El láser más utilizado es el láser CO 2 para tratar el grosor de la cicatriz, alteraciones texturales, y la posible contractura asociada, restaurando la movilidad de estos pacientes cuando se encuentra alterada. Sin embargo, su uso en los departamentos de dermatología hospitalarios todavía está poco extendido. Los dispositivos láser se han mostrado eficaces para su tratamiento, por encima de los tratamientos tópicos y complementarios a la cirugía, sin generar tanta morbilidad. Las cicatrices por quemadura suponen una elevada morbilidad en forma de contracturas, desfiguración corporal y prurito, así como un elevado impacto emocional que disminuye la calidad de vida de estos pacientes. In this article, we review the evidence for the use of laser therapy for burn scars and propose a treatment algorithm. Pigment laser treatments with short pulse durations (nanoseconds or picoseconds) can improve hyperpigmentation.
Pulsed dye laser treatments are particularly useful for reducing erythema in recent burn scars and preventing subsequent hypertrophy. Carbon dioxide laser is the most widely used device for reducing scar thickness, improving textural abnormalities, and treating associated contractures, which may restore the mobility of these patients when it is altered. The use of lasers in hospital dermatology departments, however, is still limited. It is superior to topical treatments and can be used in conjunction with surgery, helping to reduce morbidity. Laser therapy has proven effective in this setting. Burn scars cause high morbidity in the form of contractures, body disfigurement, and itching, as well as a high emotional impact that adversely affects patient quality of life.
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