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The primary objective of this study is to explore the potential clinical effect of targeting surgical wounds in all three wound healing phases by non ablative fractional laser (NAFL) to reduce scar formation in a randomized controlled trial. Thus, NAFL will be applied during 1) inflammation phase (0-3 days) as represented by NAFL-treatment adjacent to surgical wounding, 2) proliferation phase (4-21 days) by NAFL-treatment immediately after suture removal and 3) remodeling phase (21 days-1 year) by NAFL-treatment six weeks after surgery.
This is a prospective, randomized, controlled, assessor - blinded, intra-individual trial comparing laser exposed skin lesions to untreated control skin lesions in a split scar set-up to investigate efficacy. The study will be performed on patients undergoing an excision at Bispebjerg Dermatological Department. One randomly allocated part of each included wound will receive three NAFL-treatments and the other part will serve as untreated control wound. Scars will be evaluated clinically on-site by blinded evaluator immediately before third treatment and 3 months after NAFL-treatments. The clinical data will be supplemented by blinded photo-evaluation, patients' evaluation and non-invasive measurements.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| NAFL-treated wounds | Experimental | NAFL treated wounds |
|
| Control | No Intervention | untreated control wound |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NAFL-treatment | Radiation | non ablative fractional laser 15 40 nm promoting wound healing and reduction of scar formation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Clincial evaluation on Patient observer scar assessement scale (POSAS) | validated scar scale | 3 months followup |
| Measure | Description | Time Frame |
|---|---|---|
| Photoevaluation on visual analogue scale | 3 independent dermatologists will evaluate on VAS | 3 months follow-up |
| Reflectance measurement | measurement of erythema and pigment |
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Inclusion Criteria:
o Subjects referred to excision of either benign, pre malignant or malignant non-melanoma skin cancer (NMSC) lesions.
Exclusion Criteria:
o History of or presenting with a keloid scar
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30101519 | Derived | Karmisholt KE, Banzhaf CA, Glud M, Yeung K, Paasch U, Nast A, Haedersdal M. Laser treatments in early wound healing improve scar appearance: a randomized split-wound trial with nonablative fractional laser exposures vs. untreated controls. Br J Dermatol. 2018 Dec;179(6):1307-1314. doi: 10.1111/bjd.17076. Epub 2018 Sep 30. |
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split scar study
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the outcome assessor will not know which side is the treated side of scar
| 3 months followup |
| Clinical evaluation on Vancouver Scar Scale | validated scar scale | 3 months followup |
| Clincial evaluation on Patient observer scar assessement scale (POSAS) | validated scar scale | 1month follow-up |
| Clinical evaluation on Vancouver Scar Scale | validated scar scale | 1month follow-up and |