Scars
Conditions
Keywords
scars, late effect of burn, burn, pulsed-dye laser
Brief summary
The purpose of this study is to identify changes in color, thickness, and stiffness, of scars from skin grafting after burns when treated with a pulsed-dyed laser.
Detailed description
Pulsed-dyed lasers have been used in the past to treat scars from minor surgery as well as burns. The laser has been used at different times, close to injury or late after injury. Success or failure of the laser has been judged by subjective observer scales. In this study we will treat the seams of 1/2 of a skin graft with a pulsed-dyed laser, beginning about one month after surgery. We will use objective measures of color (redness on digital pictures), scar volume(via laser scanning), and elasticity(measured by BTC-2000) as well as subjective assessment by an independent observer and the patient.
Interventions
Pulsed-dye laser will be applied to 1/2 of the seam of the skin graft, using a 10mm spot size, and sufficient pulse-width and fluency to induce purpura.
Sponsors
Study design
Eligibility
Inclusion criteria
* \> 9 years old * not pregnant * new skin graft to extremity * able to follow simple instructions
Exclusion criteria
* age less than 9 years * pregnancy * any behavior pattern that would lead to conclusion that patient may not reliably follow simple instructions
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Amount of redness of scar | 4 to 12 months after skin grafting |
Secondary
| Measure | Time frame |
|---|---|
| Scar height | 4-12 months after skin grafting |
| Scar stiffness | 4-12 months after skin grafting |
| Patient's assessment of cosmetic outcome | 4-12months after skin grafting |
| Clinical improvement of appearance of scars assessed by subjective scale | 4-12 months after skin grafting |
Countries
United States