Managing Burn Scar withaCombination Therapy ofLong Pulsed 1064 Nm Nd: YAG(LPND) Laser, Topical Tretinoin and Hydroquinone
Journal Title: International Journal Of Medical Science And Clinical Research Studies - Year 2022, Vol 2, Issue 07
Abstract
Background:Burn scars are associated with significant morbidity ranging from pigmentation, pruritus, pain, contractures and disfigurement to psychosocial impairment. Newer and advanced therapies for the treatment of burn scars have been developed, including lasers, and other topical treatmentsCaseIllustration:Anasianwoman with history ofhaving hypertrophic scararising from the edgesof previous skin graftfor her second degree of burns. We performed contact-mode long pulsed1064 nm Nd:YAGlaser treatmentin combination with topical tretinoin and hydroquinone.Tenmonthsafter initial combination treatment, the scar showed improvementin term ofcolour, contour, and consistency.Discussion.Burnscars have tendency to enlarge, hypertrophic and become keloids. Long pulsed 1064 nm Nd:YAG laser helps to reduce hypervascularization that usually found in hypertrophic scars or even keloid. Tretinoin is a derivate of vitaminA which has many different mechanismsinwound healingenhancement.Hydroquinone inhibits melanogenesis and plays role in maintaining pH level in wound healing process.Conclusions: Burn scarresponded well to long pulsed1064 nm neodymium-yttrium-aluminum-garnet (Nd:YAG) laser treatment. A combination therapy with topicaltretinoin and hydroquinone improved the burn scar in term of better color, contour and consistency
Authors and Affiliations
Ismiralda Oke Putranti, Ahmad Fawzy
Keywords
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- EP ID EP731727
- DOI 10.47191/ijmscrs/v2-i7-05
- Views 23
- Downloads 0
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