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The Evolution and Current Best Treatments for Traumatic, Surgical, and Burn Scars

  • Laser Therapy (J Jagdeo, Section Editor)
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Abstract

The realm of scar therapeutics is constantly changing. Many factors need to be considered when developing a comprehensive treatment plan, including those related to the patient and the nature of the scar. Scar characteristics can be divided by color, scar type, and body location. Many agents including topical, intralesional, light- and laser-based treatment modalities can be used to revitalize and restore damaged skin. The most commonly used lasers are the pulsed dye laser (PDL) and either fractional ablative or fractional non-ablative devices. Ideally, a combination approach using topical and intralesional medications along with PDL and a fractional laser should be considered in all patients wishing to undergo treatment of their scars.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. Petro JA. An idiosyncratic history of burn scars. Semin Cutan Med Surg. 2015;34(1):2–6.

    PubMed  Google Scholar 

  2. Baghel PS, Shukla S, Mathur RK, Randa R. A comparative study to evaluate the effect of honey dressing and silver sulfadiazene dressing on wound healing in burn patients. Indian J Plast Surg. 2009;42(2):176–81.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Tredget EE, Levi B, Donelan MB. Biology and principles of scar management and burn reconstruction. Surg Clin North Am. 2014;94(4):793–815.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Anderson RR, Donelan MB, Hivnor C, Greeson E, Ross EV, Shumaker PR, et al. Laser treatment of traumatic scars with an emphasis on ablative fractional laser resurfacing: consensus report. JAMA Dermato. 2014;150(2):187–93. A review of treating traumatic scars with ablative fractional resurfacing that discusses protocols and side effects.

    Article  Google Scholar 

  5. Balaraman B, Geddes ER, Friedman PM. Best reconstructive techniques: improving the final scar. Dermatol Surg. 2015;41 Suppl 10:S265–75. Discusses combination therapy with lasers and injectable agents for treating scars.

    Article  CAS  PubMed  Google Scholar 

  6. Giordano NC, Ozog D. Microstructural and molecular considerations in the treatment of scars with ablative fractional lasers. Semin Cutan Med Surg. 2015;34(1):7–11.

    Article  PubMed  Google Scholar 

  7. Alster TS, Williams CM. Treatment of keloid sternotomy scars with 585 nm flashlamp-pumped pulsed-dye laser. Lancet. 1995;345(8959):1198–200.

    Article  CAS  PubMed  Google Scholar 

  8. Stewart N, Lim AC, Lowe PM, Goodman G. Lasers and laser-like devices: part one. Australas J Dermatol. 2013;54(3):173–83.

    Article  PubMed  Google Scholar 

  9. Uebelhoer NS, Ross EV, Shumaker PR. Ablative fractional resurfacing for the treatment of traumatic scars and contractures. Semin Cutan Med Surg. 2012;31:110–2.

    Article  CAS  PubMed  Google Scholar 

  10. Carniol PJ, Hamilton MM, Carniol ET. Current status of fractional laser resurfacing. JAMA Facial Plast Surg. 2015;17(5):360–66. Overview of currently available fractional devices, including the pros and cons of each device.

    Article  PubMed  Google Scholar 

  11. Waibel JS, Rudnick A. Current trends and future considerations in scar treatment. Semin Cutan Med Surg. 2015;34(1):13–6.

    Article  PubMed  Google Scholar 

  12. Shumaker PR, Kwan JM, Landers JT, Uebelhoer NS. Functional improvements in traumatic scars and scar contractures using an ablative fractional laser protocol. J Trauma Acute Care Surg. 2012;73(2 Suppl 1):S116–21. Discusses a protocol with ablative fractional laser for treating scar contractures in order to improve function.

    Article  PubMed  Google Scholar 

  13. Metelitsa AI, Alster TS. Fractionated laser skin resurfacing treatment complications: a review. Dermatol Surg. 2010;36(3):299–306.

    Article  CAS  PubMed  Google Scholar 

  14. Alster TS, Nanni CA. Pulsed dye laser treatment of hypertrophic burn scars. Plast Reconstr Surg. 1998;102(6):2190–5.

    Article  CAS  PubMed  Google Scholar 

  15. Nouri K et al. 585-nm pulsed dye laser in the treatment of surgical scars starting on the suture removal day. Dermatol Surg. 2003;29(1):65–73.

    PubMed  Google Scholar 

  16. Liew SH, Murison M, Dickson WA. Prophylactic treatment of deep dermal burn scar to prevent hypertrophic scarring using the pulsed dye laser: a preliminary study. Ann Plast Surg. 2002;49(5):472–5.

    Article  CAS  PubMed  Google Scholar 

  17. Gladsjo JA, Jiang SI. Treatment of surgical scars using a 595-nm pulsed dye laser using purpuric and nonpurpuric parameters: a comparative study. Dermatol Surg. 2014;40(2):118–26.

    Article  CAS  PubMed  Google Scholar 

  18. Tierney E, Mahmoud BH, Srivastava D, Ozog D, Kouba DJ. Treatment of surgical scars with nonablative fractional laser versus pulsed dye laser: a randomized controlled trial. Dermatol Surg. 2009;35(8):1172–80.

    Article  CAS  PubMed  Google Scholar 

  19. Mamalis AD, Lev-Tov H, Nguyen DH, Jadgeo JR. Laser and light-based treatment of keloids—a review. J Eur Acad Dermatol Venereol. 2014;28(6):689–99.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Shilpi Khetarpal.

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Dr. Shilpi Khetarpal, Dr. Jeffrey S. Dover, and Dr. Kenneth Arndt declare that they have no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Laser Therapy

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Khetarpal, S., Dover, J.S. & Arndt, K. The Evolution and Current Best Treatments for Traumatic, Surgical, and Burn Scars. Curr Derm Rep 5, 228–231 (2016). https://doi.org/10.1007/s13671-016-0146-5

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  • DOI: https://doi.org/10.1007/s13671-016-0146-5

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