Electrophotobiomodulation; a new step in the reconstructive ladder of posttraumatic defects | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 14 August 2023 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2023.223018.1285 | ||
| Authors | ||
| Nader Elmelegy1; yaser elhawary2; Mohamed Saad Sadaka* 3 | ||
| 1Department of Plastic and Reconstructive Surgery – Faculty of medicine – Tanta University | ||
| 2department of plastic and reconstructive surgery- faculty of medicine- tanta university | ||
| 3department of plastic and reconstructive surgery - faculty of medicine - Tanta university | ||
| Abstract | ||
| Background: Researchers have tried to improve their "reconstructive ladders" by adding more steps for a larger applicability that fits most of the situations, as more methods and technology, such as free tissue transfer, robotic surgery and vascularized composite allotransplant, have become accessible. Electrophotobiomodulation was reported as a successful tool in wound management with very narrow spectrum of complications. Objective: to evaluate the safety and efficacy of Electrophotobiomodulation in reconstruction of posttraumatic defects and its place in the reconstructive ladder. Patients and methods: Between May 2017 and January 2023, 38 patients underwent treatment with electrophotobiomodulation, including 17 on the face, 7 on the upper limb, 3 on the upper back, and 11 on the lower limb. Both throughout sessions and at least six months after the patient's final session, photographs of the patient and a post-treatment wound assessment were evaluated and also patient satisfaction with the result was assessed. Results: Regarding post-treatment clinical evaluation of our patients, it was excellent to good in the majority of cases (87%). Patient satisfaction rate was also excellent to good in the majority of patients (84%). Minor issues were experienced by small percent of patients (8%) including hyperpigmentation, hypopigmentation, and hypertrophic scarring. Conclusions: Electrophotobiomodulation is a safe effective technique that can induce very good wound healing without the need for any type of flap or skin graft, preserving other tissues from mutilation and hence it deserves its place in the reconstructive ladder. | ||
| Keywords | ||
| Photobiomodulation; reconstruction; ladder; traumatic; defects | ||
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