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Dermatology Research and Practice
Volume 2012, Article ID 243651, 9 pages
http://dx.doi.org/10.1155/2012/243651
Review Article

Shine on: Review of Laser- and Light-Based Therapies for the Treatment of Burn Scars

1Division of Plastic Surgery, University of North Carolina School of Medicine, Chapel Hill, NC 27599-7195, USA
2The NC Jaycee Burn Center, University of North Carolina, Chapel Hill, NC 27599-7195, USA

Received 9 December 2011; Accepted 9 March 2012

Academic Editor: Aziz Ghahary

Copyright © 2012 C. Scott Hultman et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Restoration of form and function after burn injury remains challenging, but emerging laser and pulsed light technologies now offer hope for patients with hypertrophic scars, which may be associated with persistent hyperemia, chronic folliculitis, intense pruritis, and neuropathic pain. In addition to impairing body image, these scars may limit functional recovery, compromise activities of daily living, and prevent return to work. Three different platforms are now poised to alter our reconstructive algorithm: (1) vascular-specific pulsed dye laser (PDL) to reduce hyperemia, (2) ablative fractional CO2 laser to improve texture and pliability of the burn scar, and (3) intense pulsed light (IPL) to correct burn scar dyschromia and alleviate chronic folliculitis. In this paper, we will provide an overview of our work in this area, which includes a systematic review, a retrospective analysis of our preliminary experience, and interim data from our on-going, prospective, before-after cohort trial. We will demonstrate that laser- and light-based therapies can be combined with each other safely to yield superior results, often at lower cost, by reducing the need for reconstructive surgery. Modulating the burn scar, through minimally invasive modalities, may replace conventional methods of burn scar excision and yield outcomes not previously possible or conceivable.