Skin Centers, Avezzano-L'Aquila-Pescara, Italy.
Department of Dermatology and Venereology, Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy.
Skin Res Technol. 2023 Nov;29(11):e13502. doi: 10.1111/srt.13502.
Patients with keloids are often younger than 30 years old and have darker skin.
To evaluate the efficacy and safety of CO laser therapy in the management of earlobe and helix keloids in dark subjects.
A total of 21 dark patients (five men and 16 women) presented with the earlobe and ear helix keloids, with a mean age of 30.5 (±6.7) years and with phototype between III-VI, were enrolled. In order to improve their earlobe and helix keloids, all patients underwent a single session of CO laser therapy immediately followed by a pulsed Dye laser procedure. A single well-experienced doctor performed all treatment sessions and the response to treatment. Patients were followed-up for 6 months after termination of therapy. Clinical images were examined and collected: all patients were examined clinically and with Dermoscopy.
The majority of the patients treated show complete remission of keloid lesions. Clinical photographs show a visible aesthetic improvement of several types of keloids in dark subjects.
Our data demonstrate that this combined laser therapeutic protocol appears to be effective and well tolerated for the management of earlobe and helix keloids in dark subjects, with no high recurrence rate and avoiding the adverse effects and lengthy recovery time.
瘢痕疙瘩患者通常年龄小于 30 岁，皮肤较深。
评估 CO2 激光治疗深色人种耳垂和耳轮瘢痕疙瘩的疗效和安全性。
共纳入 21 名深色皮肤（5 名男性和 16 名女性）患有耳垂和耳轮瘢痕疙瘩的患者，平均年龄为 30.5（±6.7）岁，肤色介于 III-VI 之间。为了改善耳垂和耳轮瘢痕疙瘩，所有患者均接受了单次 CO2 激光治疗，随后立即进行脉冲染料激光治疗。由一位经验丰富的医生进行所有治疗，评估治疗效果。治疗结束后 6 个月进行随访。临床图像检查和采集：所有患者均进行了临床和皮肤镜检查。
大多数接受治疗的患者瘢痕疙瘩病变完全消退。临床照片显示，深色人种的多种瘢痕疙瘩类型有明显的美学改善。
我们的数据表明，这种联合激光治疗方案对于深色人种耳垂和耳轮瘢痕疙瘩的治疗似乎是有效且耐受良好的，复发率低，避免了不良反应和较长的恢复期。
