Title of article :
The Efficacy of Carbone Dioxide Laser Debridement Along With Low-Level Laser Therapy in Treatment of a Grade 3 Necrotic Burn Ulcer in a Paraplegic Patient (A Case Report)
Author/Authors :
Kazemikhoo, Nooshafarin Skin and Stem Cell Research Center - Tehran University of Medical Sciences, Tehran - Department of Dermatology - St. George Hospital. UNSW. Sydney. Australia , Hashemi Pour, Saeed Laser Application in Medical Sciences Research Center - Shahid Beheshti University of Medical Sciences, Tehran , Nilforoushzadeh, Mohammad Ali Skin and Stem Cell Research Center - Tehran University of Medical Sciences , Mokmeli, Soheila Laser Therapist and Instructor - Canadian Optic and Laser Center - BC, Canada , Dahmardehei, Mostafa Burn Research center - Department of Plastic and Reconstructive Surgery - Iran University of Medical Sciences, Tehran
Abstract :
Introduction: A deep burn ulcer, especially in areas with sensory-motor dysfunction, is hard to cure.
Case Report: The patient was a 20-year-old paraplegic girl with a grade 3 necrotic burn ulcer for 3 weeks. We used a fractional Co2 laser along with chemical debridement with trichloroacetic acid (TCA 80%) and low-level laser therapy (LLLT) with a 808 nm infrared laser, 6 J/cm2 for the necrotic area, and a 650 nm red laser, 2 J/cm2 for the open wound area. Complete healing occurred after 25 sessions without surgery.
Conclusion: Laser debridement along with LLLT and TCA administration may be useful to treat necrotic ulcers without surgery.
Keywords :
Co2 Laser debridement , Trichloroacetic Acid , Low-level laser Therapy , Wound healing
Journal title :
Journal of Lasers in Medical Sciences
