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Multimodal Quantitative Analysis of Early Pulsed‐Dye Laser Treatment of Scars at a Pediatric Burn Hospital
Background The pulsed‐dye laser (PDL) is a potential adjunctive therapy for treatment of hyperemic and hypertrophic scars. Objective To compare the effects of early PDL treatment plus compression therapy (CT) with those of CT alone in patients undergoing burn scar reconstruction with split‐thickness...
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| Published in: | Dermatologic surgery 2012-09, Vol.38 (9), p.1490-1496 |
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| Main Authors: | , , , , , , , |
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| container_end_page | 1496 |
| container_issue | 9 |
| container_start_page | 1490 |
| container_title | Dermatologic surgery |
| container_volume | 38 |
| creator | Bailey, John Kevin Burkes, Shoná A. Visscher, Marty O. Whitestone, Jennifer Kagan, Richard J. Yakuboff, Kevin P. Warner, Petra Randall Wickett, R. |
| description | Background
The pulsed‐dye laser (PDL) is a potential adjunctive therapy for treatment of hyperemic and hypertrophic scars.
Objective
To compare the effects of early PDL treatment plus compression therapy (CT) with those of CT alone in patients undergoing burn scar reconstruction with split‐thickness grafts on an extremity.
Methods
Laser treatments were applied to one half of the graft seam. Standard CT was applied to both halves. Laser treatment was repeated at 6‐week intervals until one half reached sufficient clinical improvements. Each half was evaluated just before treatments using quantitative measures of color, scar height, biomechanical properties and clinical features using the Vancouver Scar Scale (VSS).
Results
Less quantitative scar erythema and height and greater tissue elasticity were observed after two or three treatments for PDL plus compression than with compression alone. VSS scores showed greater improvement for vascularity, pliability, pigmentation, and height for PDL plus compression than for compression alone.
Conclusion
PDL treatment in combination with CT appears to reduce scar hyperemia and height and normalize the biomechanical properties of burn‐related scars. |
| doi_str_mv | 10.1111/j.1524-4725.2012.02451.x |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1039887642</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1039887642</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3991-ffdbfead11b77d7ce82e980b6efb3e8bc77e48f3bfa7e3581d5c1555dc1599503</originalsourceid><addsrcrecordid>eNqNkMtu1TAQhiMEohd4BeQNEpsEX-LYWbAovVCkgyhqu7YcZyz5yEkOtgPNjkfgGXkSHM6hbPFiPNJ889v6igIRXJF83m4rwmld1oLyimJCK0xrTqqHJ8Xx4-Bp7rFoSswJPSpOYtziTLYMPy-OKG0yIeRx4T_NPrlh6rVHX2Y9Jpd0ct8AnY3aL9FFNFl0qYNf0M3sI_S_fvy8WABtdISA7gLoNMCYVurW6BCRTkijG-idTsEZ9H4OI7qe4i7n-hfFM6tzyMvDfVrcX13enV-Xm88fPp6fbUrD2paU1vadBd0T0gnRCwOSQitx14DtGMjOCAG1tKyzWgDjkvTcEM55n2vbcsxOizf73F2Yvs4QkxpcNOC9HmGaoyKYtVKKpqYZlXvUhCnGAFbtght0WDKkVtdqq1alalWqVtfqj2v1kFdfHV6ZuwH6x8W_cjPw-gDoaLS3QY_GxX9cw1qMJcvcuz333XlY_vsD6uL2fu3Yb6wenDQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1039887642</pqid></control><display><type>article</type><title>Multimodal Quantitative Analysis of Early Pulsed‐Dye Laser Treatment of Scars at a Pediatric Burn Hospital</title><source>Wiley-Blackwell Journals</source><creator>Bailey, John Kevin ; Burkes, Shoná A. ; Visscher, Marty O. ; Whitestone, Jennifer ; Kagan, Richard J. ; Yakuboff, Kevin P. ; Warner, Petra ; Randall Wickett, R.</creator><creatorcontrib>Bailey, John Kevin ; Burkes, Shoná A. ; Visscher, Marty O. ; Whitestone, Jennifer ; Kagan, Richard J. ; Yakuboff, Kevin P. ; Warner, Petra ; Randall Wickett, R.</creatorcontrib><description>Background
The pulsed‐dye laser (PDL) is a potential adjunctive therapy for treatment of hyperemic and hypertrophic scars.
Objective
To compare the effects of early PDL treatment plus compression therapy (CT) with those of CT alone in patients undergoing burn scar reconstruction with split‐thickness grafts on an extremity.
Methods
Laser treatments were applied to one half of the graft seam. Standard CT was applied to both halves. Laser treatment was repeated at 6‐week intervals until one half reached sufficient clinical improvements. Each half was evaluated just before treatments using quantitative measures of color, scar height, biomechanical properties and clinical features using the Vancouver Scar Scale (VSS).
Results
Less quantitative scar erythema and height and greater tissue elasticity were observed after two or three treatments for PDL plus compression than with compression alone. VSS scores showed greater improvement for vascularity, pliability, pigmentation, and height for PDL plus compression than for compression alone.
Conclusion
PDL treatment in combination with CT appears to reduce scar hyperemia and height and normalize the biomechanical properties of burn‐related scars.</description><identifier>ISSN: 1076-0512</identifier><identifier>EISSN: 1524-4725</identifier><identifier>DOI: 10.1111/j.1524-4725.2012.02451.x</identifier><identifier>PMID: 22672578</identifier><language>eng</language><publisher>Malden, MA: Wiley</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Burns ; Burns - complications ; Child ; Cicatrix - pathology ; Cicatrix - physiopathology ; Cicatrix - therapy ; Combined Modality Therapy ; Compression Bandages ; Dermatology ; Elasticity ; Erythema - therapy ; Female ; Humans ; Lasers, Dye - therapeutic use ; Male ; Medical sciences ; Pliability ; Severity of Illness Index ; Single-Blind Method ; Skin - pathology ; Skin - physiopathology ; Skin plastic surgery ; Skin Transplantation ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Traumas. Diseases due to physical agents ; Young Adult</subject><ispartof>Dermatologic surgery, 2012-09, Vol.38 (9), p.1490-1496</ispartof><rights>2012 by the American Society for Dermatologic Surgery, Inc. Published by Wiley Periodicals, Inc.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3991-ffdbfead11b77d7ce82e980b6efb3e8bc77e48f3bfa7e3581d5c1555dc1599503</citedby><cites>FETCH-LOGICAL-c3991-ffdbfead11b77d7ce82e980b6efb3e8bc77e48f3bfa7e3581d5c1555dc1599503</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1524-4725.2012.02451.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1524-4725.2012.02451.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26390083$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22672578$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bailey, John Kevin</creatorcontrib><creatorcontrib>Burkes, Shoná A.</creatorcontrib><creatorcontrib>Visscher, Marty O.</creatorcontrib><creatorcontrib>Whitestone, Jennifer</creatorcontrib><creatorcontrib>Kagan, Richard J.</creatorcontrib><creatorcontrib>Yakuboff, Kevin P.</creatorcontrib><creatorcontrib>Warner, Petra</creatorcontrib><creatorcontrib>Randall Wickett, R.</creatorcontrib><title>Multimodal Quantitative Analysis of Early Pulsed‐Dye Laser Treatment of Scars at a Pediatric Burn Hospital</title><title>Dermatologic surgery</title><addtitle>Dermatol Surg</addtitle><description>Background
The pulsed‐dye laser (PDL) is a potential adjunctive therapy for treatment of hyperemic and hypertrophic scars.
Objective
To compare the effects of early PDL treatment plus compression therapy (CT) with those of CT alone in patients undergoing burn scar reconstruction with split‐thickness grafts on an extremity.
Methods
Laser treatments were applied to one half of the graft seam. Standard CT was applied to both halves. Laser treatment was repeated at 6‐week intervals until one half reached sufficient clinical improvements. Each half was evaluated just before treatments using quantitative measures of color, scar height, biomechanical properties and clinical features using the Vancouver Scar Scale (VSS).
Results
Less quantitative scar erythema and height and greater tissue elasticity were observed after two or three treatments for PDL plus compression than with compression alone. VSS scores showed greater improvement for vascularity, pliability, pigmentation, and height for PDL plus compression than for compression alone.
Conclusion
PDL treatment in combination with CT appears to reduce scar hyperemia and height and normalize the biomechanical properties of burn‐related scars.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Burns</subject><subject>Burns - complications</subject><subject>Child</subject><subject>Cicatrix - pathology</subject><subject>Cicatrix - physiopathology</subject><subject>Cicatrix - therapy</subject><subject>Combined Modality Therapy</subject><subject>Compression Bandages</subject><subject>Dermatology</subject><subject>Elasticity</subject><subject>Erythema - therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Lasers, Dye - therapeutic use</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pliability</subject><subject>Severity of Illness Index</subject><subject>Single-Blind Method</subject><subject>Skin - pathology</subject><subject>Skin - physiopathology</subject><subject>Skin plastic surgery</subject><subject>Skin Transplantation</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Young Adult</subject><issn>1076-0512</issn><issn>1524-4725</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><recordid>eNqNkMtu1TAQhiMEohd4BeQNEpsEX-LYWbAovVCkgyhqu7YcZyz5yEkOtgPNjkfgGXkSHM6hbPFiPNJ889v6igIRXJF83m4rwmld1oLyimJCK0xrTqqHJ8Xx4-Bp7rFoSswJPSpOYtziTLYMPy-OKG0yIeRx4T_NPrlh6rVHX2Y9Jpd0ct8AnY3aL9FFNFl0qYNf0M3sI_S_fvy8WABtdISA7gLoNMCYVurW6BCRTkijG-idTsEZ9H4OI7qe4i7n-hfFM6tzyMvDfVrcX13enV-Xm88fPp6fbUrD2paU1vadBd0T0gnRCwOSQitx14DtGMjOCAG1tKyzWgDjkvTcEM55n2vbcsxOizf73F2Yvs4QkxpcNOC9HmGaoyKYtVKKpqYZlXvUhCnGAFbtght0WDKkVtdqq1alalWqVtfqj2v1kFdfHV6ZuwH6x8W_cjPw-gDoaLS3QY_GxX9cw1qMJcvcuz333XlY_vsD6uL2fu3Yb6wenDQ</recordid><startdate>201209</startdate><enddate>201209</enddate><creator>Bailey, John Kevin</creator><creator>Burkes, Shoná A.</creator><creator>Visscher, Marty O.</creator><creator>Whitestone, Jennifer</creator><creator>Kagan, Richard J.</creator><creator>Yakuboff, Kevin P.</creator><creator>Warner, Petra</creator><creator>Randall Wickett, R.</creator><general>Wiley</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201209</creationdate><title>Multimodal Quantitative Analysis of Early Pulsed‐Dye Laser Treatment of Scars at a Pediatric Burn Hospital</title><author>Bailey, John Kevin ; Burkes, Shoná A. ; Visscher, Marty O. ; Whitestone, Jennifer ; Kagan, Richard J. ; Yakuboff, Kevin P. ; Warner, Petra ; Randall Wickett, R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3991-ffdbfead11b77d7ce82e980b6efb3e8bc77e48f3bfa7e3581d5c1555dc1599503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Burns</topic><topic>Burns - complications</topic><topic>Child</topic><topic>Cicatrix - pathology</topic><topic>Cicatrix - physiopathology</topic><topic>Cicatrix - therapy</topic><topic>Combined Modality Therapy</topic><topic>Compression Bandages</topic><topic>Dermatology</topic><topic>Elasticity</topic><topic>Erythema - therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Lasers, Dye - therapeutic use</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Pliability</topic><topic>Severity of Illness Index</topic><topic>Single-Blind Method</topic><topic>Skin - pathology</topic><topic>Skin - physiopathology</topic><topic>Skin plastic surgery</topic><topic>Skin Transplantation</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bailey, John Kevin</creatorcontrib><creatorcontrib>Burkes, Shoná A.</creatorcontrib><creatorcontrib>Visscher, Marty O.</creatorcontrib><creatorcontrib>Whitestone, Jennifer</creatorcontrib><creatorcontrib>Kagan, Richard J.</creatorcontrib><creatorcontrib>Yakuboff, Kevin P.</creatorcontrib><creatorcontrib>Warner, Petra</creatorcontrib><creatorcontrib>Randall Wickett, R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Dermatologic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bailey, John Kevin</au><au>Burkes, Shoná A.</au><au>Visscher, Marty O.</au><au>Whitestone, Jennifer</au><au>Kagan, Richard J.</au><au>Yakuboff, Kevin P.</au><au>Warner, Petra</au><au>Randall Wickett, R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multimodal Quantitative Analysis of Early Pulsed‐Dye Laser Treatment of Scars at a Pediatric Burn Hospital</atitle><jtitle>Dermatologic surgery</jtitle><addtitle>Dermatol Surg</addtitle><date>2012-09</date><risdate>2012</risdate><volume>38</volume><issue>9</issue><spage>1490</spage><epage>1496</epage><pages>1490-1496</pages><issn>1076-0512</issn><eissn>1524-4725</eissn><abstract>Background
The pulsed‐dye laser (PDL) is a potential adjunctive therapy for treatment of hyperemic and hypertrophic scars.
Objective
To compare the effects of early PDL treatment plus compression therapy (CT) with those of CT alone in patients undergoing burn scar reconstruction with split‐thickness grafts on an extremity.
Methods
Laser treatments were applied to one half of the graft seam. Standard CT was applied to both halves. Laser treatment was repeated at 6‐week intervals until one half reached sufficient clinical improvements. Each half was evaluated just before treatments using quantitative measures of color, scar height, biomechanical properties and clinical features using the Vancouver Scar Scale (VSS).
Results
Less quantitative scar erythema and height and greater tissue elasticity were observed after two or three treatments for PDL plus compression than with compression alone. VSS scores showed greater improvement for vascularity, pliability, pigmentation, and height for PDL plus compression than for compression alone.
Conclusion
PDL treatment in combination with CT appears to reduce scar hyperemia and height and normalize the biomechanical properties of burn‐related scars.</abstract><cop>Malden, MA</cop><pub>Wiley</pub><pmid>22672578</pmid><doi>10.1111/j.1524-4725.2012.02451.x</doi><tpages>7</tpages></addata></record> |
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| ispartof | Dermatologic surgery, 2012-09, Vol.38 (9), p.1490-1496 |
| issn | 1076-0512 1524-4725 |
| language | eng |
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| source | Wiley-Blackwell Journals |
| subjects | Adolescent Adult Biological and medical sciences Burns Burns - complications Child Cicatrix - pathology Cicatrix - physiopathology Cicatrix - therapy Combined Modality Therapy Compression Bandages Dermatology Elasticity Erythema - therapy Female Humans Lasers, Dye - therapeutic use Male Medical sciences Pliability Severity of Illness Index Single-Blind Method Skin - pathology Skin - physiopathology Skin plastic surgery Skin Transplantation Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Traumas. Diseases due to physical agents Young Adult |
| title | Multimodal Quantitative Analysis of Early Pulsed‐Dye Laser Treatment of Scars at a Pediatric Burn Hospital |
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