Lapidoth Moshe, Halachmi Shlomit, Cohen Sarit, Amitai Dan Ben
Department of Dermatology, Rabin Medical Center, Golda Campus, Petach Tikva, 49372, Israel,
Lasers Med Sci. 2014 Mar;29(2):855-7. doi: 10.1007/s10103-013-1305-6. Epub 2013 Mar 26.
Facial scars in children have a profound psychosocial impact and require early and aggressive treatment. In this age group in particular, however, attention must be placed on the methodology so as not to trigger additional trauma-whether physical or emotional-as a sequela to the treatment. We assess the safety and efficacy of fractional CO2 in a prospective study of pediatric facial scars from various etiologies. Twenty four children, age 2-16 years, underwent fractional CO2 laser resurfacing. Recovery, clinical response, and adverse events were monitored at 3 days, 1 week, 1 month, 2 months, and 6 months. Photographs taken before treatment and 2 months after final treatment were independently evaluated and scored by two physicians. All patients tolerated treatment well, with minimal erythema an edema. The clinical improvement was scored as excellent in 14 patients (58%), good in 7 (29%), and fair in 3 (13%). No cases were graded as poor or worse. No adverse events were noted. The study supports the use of fractional CO2 resurfacing of pediatric facial scars as well tolerated and effective. Given the particularly rapid healing and clinical improvement of pediatric skin, fractional CO2 treatment should be offered early to mitigate both the physical and psychosocial stigmata of scars as early as possible.
儿童面部瘢痕具有深远的社会心理影响，需要早期积极治疗。然而，对于这个特定年龄组，必须关注治疗方法，以免作为治疗的后遗症引发额外的身体或情感创伤。我们在一项针对各种病因的儿童面部瘢痕的前瞻性研究中评估了二氧化碳点阵激光的安全性和有效性。24名年龄在2至16岁的儿童接受了二氧化碳点阵激光换肤治疗。在治疗后3天、1周、1个月、2个月和6个月监测恢复情况、临床反应及不良事件。由两名医生独立评估并对治疗前及最后一次治疗后2个月拍摄的照片进行评分。所有患者对治疗耐受性良好，仅有轻微红斑和水肿。临床改善情况评为优的有14例（58%），良的有7例（29%），中（尚可）的有3例（13%）。无病例评为差或更差。未观察到不良事件。该研究支持将二氧化碳点阵激光用于儿童面部瘢痕换肤，其耐受性良好且有效。鉴于儿童皮肤愈合特别迅速且临床改善明显，应尽早进行二氧化碳点阵激光治疗，以尽早减轻瘢痕的身体和社会心理印记。
