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Abstract：
There is currently intense multidisciplinary interest and a maturing body of literature regarding laser treatments for traumatic scars, but international treatment guidelines and reimbursement schemes have not yet caught up with current knowledge and practice in many centers. The authors intend to highlight the tremendous potential of laser techniques, offer recommendations for safe and efficacious treatment, and promote wider patient access guided by future high-quality research.
An international panel of 26 dermatologists and plastic and reconstructive surgeons from 13 different countries and a variety of practice backgrounds was self-assembled to develop updated consensus recommendations for the laser treatment of traumatic scars. A three-step modified Delphi method took place between March 2018 and March 2019 consisting of two rounds of emailed questionnaires and supplementary face-to-face meetings. The panel members approved the final manuscript via email correspondence, and the threshold for consensus was at least 80% concurrence among the panel members.
The manuscript includes extensive detailed discussion regarding a variety of laser platforms commonly used for traumatic scar management such as vascular lasers and ablative and non-ablative fractional lasers, special considerations such as coding and laser treatments in skin of color, and 25 summary consensus recommendations.
Lasers are a first-line therapy in the management of traumatic scars and contractures, and patients without access to these treatments may not be receiving the best available care after injury. Updated international treatment guidelines and reimbursement schemes, additional high-quality research, and patient access should reflect this status. Lasers Surg. Med. © 2019 Wiley Periodicals, Inc.
An international panel of 26 dermatologists and plastic and reconstructive surgeons from 13 different countries and a variety of practice backgrounds was self-assembled to develop updated consensus recommendations for the laser treatment of traumatic scars. A three-step modified Delphi method took place between March 2018 and March 2019 consisting of two rounds of emailed questionnaires and supplementary face-to-face meetings. The panel members approved the final manuscript via email correspondence, and the threshold for consensus was at least 80% concurrence among the panel members.
The manuscript includes extensive detailed discussion regarding a variety of laser platforms commonly used for traumatic scar management such as vascular lasers and ablative and non-ablative fractional lasers, special considerations such as coding and laser treatments in skin of color, and 25 summary consensus recommendations.
Lasers are a first-line therapy in the management of traumatic scars and contractures, and patients without access to these treatments may not be receiving the best available care after injury. Updated international treatment guidelines and reimbursement schemes, additional high-quality research, and patient access should reflect this status. Lasers Surg. Med. © 2019 Wiley Periodicals, Inc.
摘要：
目前有强烈的多学科的兴趣和成熟的关于激光治疗创伤性疤痕的文献，但是国际治疗指南和报销计划尚未赶上许多中心当前的知识和实践。作者打算强调激光技术的巨大潜力，提供安全有效的治疗建议，并在未来高质量研究的指导下促进更广泛的患者访问。
由来自13个不同国家和各种实践背景的26名皮肤科医生和整形外科医生组成的国际小组进行了自我组装，以制定创伤疤痕激光治疗的最新共识建议。在2018年3月至2019年3月期间，采用了三步改进的德尔菲法，包括两轮电子邮件问卷和补充面对面会议。小组成员通过电子邮件通信批准了最终手稿，达成共识的门槛是小组成员之间至少80％的同意。
该手稿包括广泛的详细讨论，涉及各种常用于创伤性瘢痕管理的激光平台，如血管激光和消融和非消融分数激光，特殊考虑因素，如肤色的编码和激光治疗，和25项协商一致建议摘要。
激光是治疗创伤性疤痕和挛缩的一线疗法，无法获得这些治疗的患者在受伤后可能无法得到最好的治疗。更新的国际治疗准则和报销计划，额外的高质量研究，和病人访问应反映这种状态。激光器Surg.Med.©2019Wiley期刊，Inc.
由来自13个不同国家和各种实践背景的26名皮肤科医生和整形外科医生组成的国际小组进行了自我组装，以制定创伤疤痕激光治疗的最新共识建议。在2018年3月至2019年3月期间，采用了三步改进的德尔菲法，包括两轮电子邮件问卷和补充面对面会议。小组成员通过电子邮件通信批准了最终手稿，达成共识的门槛是小组成员之间至少80％的同意。
该手稿包括广泛的详细讨论，涉及各种常用于创伤性瘢痕管理的激光平台，如血管激光和消融和非消融分数激光，特殊考虑因素，如肤色的编码和激光治疗，和25项协商一致建议摘要。
激光是治疗创伤性疤痕和挛缩的一线疗法，无法获得这些治疗的患者在受伤后可能无法得到最好的治疗。更新的国际治疗准则和报销计划，额外的高质量研究，和病人访问应反映这种状态。激光器Surg.Med.©2019Wiley期刊，Inc.
