关键词: Auricular reconstruction Epilation Hair removal Laser Microtia

Mesh : Humans Congenital Microtia / surgery Retrospective Studies Female Lasers, Semiconductor / therapeutic use Male Plastic Surgery Procedures / methods Adolescent Child Hair Removal / methods Young Adult Treatment Outcome Adult Esthetics Cohort Studies Follow-Up Studies Risk Assessment

来  源:   DOI:10.1007/s00266-023-03780-7

Abstract:
BACKGROUND: The issue of hair growth on reconstructed ears has been a matter of concern for both patients and surgeons, despite the notable progress made in microtia reconstruction technology in recent times.
OBJECTIVE: This study aims to present the practical implementation of long-pulsed 800-nm diode laser depilation technology in the field of auricular reconstruction. Furthermore, it seeks to establish a comprehensive and standardized protocol for utilizing lasers in the reconstruction of microtia ears.
METHODS: A total of 965 patients (comprising 1021 ears) diagnosed with congenital microtia underwent treatment using 800-nm long-pulsed diode laser depilation. The participants received 1-3 treatment sessions with intervals of 25-30 days. To assess the effectiveness of the treatment, two independent observers compared photographs and measured the reduction in terminal hair count before and after the final session. Clinical outcomes were evaluated using VAS questionnaires, and any adverse events were diligently recorded.
RESULTS: The findings indicated that the utilization of the long-pulsed 800-nm diode laser was both safe and efficient in achieving hair removal during microtia ear reconstruction. As additional sessions were conducted, pain scores demonstrated a decline, while adverse reactions remained minimal.
CONCLUSIONS: This is a retrospective single-institution study.
CONCLUSIONS: The application of a long-pulsed 800-nm diode laser has been proved to be a safe and effective method for removing hair during the process of microtia ear reconstruction, involving the use of a tissue expander and autologous costal cartilage. To achieve satisfactory results in hair removal, it was found necessary to repeat the shots procedure two to three times.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
摘要:
背景:重建耳朵上的毛发生长问题一直是患者和外科医生关注的问题,尽管最近在microtia重建技术方面取得了显着进展。
目的:本研究旨在介绍长脉冲800-nm二极管激光脱毛技术在耳廓重建领域的实际实现。此外,它寻求建立一个全面和标准化的协议,利用激光重建小耳耳。
方法:共有965例诊断为先天性小耳畸形的患者(包括1021耳)接受了800nm长脉冲二极管激光脱毛治疗。参与者接受1-3次治疗,间隔25-30天。为了评估治疗的有效性,两名独立观察者比较了照片,并测量了最后一次会议前后末梢毛发数量的减少。使用VAS问卷评估临床结果,并认真记录任何不良事件.
结果:研究结果表明,在小耳耳重建过程中,使用长脉冲800nm二极管激光既安全又有效。随着更多会议的举行,疼痛评分显示下降,而不良反应仍然很小。
结论:这是一项回顾性的单机构研究。
结论:长脉冲800-nm二极管激光器的应用已被证明是一种在小耳耳重建过程中去除毛发的安全有效方法,涉及使用组织扩张器和自体肋软骨。为了达到满意的脱毛效果,发现有必要重复拍摄程序两到三次。
方法:本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述,请参阅目录或在线作者说明www。springer.com/00266.
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