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使用聚二氧六环酮线治疗面部萎缩性瘢痕:病例系列

Treatment of Atrophic Facial Scars Using Polydioxanone Threads: A Case Series.

作者信息

Hamolaila Mohammad Khaled, Zenati Mazen, Hajeer Mohammad Y

机构信息

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Damascus, Damascus, SYR.

Department of Orthodontics, Faculty of Dentistry, University of Damascus, Damascus, SYR.

出版信息

Cureus. 2024 Jun 28;16(6):e63403. doi: 10.7759/cureus.63403. eCollection 2024 Jun.

DOI:10.7759/cureus.63403
PMID:38947135
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11213548/
Abstract

The appearance of scars affects patients' aesthetic and psychological aspects, as atrophic scars can result from previous surgeries or inflammatory/infectious conditions. Recently, non-surgical techniques have been introduced to improve scar appearance and enhance patient satisfaction. To our knowledge, there has been limited published medical research evaluating the effectiveness of polydioxanone threads in managing facial scars. This report aims to present three cases where scars were managed using these materials in the facial area with a follow-up of six months post-intervention. Based on the three presented cases, it is shown that there was an improvement in the color and texture of the scar, in addition to its reduced size with no sensation of pain or itching after the procedure. These findings suggest that the materials used are promising for effectively treating facial scars.

摘要

疤痕的外观会影响患者的美学和心理层面,因为萎缩性疤痕可能由先前的手术或炎症/感染性疾病引起。最近,非手术技术已被引入以改善疤痕外观并提高患者满意度。据我们所知,关于聚二氧六环酮线在治疗面部疤痕方面有效性的已发表医学研究有限。本报告旨在介绍三例在面部区域使用这些材料治疗疤痕的病例,并在干预后进行六个月的随访。基于所呈现的三例病例,结果显示疤痕的颜色和质地有所改善,此外其尺寸减小,术后无疼痛或瘙痒感。这些发现表明所使用的材料有望有效治疗面部疤痕。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f97c/11213548/0e68d0401116/cureus-0016-00000063403-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f97c/11213548/9a2362396531/cureus-0016-00000063403-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f97c/11213548/3190181aab34/cureus-0016-00000063403-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f97c/11213548/c1bb86532d3a/cureus-0016-00000063403-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f97c/11213548/7e3d826c7b7d/cureus-0016-00000063403-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f97c/11213548/aa4731d49ff7/cureus-0016-00000063403-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f97c/11213548/8c55d9c599aa/cureus-0016-00000063403-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f97c/11213548/0e68d0401116/cureus-0016-00000063403-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f97c/11213548/9a2362396531/cureus-0016-00000063403-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f97c/11213548/3190181aab34/cureus-0016-00000063403-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f97c/11213548/c1bb86532d3a/cureus-0016-00000063403-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f97c/11213548/7e3d826c7b7d/cureus-0016-00000063403-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f97c/11213548/aa4731d49ff7/cureus-0016-00000063403-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f97c/11213548/8c55d9c599aa/cureus-0016-00000063403-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f97c/11213548/0e68d0401116/cureus-0016-00000063403-i07.jpg

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本文引用的文献

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Modern techniques in addressing facial acne scars: A thorough analysis.现代技术解决面部痤疮疤痕:全面分析。
Skin Res Technol. 2024 Feb;30(2):e13573. doi: 10.1111/srt.13573.
2
A combined approach of subcision with either cross-linked hyaluronic acid or threads in the treatment of atrophic acne scars.联合应用皮肤磨削术联合交联透明质酸或缝线治疗萎缩性痤疮瘢痕。
J Cosmet Dermatol. 2022 Aug;21(8):3334-3342. doi: 10.1111/jocd.14675. Epub 2021 Dec 20.
3
Management of keloid scars: noninvasive and invasive treatments.瘢痕疙瘩的治疗:非侵入性和侵入性治疗
Arch Plast Surg. 2021 Mar;48(2):149-157. doi: 10.5999/aps.2020.01914. Epub 2021 Mar 15.
4
Use of Polydioxanone Threads as an Alternative in Nonsurgical Procedures in Facial Rejuvenation.聚二氧六环酮线在面部年轻化非手术治疗中的应用替代方案
Facial Plast Surg. 2020 Aug;36(4):447-452. doi: 10.1055/s-0040-1714266. Epub 2020 Aug 31.
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Polydioxanone Threads for Atrophic Neck Scars.用于萎缩性颈部瘢痕的聚二氧六环酮缝线
Dermatol Surg. 2021 May 1;47(5):751-753. doi: 10.1097/DSS.0000000000002535.
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Management of Facial Scars.面部瘢痕的管理
Facial Plast Surg. 2019 Dec;35(6):666-671. doi: 10.1055/s-0039-3401642. Epub 2019 Nov 29.
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Toward understanding scarless skin wound healing and pathological scarring.迈向理解无瘢痕皮肤伤口愈合及病理性瘢痕形成
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Regenerative Scar-Free Skin Wound Healing.再生无瘢痕皮肤创伤愈合。
Tissue Eng Part B Rev. 2019 Aug;25(4):294-311. doi: 10.1089/ten.TEB.2018.0350.
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Tissue changes over time after polydioxanone thread insertion: An animal study with pigs.聚二氧杂环己酮缝线植入后组织随时间的变化:猪的动物研究。
J Cosmet Dermatol. 2019 Jun;18(3):885-891. doi: 10.1111/jocd.12718. Epub 2018 Jul 29.
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Wedge-shaped polydioxanone threads in a folded configuration ("Solid fillers"): A treatment option for deep static wrinkles on the upper face.折叠式楔形聚二氧杂环己酮缝线(“固体填充物”):一种用于治疗面部上部深静态皱纹的方法。
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