New comprehensive method for treatment of atrophic skin scars

Author:

Dolgikh S. Yu.1ORCID,Stenko A. G.2ORCID,Gryazeva N. V.1ORCID

Affiliation:

1. Central State Medical Academy

2. Central State Medical Academy; JSC Institute of Plastic Surgery and Cosmetology

Abstract

Striae distensae, commonly known as stretch marks, are visible linear atrophic scars. Despite quite numerous studies, the lack of a unified approachto the problem of treating atrophic scars, a detailed clinical and morphological classification leads to the fact that doctors empirically choosepatient management tactics, which leads to unreliability or even lack of effect, the need for numerous repeated courses of therapy, and significanteconomic costs. The article presents data on studying the effectiveness of various methods of therapy. Depending on the method of therapy,patients were divided into three groups by simple randomization. The study used a visual analogue scale (VAS) to assess the clinical symptomsof AR. The combined use of fractional ablative laser and PDT with the topical photosensitizer chlorin e6 is highly effective in the treatment ofatrophic scars lasting more than a year (VAS dynamics – 74.9 %), fractional ablative laser is moderately effective in long-term atrophic scars (VASdynamics – 65.6 %), while PDT in the form of monotherapy is insufficiently effective (VAS dynamics – 45.6 %).

Publisher

Alfmed LLC

Subject

Materials Chemistry,Economics and Econometrics,Media Technology,Forestry

Reference18 articles.

1. Ozerskaya O. S. Skin scars and their dermatocosmetological correction. St. Petersburg: OJSC ‘Art of Russia’ 2007. 224 p.

2. Manturova N.E., Kruglova L.S., Stenko A.G. Skin scars. GEOTAR-Media. 2021. 238 p.

3. Kruglova L.S., Kolcheva P.A., Korchazhkina N.B. Review of modern methods for correcting post-acne scars. Bulletin of New Medical Technologies. 2018. Vol. 25, No. 4. Pp. 155–164.

4. Talibova A. P., Stenko A. G., Korchazhkina N. B. Innovative physiotherapeutic technologies in the treatment of combined cicatricial changes in the skin. Physiotherapist. 2017. No. 1. Pp. 47–54.

5. Rogalski C, Haustein UF, Glander HJ, Paasch U. Extensive striae distensae as a result of topical corticosteroid therapy in psoriasis vulgaris. Acta Derm Venereol. 2003; 83: 54–55.

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