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Erschienen in: ästhetische dermatologie & kosmetologie 4/2018

14.08.2018 | Narben und Keloide | cme fortbildung

Pathophysiologie, Einteilung und Laserbehandlung von Narben

Laser und Narben

verfasst von: PD Dr. med. Gerd G. Gauglitz, Julian Pötschke, Matteo Clementoni

Erschienen in: ästhetische dermatologie & kosmetologie | Ausgabe 4/2018

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Zusammenfassung

Narben sind das permanent verbleibende Zeichen tieferer Verletzungen der Haut und entstehen im Rahmen der physiologischen Wundheilung. In den Industrienationen entwickeln jährlich etwa 100 Millionen Menschen Narben infolge von operativen Eingriffen, Verbrennungen, Verletzungen oder Tätowierungen. Für die Prävention und Behandlung dieser Narben stehen heutzutage neben konventionellen Ansätzen verschiedene Lasersysteme zur Verfügung.
Literatur
1.
Zurück zum Zitat Gauglitz GG, Korting HC, Pavicic T et al. Hypertrophic scarring and keloids: pathomechanisms and current and emerging treatment strategies. Mol Med 2011;17:113–125 CrossRefPubMed Gauglitz GG, Korting HC, Pavicic T et al. Hypertrophic scarring and keloids: pathomechanisms and current and emerging treatment strategies. Mol Med 2011;17:113–125 CrossRefPubMed
2.
Zurück zum Zitat Poetschke J, Gauglitz GG. Current options for the treatment of pathological scarring. J Dtsch Dermatol Ges 2016;14:467–477 PubMed Poetschke J, Gauglitz GG. Current options for the treatment of pathological scarring. J Dtsch Dermatol Ges 2016;14:467–477 PubMed
3.
Zurück zum Zitat Gauglitz GG, Reinholz M, Kaudewitz P et al. Treatment of striae distensae using an ablative Erbium: YAG fractional laser versus a 585-nm pulsed-dye laser. J Cosmet Laser Ther 2014;16:117–119 CrossRefPubMed Gauglitz GG, Reinholz M, Kaudewitz P et al. Treatment of striae distensae using an ablative Erbium: YAG fractional laser versus a 585-nm pulsed-dye laser. J Cosmet Laser Ther 2014;16:117–119 CrossRefPubMed
4.
Zurück zum Zitat Yamaguchi K, Suganuma N, Ohashi K. Quality of life evaluation in Japanese pregnant women with striae gravidarum: a cross-sectional study. BMC Res Notes 2012;5:450 CrossRefPubMedPubMedCentral Yamaguchi K, Suganuma N, Ohashi K. Quality of life evaluation in Japanese pregnant women with striae gravidarum: a cross-sectional study. BMC Res Notes 2012;5:450 CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Alster T. Laser scar revision: comparison study of 585-nm pulsed dye laser with and without intralesional corticosteroids. Dermatol Surg 2003;29:25–29 PubMed Alster T. Laser scar revision: comparison study of 585-nm pulsed dye laser with and without intralesional corticosteroids. Dermatol Surg 2003;29:25–29 PubMed
6.
Zurück zum Zitat Dierickx C, Goldman MP, Fitzpatrick RE. Laser treatment of erythematous/hypertrophic and pigmented scars in 26 patients. Plast Reconstr Surg 1995;95:84–92 CrossRefPubMed Dierickx C, Goldman MP, Fitzpatrick RE. Laser treatment of erythematous/hypertrophic and pigmented scars in 26 patients. Plast Reconstr Surg 1995;95:84–92 CrossRefPubMed
7.
Zurück zum Zitat Stewart N, Lim AC, Lowe PM et al. Lasers and laser-like devices: part one. Australas J Dermatol 2013;54:173–183 CrossRefPubMed Stewart N, Lim AC, Lowe PM et al. Lasers and laser-like devices: part one. Australas J Dermatol 2013;54:173–183 CrossRefPubMed
8.
Zurück zum Zitat Apfelberg DB, Maser MR, White DN et al. Failure of carbon dioxide laser excision of keloids. Lasers Surg Med 1989;9:382–388 CrossRefPubMed Apfelberg DB, Maser MR, White DN et al. Failure of carbon dioxide laser excision of keloids. Lasers Surg Med 1989;9:382–388 CrossRefPubMed
9.
Zurück zum Zitat Dams SD, De Liefde-Van Beest M, Nuijs AM et al. Pulsed heat shocks enhance procollagen type I and procollagen type III expression in human dermal fibroblasts. Skin Res Technol 2010;16:354–364 PubMed Dams SD, De Liefde-Van Beest M, Nuijs AM et al. Pulsed heat shocks enhance procollagen type I and procollagen type III expression in human dermal fibroblasts. Skin Res Technol 2010;16:354–364 PubMed
10.
Zurück zum Zitat Helbig D, Paasch U. Molecular changes during skin aging and wound healing after fractional ablative photothermolysis. Skin Res Technol 2011;17:119–128 CrossRefPubMed Helbig D, Paasch U. Molecular changes during skin aging and wound healing after fractional ablative photothermolysis. Skin Res Technol 2011;17:119–128 CrossRefPubMed
11.
Zurück zum Zitat Majid I, Imran S. Efficacy and safety of fractional CO laser resurfacing in non-hypertrophic traumatic and burn scars. J Cutan Aesthet Surg 2015;8:159–164 CrossRefPubMedPubMedCentral Majid I, Imran S. Efficacy and safety of fractional CO laser resurfacing in non-hypertrophic traumatic and burn scars. J Cutan Aesthet Surg 2015;8:159–164 CrossRefPubMedPubMedCentral
12.
Zurück zum Zitat Manstein D, Herron GS, Sink RK et al. Fractional photothermolysis: a new concept for cutaneous remodeling using microscopic patterns of thermal injury. Lasers Surg Med 2004;34:426–438 CrossRefPubMed Manstein D, Herron GS, Sink RK et al. Fractional photothermolysis: a new concept for cutaneous remodeling using microscopic patterns of thermal injury. Lasers Surg Med 2004;34:426–438 CrossRefPubMed
13.
Zurück zum Zitat Qu L, Liu A, Zhou L et al. Clinical and molecular effects on mature burn scars after treatment with a fractional CO f2 laser. Lasers Surg Med 2012;44:517–524 CrossRefPubMed Qu L, Liu A, Zhou L et al. Clinical and molecular effects on mature burn scars after treatment with a fractional CO f2 laser. Lasers Surg Med 2012;44:517–524 CrossRefPubMed
14.
Zurück zum Zitat Nouri K, Jimenez GP, Harrison-Balestra C et al. 585-nm pulsed dye laser in the treatment of surgical scars starting on the suture removal day. Dermatol Surg 2003;29:65–73 PubMed Nouri K, Jimenez GP, Harrison-Balestra C et al. 585-nm pulsed dye laser in the treatment of surgical scars starting on the suture removal day. Dermatol Surg 2003;29:65–73 PubMed
15.
Zurück zum Zitat Nouri K, Rivas MP, Stevens M et al. Comparison of the effectiveness of the pulsed dye laser 585 nm versus 595 nm in the treatment of new surgical scars. Lasers Med Sci 2009;24:801–810 CrossRefPubMed Nouri K, Rivas MP, Stevens M et al. Comparison of the effectiveness of the pulsed dye laser 585 nm versus 595 nm in the treatment of new surgical scars. Lasers Med Sci 2009;24:801–810 CrossRefPubMed
16.
Zurück zum Zitat Nouri K, Elsaie ML, Vejjabhinanta V et al. Comparison of the effects of short- and long-pulse durations when using a 585-nm pulsed dye laser in the treatment of new surgical scars. Lasers Med Sci 2010;25:121–126 CrossRefPubMed Nouri K, Elsaie ML, Vejjabhinanta V et al. Comparison of the effects of short- and long-pulse durations when using a 585-nm pulsed dye laser in the treatment of new surgical scars. Lasers Med Sci 2010;25:121–126 CrossRefPubMed
17.
Zurück zum Zitat Ha JM, Kim HS, Cho EB et al. Comparison of the effectiveness of nonablative fractional laser versus pulsed-dye laser in thyroidectomy scar prevention. Ann Dermatol 2014;26:615–620 CrossRefPubMedPubMedCentral Ha JM, Kim HS, Cho EB et al. Comparison of the effectiveness of nonablative fractional laser versus pulsed-dye laser in thyroidectomy scar prevention. Ann Dermatol 2014;26:615–620 CrossRefPubMedPubMedCentral
18.
Zurück zum Zitat Sobanko JF, Vachiramon V, Rattanaumpawan P et al. Early postoperative single treatment ablative fractional lasing of Mohs micrographic surgery facial scars: a split-scar, evaluator-blinded study. Lasers Surg Med 2015;47:1–5 CrossRefPubMed Sobanko JF, Vachiramon V, Rattanaumpawan P et al. Early postoperative single treatment ablative fractional lasing of Mohs micrographic surgery facial scars: a split-scar, evaluator-blinded study. Lasers Surg Med 2015;47:1–5 CrossRefPubMed
19.
Zurück zum Zitat Casanova D, Alliez A, Baptista C et al. A 1-year follow-up of post-operative scars after the use of a 1210-nm Laser-Assisted Skin Healing (LASH) technology: a randomized controlled trial. Aesthetic Plast Surg 2017;41:938–948 CrossRefPubMed Casanova D, Alliez A, Baptista C et al. A 1-year follow-up of post-operative scars after the use of a 1210-nm Laser-Assisted Skin Healing (LASH) technology: a randomized controlled trial. Aesthetic Plast Surg 2017;41:938–948 CrossRefPubMed
20.
Zurück zum Zitat Gold MH, Mcguire M, Mustoe TA et al. Updated international clinical recommendations on scar management: part 2.algorithms for scar prevention and treatment. Dermatol Surg 2014;40:825–831 PubMed Gold MH, Mcguire M, Mustoe TA et al. Updated international clinical recommendations on scar management: part 2.algorithms for scar prevention and treatment. Dermatol Surg 2014;40:825–831 PubMed
21.
Zurück zum Zitat Choi JE, Oh GN, Kim JY et al. Ablative fractional laser treatment for hypertrophic scars: comparison between Er:YAG and CO f2 fractional lasers. J Dermatolog Treat 2014;25:299–303 CrossRefPubMed Choi JE, Oh GN, Kim JY et al. Ablative fractional laser treatment for hypertrophic scars: comparison between Er:YAG and CO f2 fractional lasers. J Dermatolog Treat 2014;25:299–303 CrossRefPubMed
22.
Zurück zum Zitat Cervelli V, Gentile P, Spallone D et al. Ultrapulsed fractional CO f2 laser for the treatment of post-traumatic and pathological scars. J Drugs Dermatol 2010;9:1328–1331 PubMed Cervelli V, Gentile P, Spallone D et al. Ultrapulsed fractional CO f2 laser for the treatment of post-traumatic and pathological scars. J Drugs Dermatol 2010;9:1328–1331 PubMed
23.
Zurück zum Zitat Hultman CS, Friedstat JS, Edkins RE et al. Laser resurfacing and remodeling of hypertrophic burn scars: the results of a large, prospective, before-after cohort study, with long-term follow-up. Ann Surg 2014;260:519–532 Hultman CS, Friedstat JS, Edkins RE et al. Laser resurfacing and remodeling of hypertrophic burn scars: the results of a large, prospective, before-after cohort study, with long-term follow-up. Ann Surg 2014;260:519–532
24.
Zurück zum Zitat Levi B, Ibrahim A, Mathews K et al. The use of CO f2fractional photothermolysis for the treatment of burn scars. J Burn Care Res 2016;37:106–114 CrossRefPubMed Levi B, Ibrahim A, Mathews K et al. The use of CO f2fractional photothermolysis for the treatment of burn scars. J Burn Care Res 2016;37:106–114 CrossRefPubMed
25.
Zurück zum Zitat Poetschke J, Dornseifer U, Clementoni MT et al. Ultrapulsed fractional ablative carbon dioxide laser treatment of hypertrophic burn scars: evaluation of an in-patient controlled, standardized treatment approach. Lasers Med Sci 2017;32:1031–1040 CrossRefPubMed Poetschke J, Dornseifer U, Clementoni MT et al. Ultrapulsed fractional ablative carbon dioxide laser treatment of hypertrophic burn scars: evaluation of an in-patient controlled, standardized treatment approach. Lasers Med Sci 2017;32:1031–1040 CrossRefPubMed
26.
Zurück zum Zitat Alster TS, Williams CM. Treatment of keloid sternotomy scars with 585 nm flashlamp-pumped pulsed-dye laser. Lancet 1995;345:1198–1200 CrossRefPubMed Alster TS, Williams CM. Treatment of keloid sternotomy scars with 585 nm flashlamp-pumped pulsed-dye laser. Lancet 1995;345:1198–1200 CrossRefPubMed
27.
Zurück zum Zitat Reinholz M, Schwaiger H, Heppt MV et al. Comparison of two kinds of lasers in the treatment of acne scars. Facial Plast Surg 2015;31:523–531 CrossRefPubMed Reinholz M, Schwaiger H, Heppt MV et al. Comparison of two kinds of lasers in the treatment of acne scars. Facial Plast Surg 2015;31:523–531 CrossRefPubMed
28.
Zurück zum Zitat You HJ, Kim DW, Yoon ES et al. Comparison of four different lasers for acne scars: resurfacing and fractional lasers. J Plast Reconstr Aesthet Surg 2016;69:e87–95 CrossRefPubMed You HJ, Kim DW, Yoon ES et al. Comparison of four different lasers for acne scars: resurfacing and fractional lasers. J Plast Reconstr Aesthet Surg 2016;69:e87–95 CrossRefPubMed
29.
Zurück zum Zitat Naein FF, Soghrati M. Fractional CO f2 laser as an effective modality in treatment of striae alba in skin types III and IV. J Res Med Sci 2015;17:928–933 Naein FF, Soghrati M. Fractional CO f2 laser as an effective modality in treatment of striae alba in skin types III and IV. J Res Med Sci 2015;17:928–933
30.
Zurück zum Zitat Shin JU, Roh MR, Rah DK et al. The effect of succinylated atelocollagen and ablative fractional resurfacing laser on striae distensae. J Dermatolog Treat 2011;22:13–121 CrossRef Shin JU, Roh MR, Rah DK et al. The effect of succinylated atelocollagen and ablative fractional resurfacing laser on striae distensae. J Dermatolog Treat 2011;22:13–121 CrossRef
31.
Zurück zum Zitat Yang YJ, Lee GY. Treatment of striae distensae with nonablative fractional laser versus ablative CO f2 fractional laser: a randomized controlled trial. Ann Dermatol 2011;23:481–489 CrossRefPubMedPubMedCentral Yang YJ, Lee GY. Treatment of striae distensae with nonablative fractional laser versus ablative CO f2 fractional laser: a randomized controlled trial. Ann Dermatol 2011;23:481–489 CrossRefPubMedPubMedCentral
32.
Zurück zum Zitat De Angelis F, Kolesnikova L, Renato F et al. Fractional nonablative 1540-nm laser treatment of striae distensae in Fitzpatrick skin types II to IV: clinical and histological results. Aesthet Surg J 2011;31:411–419 CrossRefPubMed De Angelis F, Kolesnikova L, Renato F et al. Fractional nonablative 1540-nm laser treatment of striae distensae in Fitzpatrick skin types II to IV: clinical and histological results. Aesthet Surg J 2011;31:411–419 CrossRefPubMed
Metadaten
Titel
Pathophysiologie, Einteilung und Laserbehandlung von Narben
Laser und Narben
verfasst von
PD Dr. med. Gerd G. Gauglitz
Julian Pötschke
Matteo Clementoni
Publikationsdatum
14.08.2018
Verlag
Springer Medizin
Erschienen in
ästhetische dermatologie & kosmetologie / Ausgabe 4/2018
Print ISSN: 1867-481X
Elektronische ISSN: 2198-6517
DOI
https://doi.org/10.1007/s12634-018-5561-0

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