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KMID : 1037020150040020070
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Medical Lasers; Engineering, Basic Research, and Clinical Application
2015 Volume.4 No. 2 p.70 ~ p.73
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Treatment of Burn Scars with the Pinhole 4.0 Method Using a 10,600-nm Carbon Dioxide Laser
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Lee Sang-Ju
Suh Joon-Hyuk
Kang Jin-Moon
Kim Young-Koo
Chung Won-Soon
Kim Beom-Joon
Park Kui-Young
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Abstract
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Background and Objectives: Treatment of burn scars can be challenging due to their variable shape, color, and thickness. Several treatment modalities for burn scars have been introduced, but an ideal procedure has not yet been found. The pinhole method is a laser modality demonstrated as an effective treatment for burn scars. The aim of this study was to evaluate the efficacy and safety of the treatment of burn scars with a pinhole 4.0 method using a 10,600-nm carbon dioxide (CO2) laser.
Materials and Methods: We conducted a retrospective chart review of patients with hypertrophic burn scars treated using the pinhole 4.0 method.
Results: Eleven Korean patients with burn scars (mean age 38.0 years; range, 19-63 years) were treated using the pinhole 4.0 method. Subjects were treated via the pinhole method in single sessions. Two blinded dermatologists evaluated photographs taken at baseline and three months after treatment and assessed improvement using a quartile grading scale. Compared with baseline, all patients showed mild to moderate improvement (mean score: 3.0). The patient satisfaction questionnaire indicated a mean improvement score of 3.0.
Conclusion: The pinhole 4.0 method using a CO2 laser may be a safe and effective treatment option in patients with refractory hypertrophic burn scars.
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KEYWORD
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Hypertrophic burn scar, Pinhole method, CO2 laser
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