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965 例小耳畸形再造术应用长脉冲 800nm 半导体激光脱毛技术的临床观察。

Clinical Application of Long-Pulsed 800-Nm Diode Laser Depilation Technology on Microtia Reconstruction in 965 Patients.

机构信息

Department of Plastic and Reconstructive Surgery, Xijing Hospital, Forth Military Medical University, No.127 Changle West Road, Xi'an, 710032, Shaanxi, China.

出版信息

Aesthetic Plast Surg. 2024 Jun;48(11):2155-2161. doi: 10.1007/s00266-023-03780-7. Epub 2024 Jan 18.

DOI:10.1007/s00266-023-03780-7
PMID:38238570
Abstract

BACKGROUND

The issue of hair growth on reconstructed ears has been a matter of concern for both patients and surgeons, despite the notable progress made in microtia reconstruction technology in recent times.

OBJECTIVE

This study aims to present the practical implementation of long-pulsed 800-nm diode laser depilation technology in the field of auricular reconstruction. Furthermore, it seeks to establish a comprehensive and standardized protocol for utilizing lasers in the reconstruction of microtia ears.

METHODS

A total of 965 patients (comprising 1021 ears) diagnosed with congenital microtia underwent treatment using 800-nm long-pulsed diode laser depilation. The participants received 1-3 treatment sessions with intervals of 25-30 days. To assess the effectiveness of the treatment, two independent observers compared photographs and measured the reduction in terminal hair count before and after the final session. Clinical outcomes were evaluated using VAS questionnaires, and any adverse events were diligently recorded.

RESULTS

The findings indicated that the utilization of the long-pulsed 800-nm diode laser was both safe and efficient in achieving hair removal during microtia ear reconstruction. As additional sessions were conducted, pain scores demonstrated a decline, while adverse reactions remained minimal.

LIMITATIONS

This is a retrospective single-institution study.

CONCLUSION

The application of a long-pulsed 800-nm diode laser has been proved to be a safe and effective method for removing hair during the process of microtia ear reconstruction, involving the use of a tissue expander and autologous costal cartilage. To achieve satisfactory results in hair removal, it was found necessary to repeat the shots procedure two to three times.

LEVEL OF EVIDENCE IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

摘要

背景

尽管近年来小耳畸形重建技术取得了显著进展,但重建耳朵的毛发生长问题一直是患者和外科医生关注的焦点。

目的

本研究旨在介绍长脉冲 800nm 半导体激光脱毛技术在耳廓重建领域的实际应用,并建立一个全面、标准化的激光在小耳畸形耳重建中的应用方案。

方法

共对 965 例(1021 耳)先天性小耳畸形患者采用 800nm 长脉冲半导体激光脱毛治疗,患者接受 1-3 次治疗,间隔 25-30 天。采用两位独立观察者对比照片并测量末次治疗前后终毛计数,评估治疗效果。采用视觉模拟量表(VAS)问卷评估临床疗效,详细记录不良反应。

结果

长脉冲 800nm 半导体激光在小耳畸形耳再造过程中脱毛安全有效。随着治疗次数的增加,疼痛评分逐渐下降,不良反应轻微。

局限性

这是一项回顾性单中心研究。

结论

长脉冲 800nm 半导体激光在应用组织扩张器和自体肋软骨再造小耳过程中脱毛是一种安全有效的方法,为达到满意的脱毛效果,需要重复 2-3 次治疗。

证据水平 IV:本刊要求作者为每篇文章分配证据水平。有关这些循证医学评级的完整描述,请参阅目录或在线作者指南 www.springer.com/00266 。

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