Lobo Yolanka, Lim Davin S
Department of Dermatology, Royal Brisbane and Women's Hospital, Brisbane, Australia.
Cutis Clinic, Brisbane, Australia.
Dermatol Surg. 2023 Apr 1;49(4):355-362. doi: 10.1097/DSS.0000000000003706. Epub 2023 Mar 14.
Subcision is a surgical technique for managing atrophic acne scars. Over time, new instruments have emerged to increase the efficiency, efficacy, and safety of the subcision procedure, including sharp, blunt, and energy-assisted devices.
To review the instrumentation used for the subcision of acne scars and to provide clinicians with practical information regarding the selection of instrumentation, with a focus on advantages and disadvantages.
A search of PubMed, MEDLINE, and Google Scholar was conducted for articles from January 2000 to June 2022 describing the use of subcision alone for the management of acne scarring. Demographic and clinical data were collected from the included articles.
A total of 417 patients from 17 articles were included; 155 patients underwent sharp subcision, 235 patients underwent blunt subcision, and 27 patients underwent energy-assisted subcision. The main indication for subcision was atrophic facial acne scars. Subcision using sharp, blunt, and energy-assisted instruments were all effective in treating atrophic acne scars. Adverse effects common to all subcision methods included erythema and edema.
Subcision is a safe and effective modality for the revision of selected acne scars and is a valuable skill set for dermatologists who perform scar revision to master.
皮下分离术是一种治疗萎缩性痤疮瘢痕的外科技术。随着时间的推移，出现了新的器械以提高皮下分离术的效率、疗效和安全性，包括锐性、钝性和能量辅助器械。
回顾用于痤疮瘢痕皮下分离的器械，并为临床医生提供有关器械选择的实用信息，重点关注其优缺点。
检索PubMed、MEDLINE和谷歌学术，查找2000年1月至2022年6月期间描述单独使用皮下分离术治疗痤疮瘢痕的文章。从纳入的文章中收集人口统计学和临床数据。
共纳入17篇文章中的417例患者；155例患者接受锐性皮下分离术，235例患者接受钝性皮下分离术，27例患者接受能量辅助皮下分离术。皮下分离术的主要适应证是面部萎缩性痤疮瘢痕。使用锐性、钝性和能量辅助器械进行皮下分离术均能有效治疗萎缩性痤疮瘢痕。所有皮下分离术方法常见的不良反应包括红斑和水肿。
皮下分离术是修复特定痤疮瘢痕的一种安全有效的方法，对于进行瘢痕修复的皮肤科医生来说，是一项值得掌握的重要技能。
