A comparative study between autologous nanofat graft and fractional CO2 laser in the management of post burn scars . | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 12 April 2022 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2022.129011.1162 | ||
| Authors | ||
| Yosra Abdelfattah Yasseen* 1; Eman Nagy Mohamed1; Sherine Mohamed Aboul Fotouh2; Amr Magdy Sayed Mahmoud2 | ||
| 1Plastic, Reconstructive and maxillofacial Surgery Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt | ||
| 2Plastic, Reconstructive and Maxillofacial Surgery Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt | ||
| Abstract | ||
| Background: Post burn scarring is a common complication that can lead to functional disability and cosmetic disfigurement. Superficial burn wounds usually heal without complications, unlike deep ones that have an increased risk for abnormal scar formation. The aim of the study: is to compare between autologous nanofat grafting and fractional CO2 laser in the management of post burn scars regarding aesthetic improvement. Patients and Methods: This is a prospective study carried out at Plastic Surgery Department, Ain Shams University hospital from February 2020 to February 2022. The study included 20 cases of post burn scars, they were divided randomly into two equal groups; the first group was managed by 2 sessions of autologous nanofat grafting while the other group was managed by 6 sessions of fractional CO2 laser. Results: There was statistically significant improvement after nanofat grafting and fractional CO2 laser. According to VSS; more statistically significant improvement of pliability was found among nanofat grafting group than fractional CO2 laser. While POSAS observer scale showed more improvement for pigmentation and pliability scores. Moreover, POSAS patient scale found more improvement among nanofat grafting group regarding itching, color, stiffness and total scores. Conclusion: Autologous nanofat injection and fractional CO2 laser use resulted in a significant aesthetic improvement of post burn scars. However, autologous nanofat injection had more significant improvement than laser regarding pliability, pigmentation, itching, color and stiffness. | ||
| Keywords | ||
| Post burn scars; Autologous nanofat; fractional CO2 laser; Plastic surgery | ||
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