Применение современных Q-Switehed-лазеров для коррекции сложных косметических дефектов кожи лица


Цитировать

Полный текст

Открытый доступ Открытый доступ
Доступ закрыт Доступ предоставлен
Доступ закрыт Доступ платный или только для подписчиков

Аннотация

В статье представлен всесторонний обзор литературы о возможностях лазерной терапии при лечении посттравматических рубцов и травматических татуировок. Раскрыты основные физические эффекты и механизмы, лежащие в основе терапевтического действия лазерного излучения. Обсуждены показания к применению, время начала терапии, методики и побочные эффекты абляционных и неабляционных лазерных систем, импульсных лазеров на красителях. Сделан акцент на современных Q-Switahed-лазерах как на эффективном инструменте лечения сложных косметических дефектов лица. Представлено два клинических случая успешной терапии пациентов с послеоперационными рубцами и травматической татуировкой. Для коррекции рубцовой ткани использован аблятивный фракционный режим Q-Switсhed-лазера. Лечение травматической татуировки проводилось по комбинированной методике с формированием на первом этапе микроотверстий для сброса давления газа и выведения продуктов распада микрочастиц пигмента, на втором осуществлялась фотоакустическая процедура удаления татуировки Q-Switehed Nd: YAG-лазером с применением гибридного наносекундного импульса большой мощности

Полный текст

Доступ закрыт

Об авторах

Н. А Шанина

Военно-медицинская академия им. С.М. Кирова

Email: shanina_n@mail.ru
к.м.н. , зав. лазерным отделением клиники кожных и венерических болезней Санкт-Петербург, Россия

А. В Патрушев

Военно-медицинская академия им. С.М. Кирова

Санкт-Петербург, Россия

И. Г Курганская

Военно-медицинская академия им. С.М. Кирова

Санкт-Петербург, Россия

К. С Григорьев

Военно-медицинская академия им. С.М. Кирова

Санкт-Петербург, Россия

Список литературы

  1. Willows B.M., Ilyas M., Sharma А. Laser in the management of burn scars. Burns. 2017;43(7):1379-89. Doi: 10.1016/j. burns.2017.07.001.
  2. Van Loey N.E.E., Van Son M.J.M. Psychopathology and psychological problems in patients with burn scars. Am J Clin Dermatol. 2003;4(4):245- 72. doi: 10.2165/00128071-200304040-00004.
  3. Bock O., Schmid-Ott G., Malewski F.I., et al. Quality of life of patients with keloid and hypertrophic scarring. Arch Dermatol Res. 2006;297:433-38. doi: 10.1007/s00403-006-0651-7.
  4. Worley B, Huang J.W., Macdonald J. Approach to treatment of cicatricial ectropion: a systematic review and meta-analysis comparing surgical and minimally invasive options. Arch Dermatol Res. 2020;312(3):165-72. doi: 10.1007/s00403- 019-01983-0.
  5. Brooks J.F, Malic C.C., Judkins K.C. Scratching the surface - managing the itch associated with burns: a review of current knowledge. Burns. 2008;34:751-60. Doi: 10.1016/j. burns.2007.11.015.
  6. Weisel G., Fillekamp H. Treatment of gunpowder tattoo and foreign bodies after blast injuries. HNO. 2011;59(8):807-10. doi: 10.1007/s00106-011-2354-4.
  7. Anthonissen M., Daly D., Janssens T., et al. The effects of conservative treatments on burn scars: a systematic review. Burns 2016;42:508-18. doi: 10.1016/j.burns.2015.12.006.
  8. Atiyeh B.S, Khatib A.M., Dibo S.A. Pressure garment therapy of burn scars: evidence-based efficacy. Ann Burns Fire Disasters 2013;XXVI(4):205-12.
  9. Xi-Qiao W, Ying-Kai L., Chun Q., Shu-Liang L. A review of the effectiveness of antimitotic drug injections for hypertrophic scars and keloids. Ann Plast Surg 2009;63:688-92.
  10. Cho Y.S., Jeon J.H., Hong A., et al. The effect ofburn rehabilitation massage therapy on hypertrophic scar after burn: a randomized controlled trial. Burns 2014;40:1513-20.
  11. Apfelberg D.B., Manchester G.H. Decorative and traumatic tattoo biophysics and removal. Clin Plast Sur. 1987;14(2):243-251.
  12. Chang S.E., Choi J.H., Moon K.C., et al. Successful removal of traumatic tattoos in Asian skin with a Q-switched alexandrite laser. Dermatol Surg. 1998; 24(12):1308-11. doi: 10.1111/j.1524-4725.1998.tb00005.x.
  13. Fu X., Dong J., Wang S., et al. Advances in the treatment of traumatic scars with laser, intense pulsed light, radio frequency, and ultrasound. Burns Trauma. 2019;7:1. doi: 10.1186/s41038-018-0141-0.
  14. Issler-Fisher A.C., Waibel J.S., Donelan M.B. Laser modulation of hypertrophic scars: Technique and practice. Clin Flast Surg. 2017;44:757-66. doi: 10.1016/j.cps.2017.05.007.
  15. Issler-Fisher A.C., Fisher O.M., Smialkowski A.O., et al. Ablative fractional CO2 laser for burn scar reconstruction:Anextensivesubjectiveandobjective short-term outcome analysis of a prospective treatment cohort. Burns. 2017;43:573-82. doi: 10.1016/j.burns.2016.09.014.
  16. Hultman C.S., Friedstat J.S., Edkins R.E., et al. Laser resurfacing and remodeling of hypertrophic burn scars: The results of a large, prospective, before-after cohort study, with long-term follow-up. Ann Surg. 2014;260:519-29. Doi: 10.1097/ SLA.0000000000000893.
  17. Anderson R.R., Donelan M.B., Hivnor C., et al. Laser treatment of traumatic scars with an emphasis on ablative fractional laser resurfacing: Consensus report. JAMA Dermatol. 2014;150:187-93. doi: 10.1001/jamadermatol.2013.7761.
  18. Manstein D., Herron G.S., Sink R.K., et al. Fractional photothermolysis: A new concept for cutaneous remodeling using microscopic patterns of thermal injury. Lasers Surg Med. 2004;34:426-38. doi: 10.1002/lsm.20048.
  19. Lowe N.J., Lask G., Griffin M.E., et al. Skin resurfacing with the Ultrapulse carbon dioxide laser. Observations on 100 patients. Dermatol Surg. 1995; 21(12):1025-29. Doi: 10.1111/ j.1524-4725.1995.tb00552.x.
  20. Khatri K.A., Ross V., Grevelink J.M., et al. Comparison of erbium:YAG and carbon dioxide lasers in resurfacing of facial rhytides. Arch Dermatol. 1999;135:391-97. Doi: 10.1001/ archderm.135.4.391.
  21. Goldberg D.J., Whitworth J. Laser skin resurfacing with the Q-switched Nd:YAG laser. Dermatol Surg. 1997;23:903-6. doi: 10.1111/j.1524-4725.1997.tb00744.x.
  22. Taudorf E.H., Danielson F.L., Paulsen I.F., et al. Non-ablative fractional laser provides long-term improvement of mature burn scars-a randomized controlled trial with histological assessment. Lasers Surg Med. 2015;47:141-47. Doi: 10.1002/ lsm.22289.
  23. Bach D.Q., Garcia M.S., Eisen D.B. Hyperpigmented burn scar improved with afractionated 1550nm non-ablative laser. Dermatol Online J. 2012;18(7):12.
  24. Kim H.S., Lee J.H., Park Y.M., et al. Comparison of the effectiveness of nonablative fractional laser versus ablative fractional laser in thyroidectomy scar prevention: A pilot study. J Cosmet Laser Ther. 2012;14:89-93. doi: 10.3109/14764172.2012.672746.
  25. Hantash B.M., Bedi V.P., Kapadia B., et al. In vivo histological evaluation of a novel ablative fractional resurfacing device. Lasers Surg Med. 2007;39:96-107. doi: 10.1002/lsm.20468.
  26. DeBruler D.M., Blackstone B.N., Baumann M.E., et al. Inflammatory responses, matrix remodeling, and re-epithelialization after fractional CO2 laser treatment of scars. Lasers Surg Med. 2017;49:675-85. doi: 10.1002/lsm.22666.
  27. Ozog D.M., Liu A., Chaffins M.L., et al. Evaluation of clinical results, histological architecture, and collagen expression following treatment of mature burn scars with a fractional carbon dioxide laser. JAMA Dermatol.2013;149:50-7. doi: 10.1001/2013.jamadermatol.668.
  28. Qu L., Liu A., Zhou L., et al. Clinical and molecular effects on mature burn scars after treatment with a fractional CO(2) laser. Lasers Surg Med. 2012;44:517-24. doi: 10.1002/lsm.22055.
  29. El-Zawahry B.M., Sobhi R.M., Bassiouny D.A., et al. Ablative CO2 fractional resurfacing in treatment of thermal burn scars: An open-label controlled clinical and histopathological study. J Cosmet Dermatol.2015;14:324-31. Doi: 10.1111/ jocd.12163.
  30. Azzam O.A., Bassiouny D.A., El-Hawary M.S., et al. Treatment of hypertrophic scars and keloids by fractional carbon dioxide laser: A clinical, histological, and immunohistochemical study. Lasers Med Sci. 2016;31:9-18. Doi: 10.1007/ s10103-015-1824-4.
  31. Shumaker P.R., Kwan J.M., Badiavas E.V., et al. Rapid healing of scar-associated chronic wounds after ablative fractional resurfacing. Arch Dermatol. 2012;148:1289-93. doi: 10.1001/2013. jamadermatol.256.
  32. Waibel J., Beer K. Ablative fractional laser resurfacing for the treatment of a third-degree burn. J Drugs Dermatol. 2009;8:294-97.
  33. Kawecki M., Bernad-Wisniewska T., Sakiel S., et al. Laser in the treatment of hypertrophic burn scars. Int Wound J. 2008;5(1):87-97.
  34. Cho S.B., Lee S.J., Kang J.M., et al. The treatment of burn scar-induced contracture with the pinhole method and collage induction therapy: a case report. J Eur Acad Dermatol Venereol. 2008;22:513-14. doi: 10.1111/j.1468-3083.2007.02375.x.
  35. Khandelwal A., Yelvington M., Tang X., et al. Ablative fractional photothermolysis for the treatment of hypertrophic burn scars in adult and pediatric patients: a single surgeon's experience. J Burn Care Res. 2014;35:455-63. Doi: 10.1097/ BCR.0000000000000028.
  36. Waibel J.S., Wulkan A.J., Shumaker P.R. Treatment of hypertrophic scars using laser and laser assisted corticosteroid delivery. Lasers Surg Med. 2013;45:135-40. doi: 10.1002/ism.22120.
  37. Hultman C.S., Edkins R.E., Lee C.N., et al. Shine on: Review of laser- and light-based therapies for the treatment of burn scars. Dermatol Res Pract. 2012;2012:243651. doi: 10.1155/2012/243651.
  38. Parrett B.M., Donelan M.B. Pulsed dye laser in burn scars: Current concepts and future directions. Burns.2010;36:443-49. Doi: 10.1016/j. burns.2009.08.015.
  39. Shumaker F.I.R., Kwan J.M., Landers J.T., et al. Functional improvements in traumatic scars and scar contractures using an ablative fractional laser protocol. J Trauma Acute Care Surg. 2012;73:S116-doi: 10.1097/TA.0b013e318260634b.
  40. Hultman C.S., Edkins R.E., Cairns B.A., et al. Logistics of building a laser practice for the treatment of hypertrophic burn scars. Ann Plast Surg. 2013;70:581-86. Doi: 10.1097/ SAP0b013e31827eac0c.
  41. Choe J.H., Park Y.L., Kim B.J., et al. Prevention of thyroidectomy scar using a new 1,550-nm fractional erbium-glass laser. Dermatol Surg. 2009;35:1199-205. doi: 10.1111/j.1524-4725.2008.34428.x.
  42. Nouri K., Jimenez G.P., 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. doi: 10.1046/j.1524-4725.2003.29014.x.
  43. Sobanko J.F., Vachiramon V., Rattanaumpawan P., et al. Early postoperative single treatment ablative fractional lasing of Mohs micrographic surgery facial scars: A split-scar, evaluator-blinded study. Lasers Surg Med. 2015;47:1-5. Doi: 10.1002/ lsm.22314.
  44. Kaushik S.B., Alexis A.F. Nonablative fractional laser resurfacing in skin of color: Evidence-based review. J Clin Aesthet Dermatol. 2017;10:51-67.
  45. Alexis A.F. Lasers and light-based therapies in ethnic skin: Treatment options and recommendations for Fitzpatrick skin types V and VI. Br J Dermatol. 2013;169(Suppl 3):91-7. Doi: 10.1111/ bjd.12526.
  46. Bäumler W., Weiß K.T. Laser assisted tattoo removal - state of the art and new developments. Photochem Photobiol Sci. 2019;18(2):349-58. doi: 10.1039/c8pp004016a.
  47. Bonan P., Bassi A., Bruscino N., et al. Combined pulsed dye laser and Q-switched Nd:YAG laser intraumatic facial tattoo removal: A case series. Dermatol Ther. 2019;32(5):e13069. doi: 10.1111/dth.13069.
  48. Jenzer A.C., Storrs B.P., Daniels Z., et al.Traumatic Facial Tattoo Injuries From Gunpowder and Ammunition: A Case Series. Craniomaxillofac Trauma Reconstr. 2020;13(2):133-37. doi: 10.1177/194338 7520902893.

Дополнительные файлы

Доп. файлы
Действие
1. JATS XML
Скачать

© ООО «Бионика Медиа», 2021