, Han-Sin (Department of Otorhinolaryngology-Head and Neck Surgery, Sungkyunkwan University School of Medicine)
  • 박기남 (성균관대학교 의과대학 이비인후과학교실) ;
  • 유승재 (충북대학교 의과대학 이비인후과학교실) ;
  • 정만기 (성균관대학교 의과대학 이비인후과학교실) ;
  • 손영익 (성균관대학교 의과대학 이비인후과학교실) ;
  • 전형기 (성균관대학교 의과대학 이비인후과학교실) ;
  • 김원석 (성균관대학교 의과대학 피부과학교실) ;
  • 정한신 (성균관대학교 의과대학 이비인후과학교실)
  • Published : 2006.11.30

Abstract

Pulsed dye laser(PDL) is originally designed for the treatment of vascular lesions but also effective in improving the quality and appearance of surgical scars. Recently, 595nm Pulsed dye laser(V-beam laser), which has the advantage of deeper tissue penetration and lesser amount of purpura, is spotlighted as a new option for the treatment of surgical scar. The authors treated a surgical scar of a female patient with V-beam laser for 3 times between 4 and 12 weeks after surgery. Subjective satisfaction was improved with visual analogue scale (VAS) and objective improvements were found in parameters of vascularity, pliability and height with Vancouver Scar Scale(VSS). We report the effectiveness of V-beam laser in surgical scar of Asian patient and plan the prospective study with larger scale.

Keywords

References

  1. West TB: Laser resurfacing of atrophic scars. Dermatol Clin. 1997;15:449-457 https://doi.org/10.1016/S0738-081X(96)00153-8
  2. Friedman PM, Jih MH, Skover GR, et al: Treatment of atrophic facial acne scars with the 1064-nm Q-switched Nd: YAG laser: six-month follow-up study. Arch Dermatol. 2004;140:1337-1341 https://doi.org/10.1001/archderm.140.11.1337
  3. Chan HH, Wong DS, Ho WS, et al: The use of pulsed dye laser for the prevention and treatment of hypertrophic scars in chinese persons. Dermatol Surg. 2004;30:987-994; discussion 994 https://doi.org/10.1111/j.1524-4725.2004.30303.x
  4. Conologue TD, Norwood C: Treatment of surgical scars with the cryogen-cooled 595 nm pulsed dye laser starting on the day of suture removal. Dermatol Surg. 2006;32:13-20 https://doi.org/10.1111/1524-4725.2006.32002
  5. Nouri K, Romagosa R, Chartier T, et al: Comparison of the 585 nm pulse dye laser and the short pulsed CO2 laser in the treatment of striae distensae in skin types IV and VI. Dermatol Surg. 1999;25:368-370 https://doi.org/10.1046/j.1524-4725.1999.07320.x
  6. Nouri K, Jimenez GP, Harrison-Balestra C, et al: 585-nm pulsed dye laser in the treatment of surgical scars starting on the suture removal day. Dermatol Surg. 2003;29:65-73; discussion 73 https://doi.org/10.1046/j.1524-4725.2003.29014.x
  7. Chang CJ, Kelly KM, Van Gemert MJ, et al: Comparing the effectiveness of 585-nm vs 595-nm wavelength pulsed dye laser treatment of port wine stains in conjunction with cryogen spray cooling. Lasers Surg Med. 2002;31:352-358 https://doi.org/10.1002/lsm.10102
  8. Michel JL: ED2000: 585nm collagen remodelling pulsed dye laser. J Cosmet Laser Ther. 2003;5:201-203 https://doi.org/10.1080/14764170310021887
  9. Goldman MP, Fitzpatrick RE: Laser treatment of scars. Dermatol Surg. 1995;21:685-687 https://doi.org/10.1111/j.1524-4725.1995.tb00270.x
  10. McDaniel DH, Ash K, Zukowski M: Treatment of stretch marks with the 585-nm flashlamp-pumped pulsed dye laser. Dermatol Surg. 1996;22:332-337 https://doi.org/10.1016/1076-0512(95)00584-6
  11. Kono T, Ercocen AR, Nakazawa H, et al: The flashlamp-pumped pulsed dye laser (585nm ) treatment of hypertrophic scars in Asians. Ann Plast Surg. 2003;51:366-371 https://doi.org/10.1097/01.SAP.0000067722.07175.62
  12. Freedberg IM EA, Wolff K, Austen KF, et al: Fitzpatrick's Dermatology in general medicine. Ed 6th edition, McGraw-Hill, 2003:22-23, 991-992
  13. Akasaka Y, Fujita K, Ishikawa Y, et al: Detection of apoptosis in keloids and a comparative study on apoptosis between keloids, hypertrophic scars, normal healed flat scars, and dermatofibroma. Wound Repair Regen. 2001;9:501-506 https://doi.org/10.1046/j.1524-475x.2001.00501.x
  14. Castagnoli C, Stella M, Berthod C, et al: TNF production and hypertrophic scarring. Cell Immunol. 1993;147:51-63 https://doi.org/10.1006/cimm.1993.1047
  15. Alster TS, Tanzi EL: Hypertrophic scars and keloids: etiology and management. Am J Clin Dermatol. 2003;4:235-243 https://doi.org/10.2165/00128071-200304040-00003
  16. Goodman GJ: Postacne scarring: a review of its pathophysiology and treatment. Dermatol Surg. 2000;26:857-871 https://doi.org/10.1046/j.1524-4725.2000.99232.x
  17. Teot L: Clinical evaluation of scars. Wound Repair Regen. 2002;10:93-97 https://doi.org/10.1046/j.1524-475X.2002.02102.x
  18. Shaffer JJ, Taylor SC, Cook-Bolden F: Keloidal scars: a review with a critical look at therapeutic options. J Am Acad Dermatol. 2002;46:S63-97 https://doi.org/10.1067/mjd.2002.120788
  19. Ehrlich HP, Kelley SF: Hypertrophic scar: an interruption in the remodeling of repair--a laser Doppler blood flow study. Plast Reconstr Surg. 1992;90:993-998 https://doi.org/10.1097/00006534-199212000-00009
  20. Kuo YR, Jeng SF, Wang FS, et al: Flashlamp pulsed dye laser (PDL ) suppression of keloid proliferation through down-regulation of TGF-beta1 expression and extracellular matrix expression. Lasers Surg Med. 2004;34:104-108 https://doi.org/10.1002/lsm.10206