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Dermatol Surg. 2012 May;38(5):778-82. doi: 10.1111/j.1524-4725.2012.02355.x. Epub 2012 Feb 15.

Extracorporeal shock wave therapy for the management of burn scars.

Author information

1
Department of Plastic and Reconstructive Surgery, Sapienza University of Rome, Rome, Italy. fioramontipaolo@hotmail.com

Abstract

BACKGROUND:

Hypertrophic and contracture scars are common problems after burn injuries and cause functional and cosmetic deformities. A wide variety of treatments has been advocated for postburn pathologic scars regression. Unfortunately, the reported efficacy has been variable.

OBJECTIVES:

To investigate the use of extracorporeal shock wave therapy (ESWT), which mainly targets the fibroblasts in scar tissue, as an effective modality for scar treatment in burn patients.

MATERIALS AND METHODS:

An experimental study with ESWT was performed in 16 patients with postburn scars contractures, hypertrophic scars, or keloids twice a week for 6 weeks. Digital photographs were obtained and visual analogue scales were completed before and after treatment.

RESULTS:

Already after the first session, scars appeared more pliable, and color mismatch was less evident. At the end of the study period, all treated scars obtained a more acceptable appearance.

CONCLUSIONS:

Extracorporeal shock wave therapy is a feasible and cost-effective treatment in the management of postburn pathologic scars.

[Indexed for MEDLINE]

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