Using the pulsed dye laser to influence scar formation after breast reduction surgery: A preliminary report

被引:12
作者
Shakespeare, PG [1 ]
Tiernan, E [1 ]
Dewar, AE [1 ]
Hambleton, J [1 ]
机构
[1] Salisbury Dist Hosp, Laing Lab, Laser Clin, Odstock Ctr Burns & Plast Surg, Salisbury SP2 8BJ, Wilts, England
关键词
D O I
10.1097/00000637-200045040-00002
中图分类号
R61 [外科手术学];
学科分类号
摘要
Many patients undergoing bilateral breast reduction surgery develop problems. Foremost among these problems is scar hypertrophy and its attendant symptoms. Although there is as yet no firm prognostic indicator for hypertrophy, scars that become hypertrophic often have a particular blood vessel pattern, observable by transcutaneous microscopy, showing vessels that lay transversely across the incision line with minimal crosslinks between them. Hypertrophic scars that develop in incision lines become wide, with the final width of the scar dependent on the maximum thickness during the growth stages before maturation and resolution. Close monitoring of scars forming in the incision line using the transcutaneous microscope detected this aligned vessel pattern before overt hypertrophy was seen. Use of the Pulsed Dye Laser caused disruption in the vessel pattern, appeared to inhibit additional hypertrophic development, and promoted early maturation of scars.
引用
收藏
页码:357 / 366
页数:10
相关论文
共 23 条
[1]
Improvement of facial acne scars by the 585 nm flashlamp-pumped pulsed dye laser [J].
Alster, TS ;
McMeekin, TO .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 1996, 35 (01) :79-81
[2]
Pulsed dye laser treatment of hypertrophic burn scars [J].
Alster, TS ;
Nanni, CA .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1998, 102 (06) :2190-2195
[4]
TREATMENT OF KELOID STERNOTOMY SCARS WITH 585 NM FLASHLAMP-PUMPED PULSED-DYE LASER [J].
ALSTER, TS ;
WILLIAMS, CM .
LANCET, 1995, 345 (8959) :1198-1200
[5]
Angiogenesis in pathological and surgical scars [J].
Beer, TW ;
Baldwin, HC ;
Goddard, JR ;
Gallagher, PJ ;
Wright, DH .
HUMAN PATHOLOGY, 1998, 29 (11) :1273-1278
[6]
Cohen I K, 1980, World J Surg, V4, P289
[7]
CROMACK DT, 1990, J TRAUMA, V30, P129
[8]
EHRLICH HP, 1994, AM J PATHOL, V145, P105
[9]
ELLIOT D, 1985, ANN ROY COLL SURG, V67, P238
[10]
Keloids and hypertrophic scars [J].
English, RS ;
Shenefelt, PD .
DERMATOLOGIC SURGERY, 1999, 25 (08) :631-638