Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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$CO_2$ Laser Resurfacing in Skin Tumor Surgery

피부암 절제술과 동시에 시행한 레이저 박피술

  • Jang, Ju-Yun (Department of Plastic and Reconstructive Surgery, Dankook University College of Medicine) ;
  • Oh, Sang-Ah (Department of Plastic and Reconstructive Surgery, Dankook University College of Medicine) ;
  • Lee, Sung-Hwan (Department of Plastic and Reconstructive Surgery, Dankook University College of Medicine) ;
  • Kang, Dong-Hee (Department of Plastic and Reconstructive Surgery, Dankook University College of Medicine)
  • 장주윤 (단국대학교 의과대학 성형외과학교실) ;
  • 오상아 (단국대학교 의과대학 성형외과학교실) ;
  • 이성환 (단국대학교 의과대학 성형외과학교실) ;
  • 강동희 (단국대학교 의과대학 성형외과학교실)
  • Received : 2009.08.11
  • Accepted : 2010.01.11
  • Published : 2010.03.10
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Abstract

Purpose: The prevalence of skin cancers and cutaneous premalignant lesions are increasing recently. It is necessary to treat cutaneous premalignant lesions, because these can progress to invasive skin cancers. We conducted a retrospective study to evaluate the usefulness of $CO_2$ laser resurfacing in skin tumor surgery. Methods: From 2005 to 2008, 14 patients with skin cancers, photodamaged skin and cutaneous premalignant lesions were treated with skin cancer excision, immediate reconstruction, and $CO_2$ facial laser resurfacing. Mean average follow-up period was 15.6 months (5 months - 36 months). Biopsy and clinical photograph were taken preoperatively, intraoperatively and through follow-up period to assess the effectiveness of laser resurfacing. Recurrence and side effects were evaluated through follow-up period. Results: Histologic examination shows the abolition of actinic atypia, regeneration of epidermis and normalization of cellular differentiation after laser resurfacing. Clinical photographs shows elimination of keratoses and spots, and the homogeneous, smoothening change of skin surface, indicating healthy and younger faces. All patients had remained free of skin cancers and premalignant lesions in laser-treated field through follow-up period. Conclusion: $CO_2$ laser resurfacing in skin tumor surgery can treat not only premalignant lesions but also subclinical lesions of photodamaged skin. Moreover it may be helpful in prophylaxis against skin cancers and premalignant lesions, providing rejuvenation and cosmetic improvement.

Keywords

References

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