Savant S S
Department of Skin and STD, Nanavati Hospital and Medical Research Centre, Vile Parle (W), Mumbai-400 056,, India.
Indian J Dermatol Venereol Leprol. 2000 Mar-Apr;66(2):79-84.
bermabrasion is sequential planing of the raised skin/lesions to the desired depth. Facial dermabrasion was carried out in 65 patients (acne scars -48, adenoma sebaceum 12, multiple trichoepitheliomas 4, barier's diease-1). Preancillary acne scar revision in 34/48 patients and excision of larger papules and electrodesiccation was performed in 10/12 adenoma sebaceum. In acne scars, 35/48 showed good to excellent and 13/48 poor results. In adenoma sebaceum, 9/12 had excellent and 3 satisfactory results. Preancillary procedures enhanced results in both conditions. Excellent results were obtained in 3/4 multiple trichoepitheliomas and in barier's disease. Repeat dermabrasion was helpful in 7/65 patients. Side effects seen were persistent hypopigmentation 41, persistent erythema 30, milia 20, hyperpigmentation 15 and exacerbation of acne 3. Complications encountered were small deep scars 8, recurrence of adenoma sebaceum 3, gouging 2, secondary infection 2, oval large atrophic hypo-depigmented scar I and hypertrophic linear scar 1. Facial dermabrasion is a useful dermatosurgical modality to treat various skin disorders.
磨皮术是将凸起的皮肤/病变按顺序打磨至所需深度。对65例患者实施了面部磨皮术（痤疮瘢痕48例、皮脂腺瘤12例、多发性毛发上皮瘤4例、巴rier病1例）。48例痤疮瘢痕患者中有34例进行了术前痤疮瘢痕修复，12例皮脂腺瘤患者中有10例切除了较大丘疹并进行了电干燥术。在痤疮瘢痕患者中，48例中有35例效果良好至极佳，13例效果差。在皮脂腺瘤患者中，12例中有9例效果极佳，3例效果满意。术前处理在两种情况下均提高了疗效。4例多发性毛发上皮瘤和巴rier病患者中有3例获得了极佳效果。65例患者中有7例进行重复磨皮术有帮助。观察到的副作用有持续性色素减退41例、持续性红斑30例、粟丘疹20例、色素沉着15例和痤疮加重3例。遇到的并发症有小的深部瘢痕8例、皮脂腺瘤复发3例、挖凿伤2例、继发感染2例、椭圆形大的萎缩性色素减退瘢痕1例和肥厚性线性瘢痕1例。面部磨皮术是治疗各种皮肤疾病的一种有用的皮肤外科方法。
