Department of Dermatology, College of Medicine, University of Kufa, Kufa, Iraq.
J Cosmet Dermatol. 2012 Jun;11(2):144-50. doi: 10.1111/j.1473-2165.2012.00616.x.
Acne scarring is a common dermatologic problem causing a great cosmetic disfigurement. Subcision is one of the effective modalities for treatment of rolling acne scars.
To evaluate the efficacy and safety of subcision for rolling acne scars in Iraqi patients.
Forty patients (21 males and 19 females) with moderate to severe grades of facial rolling acne scars were enrolled in this study. Subcision was done for all patients. Patients were followed up at 2, 6, 12 weeks, and 6 months after the last session. The response to treatment was evaluated by objective and subjective methods.
Thirty-four patients completed the study and follow up period. Eight of them were complaining of severe and 26 of moderate grade of acne scars. At the end of the study, 18 (52.94%) patients had mild grade, 15 (44.11%) patients had moderate grade, and one (2.92%) patient had severe grade. This change was statistically highly significant (P-value = 0.0000001). The average scar score before treatment was 13.264 ± 1.675; and it improved to 9.47 ± 2.71 after 6 months (P-value = 0.0000001). Regarding the photographic assessment, the difference in the visual analogue scale before and after the treatment was statistically highly significant (P-value = 0.0000001). All patients were satisfied regarding the improvement after treatment with varying degrees. All reported side-effects were mild and transient.
Subcision is a safe, easy to perform, well-tolerated, and valuable surgical technique for treatment of rolling acne scars.
痤疮瘢痕是一种常见的皮肤科问题，会导致严重的美容缺陷。皮下分离术是治疗滚动性痤疮瘢痕的有效方法之一。
评估皮下分离术治疗伊拉克患者滚动性痤疮瘢痕的疗效和安全性。
本研究纳入了 40 名（21 名男性和 19 名女性）面部中重度滚动性痤疮瘢痕患者。所有患者均行皮下分离术。患者在最后一次治疗后 2、6、12 周和 6 个月进行随访。采用客观和主观方法评估治疗反应。
34 名患者完成了研究和随访。其中 8 名患者抱怨瘢痕严重，26 名患者抱怨瘢痕中度。研究结束时，18 名（52.94%）患者瘢痕轻度，15 名（44.11%）患者瘢痕中度，1 名（2.92%）患者瘢痕重度。这种变化具有统计学显著意义（P 值=0.0000001）。治疗前平均瘢痕评分为 13.264±1.675，治疗 6 个月后改善至 9.47±2.71（P 值=0.0000001）。关于照片评估，治疗前后视觉模拟量表评分的差异具有统计学显著意义（P 值=0.0000001）。所有患者对治疗后的改善均表示不同程度的满意。所有报告的不良反应均为轻度且短暂。
皮下分离术是一种安全、易于操作、耐受性良好且有价值的治疗滚动性痤疮瘢痕的手术技术。
