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New comprehensive method for treatment of atrophic skin scars
https://doi.org/10.33667/2078-5631-2023-24-65-70
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 %).
About the Authors
S. Yu. Dolgikh
Central State Medical Academy
Russian Federation
Russian Federation
Dolgikh Svetlana Yu., dermatovenerologist, cosmetologist, applicant for Dept of Dermatovenereology and Cosmetology
Moscow
A. G. Stenko
Central State Medical Academy; JSC Institute of Plastic Surgery and Cosmetology
Russian Federation
Russian Federation
Stenko Anna G., DM Sci (habil.), professor at Dept of Dermatovenerology and Cosmetolog; head of Dept of Cosmetology
Moscow
N. V. Gryazeva
Central State Medical Academy
Russian Federation
Russian Federation
Gryazeva Natalia V., PhD Med, associate professor at Department of Dermatovenerology and Cosmetology
Moscow
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Review
For citations:
Dolgikh S.Yu., Stenko A.G., Gryazeva N.V. New comprehensive method for treatment of atrophic skin scars. Medical alphabet. 2023;(24):65-70. (In Russ.) https://doi.org/10.33667/2078-5631-2023-24-65-70
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