Laser for Burn Scar Treatment

Jillian McLaughlin, Ludwik K. Branski, William Norbury, Sarah E. Bache, Lin Chilton, Naguib El-Muttardi, Bruce Philp

Research output: Chapter in Book/Report/Conference proceedingChapter

6 Scopus citations

Abstract

Restoration of form and function after burn injury remains challenging. Emerging laser and pulsed light technologies have been beneficial in the treatment of patients with hypertrophic scars, which may be associated with persistent hyperemia, chronic folliculitis, intense pruritus, and neuropathic pain. The following lasers have been used with varying levels of success in burn scar reconstruction: 1) vascular-specific pulsed dye laser (PDL) to reduce hyperemia, (2) ablative fractional CO2 laser to improve texture and pliability of the burn scar, (3) ablative Erbium:YAG laser (4) lasers to target pigment including the ruby, NgYAG and Alexandrite lasers and (5) intense pulsed light (IPL) to correct burn scar pruritus, dyschromia, and alleviate chronic folliculitis. This chapter will briefly review the history of lasers, the physics of laser, and provide an overview of the different lasers utilized in burn reconstruction thus far. Additionally, at the end of this chapter, laser safety will be reviewed along with future directions for laser surgery in burn reconstruction.

Original languageEnglish (US)
Title of host publicationTotal Burn Care, Fifth Edition
PublisherElsevier
Pages648-654.e1
ISBN (Electronic)9780323476614
ISBN (Print)9780323497428
DOIs
StatePublished - Jan 1 2017

Keywords

  • Laser
  • burn scar pruritus
  • burn scar reconstruction
  • chronic folliculitis
  • hyperemia
  • hyperpigmentation
  • hypertrophic burn scar

ASJC Scopus subject areas

  • General Medicine

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