High-Intensity Focused Ultrasound Thermotherapy for Scar Treatment.

Annals of burns and fire disasters Pub Date : 2023-03-31 eCollection Date: 2023-03-01
V N Anastasova, A A Georgiev, E I Zanzov, K G Velkova, E S Krasteva
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Abstract

The formation of pathological scars is a common medical and aesthetic problem worldwide. Surgical interventions, burns and injuries are the most common cause. Treating these scars is a challenge for any surgeon. The Clinic of Plastic-Reconstructive and Aesthetic Surgery with Thermal Trauma and Imaging Diagnostics applied an innovative method of thermotherapy with high-intensity, focused ultrasound in 20 patients with hypertrophic scars and keloids of different age, etiology and parameters. After a series of procedures, we got excellent results, reducing scar size, pigmentation, pain and itching. This type of thermotherapy is successfully applied to pathological scars. In this way, a change in scar density is achieved by converting hard collagen into a gelatin-like mass.As a subsequent procedure, moderately compressive massages are applied for faster resorption of the pathological collection. Our results show that high-intensity focused ultrasound thermotherapy of pathological scars is a non-invasive method of treatment with reasonably good results as regards both aesthetic and functional aspects.

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用于疤痕治疗的高强度聚焦超声热疗法
病理性疤痕的形成是全球常见的医疗和美学问题。外科手术、烧伤和外伤是最常见的原因。治疗这些疤痕对任何外科医生来说都是一项挑战。热创伤和成像诊断整形美容外科诊所对 20 名不同年龄、病因和参数的增生性疤痕和瘢痕疙瘩患者采用了创新的高强度聚焦超声热疗方法。经过一系列治疗后,我们取得了很好的效果,疤痕面积缩小,色素沉着减少,疼痛和瘙痒减轻。这种热疗法成功地应用于病理性疤痕。通过这种方法,可以将硬胶原蛋白转化为类似明胶的物质,从而改变疤痕的密度。我们的研究结果表明,病理性疤痕的高强度聚焦超声热疗是一种非侵入性治疗方法,在美观和功能方面都有相当好的效果。
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