Battaglia Fabiana, Quattrocchi Lucia, d'Alcontres Francesco Stagno, Micieli Pietro, Trimarchi Giuseppe, Delia Gabriele
Department of Plastic and Reconstructive Surgery, University Hospital of Messina "AOU Gaetano Martino", 98125, Messina, Italy.
Lasers Med Sci. 2025 Apr 28;40(1):215. doi: 10.1007/s10103-025-04436-5.
Scarring resulting from wound healing has significant physical and emotional implications, especially in visible areas. This study explores advancements in scar management using hybrid laser therapy. Scar prevention methods, including laser therapy, have gained attention. The research aims to evaluate the effectiveness of combining fractional ablative CO2 and non-ablative Erbium glass 1570 nm lasers, both independently. The study involved 51 patients with diverse scars, grouped based on intervention timing and scar characteristics. Laser treatments utilized fractional ablative CO2 and non-ablative Erbium glass 1570 nm lasers. Patients were evaluated using clinical features and subjective assessments. The Vancouver Scar Scale measured scar improvement. Adverse effects were documented. Data collection involved consistent photography and evaluations at intervals. The study demonstrated significant improvements in scar appearance across various parameters, especially with early interventions. The hybrid laser therapy approach yielded positive outcomes. Scar improvement was observed in terms of extension, size, shape, pigmentation, vascularity, and elasticity. Subjects reported reduced discomfort, itching, pain, and tension. Patient satisfaction was high. Adverse effects were mild and well-tolerated. This research underscores the importance of addressing scar management with hybrid laser therapy. Early interventions showed pronounced improvements in scar appearance and subjective satisfaction. The study provides insights into scar treatment, offering a comprehensive guideline for optimizing outcomes. By merging technology and regenerative approaches, scars are redefined as symbols of healing and resilience. The study showcases the potential for individualized care and emphasizes the transformative impact of combining cutting-edge techniques in scar management.
伤口愈合产生的疤痕具有重大的生理和情感影响，尤其是在可见部位。本研究探讨了使用混合激光疗法在疤痕管理方面的进展。包括激光疗法在内的疤痕预防方法已受到关注。该研究旨在独立评估剥脱性二氧化碳分数激光和非剥脱性1570纳米铒玻璃激光联合使用的有效性。该研究纳入了51名有不同疤痕的患者，根据干预时机和疤痕特征进行分组。激光治疗采用剥脱性二氧化碳分数激光和非剥脱性1570纳米铒玻璃激光。通过临床特征和主观评估对患者进行评价。使用温哥华疤痕量表来衡量疤痕的改善情况。记录不良反应。数据收集包括定期进行一致的拍照和评估。该研究表明，在各个参数方面，疤痕外观有显著改善，尤其是早期干预。混合激光疗法取得了积极成果。在疤痕的伸展、大小、形状、色素沉着、血管分布和弹性方面都观察到了改善。受试者报告不适、瘙痒、疼痛和紧张感减轻。患者满意度较高。不良反应轻微且耐受性良好。这项研究强调了采用混合激光疗法处理疤痕管理的重要性。早期干预在疤痕外观和主观满意度方面显示出明显改善。该研究为疤痕治疗提供了见解，为优化治疗效果提供了全面的指导方针。通过将技术与再生方法相结合，疤痕被重新定义为愈合和恢复力的象征。该研究展示了个性化护理的潜力，并强调了在疤痕管理中结合前沿技术的变革性影响。
