Yin Yating, Xu Shun
Department of Plastic and Reconstructive Surgery Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine Shanghai China.
Department of Burn and Plastic Surgery Seventh People's Hospital Affiliated to Shanghai University of Traditional Chinese Medicine Shanghai China.
Clin Case Rep. 2025 Jul 29;13(8):e70698. doi: 10.1002/ccr3.70698. eCollection 2025 Aug.
This case report demonstrates the successful management of a 42-year-old male with fourth-degree facial burns using an integrated approach combining modified TCM and laser therapy. Following 12 months of combined treatment and 18 months of follow-up, the patient exhibited no evidence of scar hyperplasia or subcutaneous adhesions. This therapeutic strategy synergizes the systemic regulatory effects of TCM with precision laser technology, offering a clinically reproducible approach with significant translational potential. Our findings underscore two critical principles: (1) scar prevention supersedes corrective treatment, and (2) optimal scar outcomes originate from meticulous initial wound management. The case substantiates that comprehensive resolution of wound necrosis ("decay") yields superior long-term results compared to expedited wound closure alone.
本病例报告展示了采用中医改良疗法与激光疗法相结合的综合方法成功治疗一名42岁面部四度烧伤男性患者的过程。经过12个月的联合治疗和18个月的随访,患者未出现瘢痕增生或皮下粘连迹象。这种治疗策略将中医的全身调节作用与精准激光技术相结合,提供了一种具有显著转化潜力且临床可重复的方法。我们的研究结果强调了两个关键原则:(1)瘢痕预防优于矫正治疗;(2)最佳的瘢痕治疗效果源于细致的初始伤口处理。该病例证实,与单纯快速闭合伤口相比,全面解决伤口坏死(“腐”)能产生更优的长期效果。