Navigating Laser Treatments for Scars: The Physical and Emotional Journey.

IF 2.3 4区 医学 Q2 DERMATOLOGY Journal of Cosmetic Dermatology Pub Date : 2024-09-15 DOI:10.1111/jocd.16572
Diala Haykal, Hugues Cartier, Pablo Boixeda
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引用次数: 0

Abstract

Introduction: The physical and emotional burden that scars impose on people's lives has been the concern of dermatological research for quite some time. Usually, the available literature on the topic draws a grim image containing solely dry medical facts. The present study deviates from this approach by reflecting a solution-centered study which has also touched on the quotidian life of an average person. The overall intention of the present experiment was to inspect how a holistic approach to scars in dermatology can be crucial for the patient's quality of life.

Methods: This pilot study compiles data collected through the Patient and Observer Scar Assessment Scale (POSAS) and the Dermatology Life Quality Index (DLQI) from the same set of patients within the span of a year. Sixty patients with diverse scar profiles were asked to rate POSAS and DLQI in every session. A combination of EBDs was used based on the scar examination. Student's t-test was run to validate the data.

Results: The evaluations by POSAS and DLQI indicate significant improvement in the physical aspect of the scar as well as the patient quality of life a year after the first treatment. According to mean values collected from POSAS, there is a direct correlation between average patient evaluations and physician assessments. Thus, EBDs prove to be efficient in improving the QoL of scar patient. The 20 patients who had reported mild side effects after treatments recovered fully within a few days after the sessions. No patient reported severe side effects.

Discussion: Apart from the physical indications that scars bring about into patients' lives, the psychological repercussions caused by scars have a major effect on the QoL of the patients. These repercussions can be divided into individual and social. At the individual level, scars have a profoundly negative effect on the image of the self which leads to several different psychological complications by time. At the social level, scars affect the radius of physical movement besides the quality of the patient's activities. Therefore, EBDs as effective treatment methods can improve itchiness, pain, and so forth, of the patient, and can also improve the psychological aspect.

Conclusion: All in all, the present study aims to produce a more panoramic perspective on the concern of scars in the field of dermatology, centering around EBDs as a solution for improving scar patient QoL. With a focus on the efficacy of EBDs in the scar treatment, and with reference to studies on the topic, it is safe to assume that the earlier the scar treatment initiates, the better the outcomes. Departing from this point, in the future of cosmetic dermatology, prepping the skin by EBD treatments before surgery is imaginable.

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激光治疗疤痕之旅:身心之旅。
导言:疤痕给人们的生活带来的身体和精神负担一直是皮肤病学研究的关注点。通常情况下,有关这一主题的现有文献所描绘的都是一幅包含枯燥医学事实的灰暗画面。本研究偏离了这一思路,反映了一项以解决方案为中心的研究,同时也触及了普通人的日常生活。本实验的总体意图是考察在皮肤科治疗疤痕的整体方法如何对患者的生活质量至关重要:本试验性研究汇编了通过患者和观察者疤痕评估量表(POSAS)和皮肤科生活质量指数(DLQI)收集到的数据,这些数据来自同一组患者,时间跨度为一年。60 名患者的疤痕情况各不相同,他们被要求在每次治疗中对 POSAS 和 DLQI 进行评分。根据疤痕检查结果,采用了多种 EBD。采用学生 t 检验来验证数据:结果:POSAS 和 DLQI 的评估结果表明,首次治疗一年后,疤痕的外观和患者的生活质量都有了显著改善。根据 POSAS 收集的平均值,患者的平均评价与医生的评估之间存在直接关联。因此,事实证明 EBD 可以有效改善疤痕患者的生活质量。治疗后出现轻微副作用的 20 名患者在治疗后几天内就完全康复了。没有患者报告严重的副作用:讨论:除了疤痕给患者生活带来的生理影响外,疤痕造成的心理影响也对患者的生活质量产生了重大影响。这些影响可分为个人影响和社会影响。在个人层面,疤痕会对自我形象产生深远的负面影响,久而久之会导致多种不同的心理并发症。在社会层面,疤痕除了影响患者的活动质量外,还会影响其身体活动半径。因此,EBD 作为一种有效的治疗方法,可以改善患者的瘙痒、疼痛等症状,还可以改善患者的心理状况:总之,本研究的目的是以 EBDs 作为改善疤痕患者生活质量的解决方案为中心,对皮肤科领域的疤痕问题提出一个更全景的视角。在关注 EBD 在疤痕治疗中的疗效并参考相关研究的基础上,可以肯定的是,疤痕治疗越早开始,效果越好。从这一点出发,在未来的美容皮肤科中,可以想象在手术前通过 EBD 治疗对皮肤进行预处理。
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来源期刊
CiteScore
4.30
自引率
13.00%
发文量
818
审稿时长
>12 weeks
期刊介绍: The Journal of Cosmetic Dermatology publishes high quality, peer-reviewed articles on all aspects of cosmetic dermatology with the aim to foster the highest standards of patient care in cosmetic dermatology. Published quarterly, the Journal of Cosmetic Dermatology facilitates continuing professional development and provides a forum for the exchange of scientific research and innovative techniques. The scope of coverage includes, but will not be limited to: healthy skin; skin maintenance; ageing skin; photodamage and photoprotection; rejuvenation; biochemistry, endocrinology and neuroimmunology of healthy skin; imaging; skin measurement; quality of life; skin types; sensitive skin; rosacea and acne; sebum; sweat; fat; phlebology; hair conservation, restoration and removal; nails and nail surgery; pigment; psychological and medicolegal issues; retinoids; cosmetic chemistry; dermopharmacy; cosmeceuticals; toiletries; striae; cellulite; cosmetic dermatological surgery; blepharoplasty; liposuction; surgical complications; botulinum; fillers, peels and dermabrasion; local and tumescent anaesthesia; electrosurgery; lasers, including laser physics, laser research and safety, vascular lasers, pigment lasers, hair removal lasers, tattoo removal lasers, resurfacing lasers, dermal remodelling lasers and laser complications.
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