Srivastava Ayushi, Kale Tejraj P, Pathak Radhika, Garg Akanksha, Bichile Rahul
Department of Oral and Maxillofacial Surgery, KLE Vishwanath Katti Institute of Dental Sciences, Belagavi, Karnataka 590010, India.
Br J Oral Maxillofac Surg. 2025 Jan;63(1):3-11. doi: 10.1016/j.bjoms.2024.09.010. Epub 2024 Sep 30.
Cleft lip scars, arising from congenital conditions or corrective surgeries, pose unique challenges in scar management, necessitating interventions that balance efficacy with minimally invasive approaches. Laser therapy, with its ability to precisely target scar tissue, has garnered attention for its potential to address hypertrophic scars. The aim of our systematic review is to evaluate the efficacy of lasers in reducing post-surgical cleft lip scar. A systematic search was conducted in PubMed, Google Scholar, Wiley library, Cochrane library databases for the studies published between 1 January 2003 and 1 October 2023. All studies were included in which a laser was used for scar reduction and had a minimum follow-up period of three months. For all study designs the appropriate Joanna Briggs Institute (JBI) critical appraisal tools were used. Primary outcome was to measure reduction in scar using the Vancouver scar scale or total improvement in the scar. From this systematic review we can conclude that lasers have shown better results on post-surgical cleft lip scar. However, more comparative studies are needed with large sample sizes to assess the laser's pure potential.
唇裂疤痕，源于先天性疾病或矫正手术，在疤痕管理方面带来了独特的挑战，需要采取能在疗效与微创方法之间取得平衡的干预措施。激光疗法能够精确靶向疤痕组织，因其在治疗增生性疤痕方面的潜力而受到关注。我们系统评价的目的是评估激光在减少唇裂术后疤痕方面的疗效。在PubMed、谷歌学术、威利图书馆、考克兰图书馆数据库中对2003年1月1日至2023年10月1日发表的研究进行了系统检索。纳入所有使用激光减少疤痕且随访期至少为三个月的研究。对于所有研究设计，均使用了适当的乔安娜·布里格斯研究所（JBI）批判性评价工具。主要结局是使用温哥华疤痕量表测量疤痕减少情况或疤痕的总体改善情况。从这项系统评价中我们可以得出结论，激光在唇裂术后疤痕方面显示出了更好的效果。然而，需要更多大样本的比较研究来评估激光的真正潜力。
