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At least 109 records · Page 6Linked to original sources

[Clinical observation of the effect of crystallitic dermabrasion on skin superficial scars].

OBJECTIVE: To observe the changes in histopathology and clinical effect after the treatment of superficial scars in human faces and exposed parts of human extremities with crystallitic dermabrasion. METHODS: The machine made in Italy can produce the high speed crystallite to the surface of the scar, resulting in the alveolate wounds. At the same time the crystallitic drill make the accidental scar smooth. RESULTS: Two thousands and five hundreds and thirty eight suffers were treated for 2-10 times. The appearance of the scars was improved. Six patients complicated with milium, Eleven got hypopigmentation, eight got hypomelanotation. Eighty percent patients of this groups got pigmentation after the treatment. This signs disappeared or improved after 2-6 months. Histopathology demonstrated the scar area became small, the fibroblasts increased remarkably and the collagenous fiber arranged regularly. The cells in the stratum spinosum proliferated actively. CONCLUSIONS: Crystallitic dermabrasion is a simple and safe method for the treatment of skin superficial scars.

Adolescent↗

Adverse reactions to vitamin E and aloe vera preparations after dermabrasion and chemical peel.

Three women and one man aged forty-one to sixty-five years experienced a severe burning sensation following the application of aloe vera or vitamin E preparations to a skin area that had been subjected to a chemical peel or dermabrasion. Subsequently, a severe dermatitis occurred that required hospitalization of one patient and intravenous administration of steroids. The dermatitis abated very slowly in all patients: full recovery took three months or more. One patient resumed the use of vitamin E creams two years after the episode of dermatitis and experienced no adverse effect. Patients undergoing dermabrasion or chemical peel procedures should be cautioned specifically against the use of aloe vera or vitamin E topically in the first weeks after surgery.

Adult↗

Physical properties of aerosols produced by dermabrasion.

Medical personnel who perform dermabrasions are exposed to airborne blood and tissue fragments. The safety or hazards of exposure to such aerosols have not been adequately studied. Using scanning electron microscopy, the air density and size distribution of particles produced during dermabrasion were analyzed. Such particles are of sufficient size to allow for access to and retention by mucosal and pulmonary surfaces. Transmission electron microscopy reveals amorphous particles without discernible cell membranes. Commonly used personnel protection standards do not prevent respiration of these particulates. Mathematical estimation of particle size production allows extrapolation of these data to other rotary instrument applications.

Aerosols↗

Hailey-Hailey disease. Eradication by dermabrasion.

BACKGROUND: Chronic benign familial pemphigus (Hailey-Hailey disease) is a rare dominant genodermatosis that bothers patients by chronic recalcitrant plaques occurring mainly in the intertriginous areas. We looked for a surgical treatment that is not impaired by the complications and disadvantages of radical excision and grafting of involved areas. In 10 patients with debilitating Hailey-Hailey disease (five men, five women; age, 36 to 57 years), nine different involved areas (neck, axilla, cubital area, inframammary area, periumbilical area, groin and adjacent inner thigh, scrotum, vulva, and the perineal/perianal area) were treated by dermabrasion for a total of 46 treated regions. The plane of abrasion was located in the upper to middle dermis as verified by random sampling before and after surgery, thus documenting removal of the entire epidermis. RESULTS: In most instances, reepithelialization was completed after 7 to 10 days followed by excellent functional and cosmetic long-term results. When examined 3 to 79 months (median, 42 months) later, all treated areas remained completely disease free since surgery, except for major recurrences in four sites and minor recurrences in another four sites. Four of these areas were dermabraded again without subsequent relapse. CONCLUSIONS: Our results show that dermabrasion may be considered an excellent treatment of Hailey-Hailey disease that is unresponsive to conservative therapy. As a probable explanation, the intrinsic defect of cell adhesion in Hailey-Hailey disease seems to be limited to epidermal keratinocytes but spares adnexal structures from which rapid reepithelialization occurs.

Adult↗

Treatment of photoaging. Facial chemical peeling (phenol and trichloroacetic acid) and dermabrasion.

A complete armamentarium using phenol, trichloroacetic acid, and dermabrasion allows the physician to successfully treat a variety of difficult photoaged skin problems in a consistent fashion. These three techniques have their specific indications, and patient selection is the key to a successful outcome. Proper attention to technical detail will allow the physician to fine-tune technique to meet the individual's needs. It is important to realize that phenol, trichloroacetic acid, and dermabrasion are not exclusive of each other, but are additive in their value. As one becomes well versed in these differing treatment modalities, one can tailor these techniques to obtain consistent results according to the needs and desires of the patient.

Chemexfoliation↗

Decreased splatter in dermabrasion.

OBJECTIVE: To compare a new dermabrasion instrument equipped with a metal shield and hydration-suction apparatus with the standard instrument, with specific attention to the exposure of operating room personnel to potentially hazardous particles. DESIGN: A surgical trial with each of the instruments was performed with a skin model. The splatter caused by the 2 instruments was evaluated and compared statistically and graphically. SUBJECTS: Female hairless guinea pigs (450 g) were used as a skin model. INTERVENTIONS: Ten guinea pigs were treated with the standard dermabrading instrument, and 10 were treated with a shielded suction-irrigating dermabrader. The splatter was analyzed by counting the number of particles landing on strategically placed glass slides. Evaluations of histologic cross-sections of the dermabraded skin were compared in a blinded fashion. RESULTS: Statistical and graphic analysis showed the number of potentially hazardous particles generated by the suction dermabrader to be significantly less than that generated by the standard dermabrader. Histologic sections showed no difference between the 2 subsets. CONCLUSION: The new shielded suction-irrigating dermabrader provides comparable surgical results while significantly decreasing exposure to potentially hazardous splatter particles. Arch Facial Plast Surg. 2000;2:23-26

Animals↗

Shave excision and dermabrasion of midline angiofibroma in tuberous sclerosis.

We encountered a rare case of massive angiofibroma involving the midface. Treatment consisted of shave excision of long slightly vascular "shag-rug" papules, followed by repeated deep dermabrasion. The methods of treatment will vary, depending on size and vascularity of the lesions. Indications for treatment include facial hygiene, cosmetic reasons, and the cessation of chronic bleeding. Prognosis is that the angiofibroma may be expected to slowly recur and thus require further treatment.

Adult↗

A comparative histologic study of the effects of three peeling agents and dermabrasion on normal and sundamaged skin.

This paper reports the histologic findings in normal and sundamaged skin, created by 60% trichloroacetic acid (TCA), 100% phenol, Baker's phenol mixture, and dermabrasion at 3 days and 60 days after treatment. Half of the peeled areas were unoccluded, and the other half were occluded. It was found that the various escharotic agents seem to wound sundamaged skin with the same type of graduation as non-sundamaged skin. Furthermore, a layer of enlarged papillary dermis consistently developed, the thickness of which seems directly related to the strength of the escharotic agent, or the overall wound depth or the healing time necessary for complete recovery.

Chemexfoliation↗

Needle dermabrasion.

In this article we describe a technique of needle dermabrasion (tattoo without pigment) used to improve achromic, hypertrophic, and unsightly scars. It is simple, safe (no complications), and it gives us consistently good results.

Cicatrix, Hypertrophic↗

A controlled study of the effectiveness of spot dermabrasion ('scarabrasion') on the appearance of surgical scars.

We report the results of a controlled study on the use of spot dermabrasion ("scarabrasion") on surgical scars. In a split scar model, linear scars produced by full-thickness surgical excisions on the face, trunk, and extremities were studied in 48 patients. Results of abrasion of the left (top) half of each scar were compared with the untreated right (bottom) half. Although scars were improved at 4 and 6 weeks after injury, a significantly greater number responded to abrasion at 8 weeks (p less than 0.05). All regions of the body showed comparable improvement. The diamond fraise was found to be an effective instrument for scarabrasion.

Adult↗

Vitiligo: treatment by dermabrasion and epithelial sheet grafting.

BACKGROUND: Several years ago, a surgical technique for treating depigmentation resulting from burn injuries was developed. The treatment of this problem in the patient with burns was consistently successful. OBJECTIVE: The purpose of this study was to investigate the usefulness of the surgical technique developed for patients with burn injuries to determine whether the same technique would be useful in treating patients with vitiligo whose skin did not repigment with conventional medical treatments. METHODS: Five patients with stable vitiligo were treated. The epithelium of the vitiliginous areas was removed by dermabrasion. The dermabraded area was then reepithelialized with epithelial sheet grafts sufficient to cover the entirety of the vitiliginous dermabraded region. RESULTS: Each operation was successful. Scarring did not develop in the repigmented or donor site regions. The final color match has been good to excellent in all patients. CONCLUSION: Good to excellent repigmentation was observed in each patient. We believe our results, to date, are more successful than the results of other procedures reported previously in the medical literature.

Adult↗

Survey of refrigeration and surgical technics used for facial dermabrasion.

Concern has recently been expressed regarding the possibility of freeze-associated adverse effects (delayed healing, prolonged erythema, scarring) associated with the use of potent spray refrigerants used for dermabrasion. A survey was undertaken among experienced dermatologic surgeons in an attempt to define variations in technic that might explain the absence of universal difficulties with these products. Distance of spray nozzle to skin, attempted depth of abrasion, and ambient room temperature emerged as possible differences between the complication-free and complication-affected groups. Speculations relating these differences to freeze-associated adverse effects are presented.

Dermabrasion↗

Cutaneous non-X histiocytosis: clinical and histologic features and response to dermabrasion.

A 22-year-old man presented with a progressive cutaneous eruption consisting of reddish-yellow papules and plaques on his face, which was histopathologically characteristic of a non-X histiocytosis. No systemic involvement was present. Monoclonal antibody staining of the tissue infiltrate was strongly positive for only OKT6. On electron microscopy, Langerhans (Birbeck) granules were not found. Four years of conservative treatment was unsuccessful. Spontaneous involution did not occur. Dermabrasion not only produced excellent cosmetic results, but on rebiopsy the histiocytic infiltrate was absent. There has been no recurrence in treated areas after 18 months.

Adult↗

Dermabrasion of the scalp as a treatment for actinic damage.

Dermabrasion of the scalp was safely and effectively performed on five patients as a treatment for actinic damage. This surgical modality can be an important part of the management of solar keratoses of the scalp in patients with alopecia.

Aged↗

Probable coexisting exogenous ochronosis and mercurial pigmentation managed by dermabrasion.

A patient with blue-gray discoloration of the face is described. Her history revealed that she had used bleaching creams containing mercury and hydroquinone for many years. Biopsy specimens of the hyperpigmented areas showed deposits that were compatible with both mercury deposition and the diagnosis of exogenous ochronosis. Dermabrasion was successfully employed to remove these deposits.

Aged↗

Dermabrasion.

This article provides an overview of the resurfacing technique of dermabrasion. Preoperative consultation, perioperative medications, postoperative management, common complications, and reasonable outcome expectations are all described in detail. A description of proper technique, intraoperative equipment, and an approach to full-face procedures is also described.

Cicatrix↗