Clinical application of 10 600 and 1540 nm laser therapy in post-burn functional impairment: a case report.

INTRODUCTION

Extensive burn injury can result in hypertrophic, retracting scars that, based on their location, can lead to reduced functionality for the patient. This study reports the clinical case of a young man who presented at the clinic with second-degree burn injuries to the chin, hand, and forearm.

CASE PRESENTATION: The patient complained of pruritus and had difficulty moving his hand, which impacted his professional life. The scars were treated with the sequential emission of two laser wavelengths: 10 600 and 1540 nm. The patient was very satisfied with the outcome and was able to resume his work.

DISCUSSION: Recent histological studies have demonstrated that the sequential emission of the CO2 laser at 10 600 and the 1540 nm non-ablative laser extends the thermal effects on the micro-ablative zone, stimulating and enhancing collagen remodeling compared with the use of CO2 alone. The sequential emission of these two wavelengths has been proven to be a valid treatment choice for skin remodeling for aesthetic purposes, with shorter healing times and a lesser risk of hypopigmentation.

CONCLUSION

This study used a combination of ablative and non-ablative lasers to remodel hypertrophic burn scars, achieving improved aesthetics, symptom relief, and restored hand function through the resolution of joint contractures.