Combination of 1,064-nm Neodymium-doped Yttrium Aluminum Garnet Laser and Steroid Tape Decreases the Total Treatment Time of Hypertrophic Scars: An Analysis of 40 Cases of Cesarean-Section Scars
BACKGROUNDThe 1,064-nm neodymium-doped yttrium aluminum garnet (Nd:YAG) laser (Cutera, Inc., Brisbane, CA) and steroid tape (fludroxycortide tape) have been used to treat keloids and hypertrophic scars. OBJECTIVETo evaluate the efficacy of contact-mode 1,064-nm Nd:YAG laser therapy and steroid tape...
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| Veröffentlicht in: | Dermatologic surgery 2020-08, Vol.46 (8), p.1062-1067 |
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| container_title | Dermatologic surgery |
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| creator | Tsai, Chia-Hsuan Kao, Huang-Kai Akaishi, Satoshi An-Jou Lin, Jennifer Ogawa, Rei |
| description | BACKGROUNDThe 1,064-nm neodymium-doped yttrium aluminum garnet (Nd:YAG) laser (Cutera, Inc., Brisbane, CA) and steroid tape (fludroxycortide tape) have been used to treat keloids and hypertrophic scars.
OBJECTIVETo evaluate the efficacy of contact-mode 1,064-nm Nd:YAG laser therapy and steroid tape for hypertrophic cesarean-section scars versus conservative therapy (steroid tape only).
MATERIALS AND METHODSA medical record review identified 40 consecutive Japanese patients who had hypertrophic scars (total Japan Scar Workshop Scar Scale [JSS] 2015 evaluation scores of 9 to 12) for more than 1 year after a vertical cesarean section and who were treated at our scar-specialist clinic from July 2015 to December 2017. All 40 patients continued treatment until the total JSS score dropped below 3. Recurrence was defined as a ≥1-point increase in the total JSW score 6 months after achieving a total JSS score |
| doi_str_mv | 10.1097/DSS.0000000000002235 |
| format | Article |
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OBJECTIVETo evaluate the efficacy of contact-mode 1,064-nm Nd:YAG laser therapy and steroid tape for hypertrophic cesarean-section scars versus conservative therapy (steroid tape only).
MATERIALS AND METHODSA medical record review identified 40 consecutive Japanese patients who had hypertrophic scars (total Japan Scar Workshop Scar Scale [JSS] 2015 evaluation scores of 9 to 12) for more than 1 year after a vertical cesarean section and who were treated at our scar-specialist clinic from July 2015 to December 2017. All 40 patients continued treatment until the total JSS score dropped below 3. Recurrence was defined as a ≥1-point increase in the total JSW score 6 months after achieving a total JSS score <3.
RESULTSThe patients had a mean age of 34.2 years. The test (n = 25) and control (n = 15) groups took on average 16.9 and 24.3 months to achieve a total JSS score <3, respectively (p < .01). In the following 6 months, none of the scars recurred.
CONCLUSIONNd:YAG laser treatment effectively decreased the total treatment time of hypertrophic cesarean-section scars. An algorithm for treating mild and severe hypertrophic cesarean-section scars is proposed.</description><identifier>ISSN: 1076-0512</identifier><identifier>EISSN: 1524-4725</identifier><identifier>DOI: 10.1097/DSS.0000000000002235</identifier><identifier>PMID: 31702591</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins</publisher><subject>Administration, Cutaneous ; Adult ; Algorithms ; Cesarean Section - adverse effects ; Cicatrix, Hypertrophic - drug therapy ; Cicatrix, Hypertrophic - etiology ; Cicatrix, Hypertrophic - therapy ; Combined Modality Therapy ; Conservative Treatment ; Female ; Flurandrenolone - administration & dosage ; Glucocorticoids - administration & dosage ; Humans ; Lasers, Solid-State - therapeutic use ; Recurrence ; Retrospective Studies ; Severity of Illness Index ; Surgical Tape</subject><ispartof>Dermatologic surgery, 2020-08, Vol.46 (8), p.1062-1067</ispartof><rights>Lippincott Williams & Wilkins</rights><rights>2020 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4675-f5fcec2cfb35d0d4c75de6bf42974fc8e90425c5d96cc61de443992a418b42993</citedby><cites>FETCH-LOGICAL-c4675-f5fcec2cfb35d0d4c75de6bf42974fc8e90425c5d96cc61de443992a418b42993</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31702591$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tsai, Chia-Hsuan</creatorcontrib><creatorcontrib>Kao, Huang-Kai</creatorcontrib><creatorcontrib>Akaishi, Satoshi</creatorcontrib><creatorcontrib>An-Jou Lin, Jennifer</creatorcontrib><creatorcontrib>Ogawa, Rei</creatorcontrib><title>Combination of 1,064-nm Neodymium-doped Yttrium Aluminum Garnet Laser and Steroid Tape Decreases the Total Treatment Time of Hypertrophic Scars: An Analysis of 40 Cases of Cesarean-Section Scars</title><title>Dermatologic surgery</title><addtitle>Dermatol Surg</addtitle><description>BACKGROUNDThe 1,064-nm neodymium-doped yttrium aluminum garnet (Nd:YAG) laser (Cutera, Inc., Brisbane, CA) and steroid tape (fludroxycortide tape) have been used to treat keloids and hypertrophic scars.
OBJECTIVETo evaluate the efficacy of contact-mode 1,064-nm Nd:YAG laser therapy and steroid tape for hypertrophic cesarean-section scars versus conservative therapy (steroid tape only).
MATERIALS AND METHODSA medical record review identified 40 consecutive Japanese patients who had hypertrophic scars (total Japan Scar Workshop Scar Scale [JSS] 2015 evaluation scores of 9 to 12) for more than 1 year after a vertical cesarean section and who were treated at our scar-specialist clinic from July 2015 to December 2017. All 40 patients continued treatment until the total JSS score dropped below 3. Recurrence was defined as a ≥1-point increase in the total JSW score 6 months after achieving a total JSS score <3.
RESULTSThe patients had a mean age of 34.2 years. The test (n = 25) and control (n = 15) groups took on average 16.9 and 24.3 months to achieve a total JSS score <3, respectively (p < .01). In the following 6 months, none of the scars recurred.
CONCLUSIONNd:YAG laser treatment effectively decreased the total treatment time of hypertrophic cesarean-section scars. An algorithm for treating mild and severe hypertrophic cesarean-section scars is proposed.</description><subject>Administration, Cutaneous</subject><subject>Adult</subject><subject>Algorithms</subject><subject>Cesarean Section - adverse effects</subject><subject>Cicatrix, Hypertrophic - drug therapy</subject><subject>Cicatrix, Hypertrophic - etiology</subject><subject>Cicatrix, Hypertrophic - therapy</subject><subject>Combined Modality Therapy</subject><subject>Conservative Treatment</subject><subject>Female</subject><subject>Flurandrenolone - administration & dosage</subject><subject>Glucocorticoids - administration & dosage</subject><subject>Humans</subject><subject>Lasers, Solid-State - therapeutic use</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>Severity of Illness Index</subject><subject>Surgical Tape</subject><issn>1076-0512</issn><issn>1524-4725</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUtGO1CAUbYzGXVf_wBg-QHaBQlt8m3R1d5OJPrQ--NRQuM2gpTTAZDO_55fJzKgxPigh4Vw451zCoSheU3JNiaxvbrvumvwxGCvFk-KSCsYxr5l4mjGpK0wEZRfFixi_EkKZLMnz4qKkNWFC0svie-vdaBeVrF-QnxB9SyqOF4c-gjcHZ_cOG7-CQV9SCrlCm3nv7JLBnQoLJLRVEQJSi0FdguCtQb1aAd2CDpCPIko7QL1PakZ93kkOloR66-DY7f6wQkjBrzurUadViO_QZslTzYdo45HCCWpPPhm3EFX2WHAH-nThk-Rl8WxSc4RXP9er4vOH9317j7ef7h7azRZrXtUCT2LSoJmexlIYYriuhYFqnDiTNZ90A5JwJrQwstK6ogY4L6VkitNmzBxZXhX87KuDjzHANKzBOhUOAyXDMZIhRzL8HUmWvTnL1v3owPwW_cogE5oz4dHP-Qnjt3n_CGHYgZrT7n_e_B_SzOKsZg1mhBHS5BKT4x8ofwDN_ql4</recordid><startdate>202008</startdate><enddate>202008</enddate><creator>Tsai, Chia-Hsuan</creator><creator>Kao, Huang-Kai</creator><creator>Akaishi, Satoshi</creator><creator>An-Jou Lin, Jennifer</creator><creator>Ogawa, Rei</creator><general>Lippincott Williams & Wilkins</general><general>by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>202008</creationdate><title>Combination of 1,064-nm Neodymium-doped Yttrium Aluminum Garnet Laser and Steroid Tape Decreases the Total Treatment Time of Hypertrophic Scars: An Analysis of 40 Cases of Cesarean-Section Scars</title><author>Tsai, Chia-Hsuan ; Kao, Huang-Kai ; Akaishi, Satoshi ; An-Jou Lin, Jennifer ; Ogawa, Rei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4675-f5fcec2cfb35d0d4c75de6bf42974fc8e90425c5d96cc61de443992a418b42993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Administration, Cutaneous</topic><topic>Adult</topic><topic>Algorithms</topic><topic>Cesarean Section - adverse effects</topic><topic>Cicatrix, Hypertrophic - drug therapy</topic><topic>Cicatrix, Hypertrophic - etiology</topic><topic>Cicatrix, Hypertrophic - therapy</topic><topic>Combined Modality Therapy</topic><topic>Conservative Treatment</topic><topic>Female</topic><topic>Flurandrenolone - administration & dosage</topic><topic>Glucocorticoids - administration & dosage</topic><topic>Humans</topic><topic>Lasers, Solid-State - therapeutic use</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>Severity of Illness Index</topic><topic>Surgical Tape</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tsai, Chia-Hsuan</creatorcontrib><creatorcontrib>Kao, Huang-Kai</creatorcontrib><creatorcontrib>Akaishi, Satoshi</creatorcontrib><creatorcontrib>An-Jou Lin, Jennifer</creatorcontrib><creatorcontrib>Ogawa, Rei</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Dermatologic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tsai, Chia-Hsuan</au><au>Kao, Huang-Kai</au><au>Akaishi, Satoshi</au><au>An-Jou Lin, Jennifer</au><au>Ogawa, Rei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Combination of 1,064-nm Neodymium-doped Yttrium Aluminum Garnet Laser and Steroid Tape Decreases the Total Treatment Time of Hypertrophic Scars: An Analysis of 40 Cases of Cesarean-Section Scars</atitle><jtitle>Dermatologic surgery</jtitle><addtitle>Dermatol Surg</addtitle><date>2020-08</date><risdate>2020</risdate><volume>46</volume><issue>8</issue><spage>1062</spage><epage>1067</epage><pages>1062-1067</pages><issn>1076-0512</issn><eissn>1524-4725</eissn><abstract>BACKGROUNDThe 1,064-nm neodymium-doped yttrium aluminum garnet (Nd:YAG) laser (Cutera, Inc., Brisbane, CA) and steroid tape (fludroxycortide tape) have been used to treat keloids and hypertrophic scars.
OBJECTIVETo evaluate the efficacy of contact-mode 1,064-nm Nd:YAG laser therapy and steroid tape for hypertrophic cesarean-section scars versus conservative therapy (steroid tape only).
MATERIALS AND METHODSA medical record review identified 40 consecutive Japanese patients who had hypertrophic scars (total Japan Scar Workshop Scar Scale [JSS] 2015 evaluation scores of 9 to 12) for more than 1 year after a vertical cesarean section and who were treated at our scar-specialist clinic from July 2015 to December 2017. All 40 patients continued treatment until the total JSS score dropped below 3. Recurrence was defined as a ≥1-point increase in the total JSW score 6 months after achieving a total JSS score <3.
RESULTSThe patients had a mean age of 34.2 years. The test (n = 25) and control (n = 15) groups took on average 16.9 and 24.3 months to achieve a total JSS score <3, respectively (p < .01). In the following 6 months, none of the scars recurred.
CONCLUSIONNd:YAG laser treatment effectively decreased the total treatment time of hypertrophic cesarean-section scars. An algorithm for treating mild and severe hypertrophic cesarean-section scars is proposed.</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins</pub><pmid>31702591</pmid><doi>10.1097/DSS.0000000000002235</doi><tpages>6</tpages></addata></record> |
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| subjects | Administration, Cutaneous Adult Algorithms Cesarean Section - adverse effects Cicatrix, Hypertrophic - drug therapy Cicatrix, Hypertrophic - etiology Cicatrix, Hypertrophic - therapy Combined Modality Therapy Conservative Treatment Female Flurandrenolone - administration & dosage Glucocorticoids - administration & dosage Humans Lasers, Solid-State - therapeutic use Recurrence Retrospective Studies Severity of Illness Index Surgical Tape |
| title | Combination of 1,064-nm Neodymium-doped Yttrium Aluminum Garnet Laser and Steroid Tape Decreases the Total Treatment Time of Hypertrophic Scars: An Analysis of 40 Cases of Cesarean-Section Scars |
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