Utilidad del láser de dióxido de carbono en cicatrices hipertróficas postquemaduras. Revisión bibliográfica
[Utility of carbon dioxide laser in hypertrophic postburn scars. Literature review]
DOI:
https://doi.org/10.5281/zenodo.11096833Palabras clave:
láser, dióxido de carbono, quemadura, cicatrizResumen
Objetivo: Realizar una revisión bibliográfica sobre la utilidad del láser de dióxido de carbono en cicatrices hipertróficas postquemaduras.
Método: Se seleccionaron ensayos clínicos aleatorizados controlados, realizados en humanos, llevados a cabo en los últimos diez años. La principal base de datos usada ha sido PubMed, a través de la plataforma National Library of Medicine.
Resultados: Se han examinado un total de cinco artículos con 98 pacientes. La frecuencia de aplicación fue de 3 sesiones de láser cada 4-6 semanas. La aplicación de la terapia fue segura y no se produjeron efectos adversos graves.
Conclusiones: El láser de dióxido de carbono mejora la textura, el prurito y la flexibilidad, y disminuye el grosor, el dolor y la densidad del haz de colágeno en la dermis superior de las cicatrices hipertróficas postquemaduras. Las mejorasobtenidas son mayores en las cicatrices inmaduras que en las más maduras.
ABSTRACT:
[Utility of carbon dioxide laser in hypertrophic postburn scars. Literature review]
Objective: To carry out a literature review on the usefulness of carbon dioxide laser in post-burn hypertrophic scars.
Method: Randomized controlled clinical trials, carried out in humans, carried out in the last ten years were selected. The main database used was PubMed, through the National Library of Medicine platform.
Results: The results obtained have shown that the carbon dioxide laser seems to be useful and effective in post-burn hypertrophic scars. A total of five articles with 98 patients have been examined. The frequency of application was 3 laser sessions every 4-6 weeks. The application of the therapy was safe and no serious adverse effects occurred.
Conclusions: Carbon dioxide laser improves texture, pruritus, and flexibility, and decreases the thickness, pain, and density of the collagen bundle in the upper dermis of postburn hypertrophic scars. The improvements obtained are greater in immature scars than in more mature ones.
Citas
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