الفهرس | Only 14 pages are availabe for public view |
Abstract Post burn leucoderma is often results from partial or full thickness burn. This disease process has increased prevalence in races with darker pigmentation, and is often found in the hands, head, and neck regions. Burn injury leads to damage of epidermal melanocytes (Driscoll, et al., 2016). Melanocytes are situated on the basal layer of epidermis. Improvement of skin pigmentation depends on proliferation of melanocytes and their migration into the hypopigmented areas (Maranda, et al., 2017). In our study, we compare between fractional CO2 LASER and dermabrasion with STSG for management of post burn leucoderma. Fractional CO2 LASER showed good results in treating post burn leucoderma. It could be applied over large areas of hypopigmentation. Dermabrasion and STSG that contain the basal layer melanocytes of normally pigmented skin showed good results as regards repigmentation response and colour match with the surrounding normal skin. Ultra- thin grafts are better cosmetically than thick skin grafts and has less complications. This technique is easy, fast and simple. Small and well defined lesions are easier to treat than larger, ill-defined or irregular scars. Hyperpigmentation is the most common disadvantage of this technique. In conclusion we found that Fractional CO2 LASER is one of non-surgical treatment of post burn leucoderma that showed good results. Dermabrasion and STSG are good, easy and simple surgical solution for management of post burn leucoderma. Fractional CO2 LASER is better than Dermabrasion and STSG for management of post burn leucoderma. |