Int J Stomatol

Int J Stomatol ›› 2023, Vol. 50 ›› Issue (4): 433-437.doi: 10.7518/gjkq.2023066

• Original Articles • Previous Articles     Next Articles

Efficacy of narrow-spectrum intense pulsed light in the treatment of scar after surgery of primary unilateral cleft lip

Tang Xiaojuan1(),Liu Xiaojing1,Sun Yongheng2,Zhang Jingxia1()   

  1. 1.Medical Cosmetic Center, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
    2.Jinshui Lihuayu Medical Beauty Clinic, Zhengzhou 450052, China
  • Received:2022-12-19 Revised:2023-03-06 Online:2023-07-01 Published:2023-06-21
  • Contact: Jingxia Zhang E-mail:tangxiaojuan1006@163.com;zhangjingxia1966@126.com

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Abstract:

Objective To observe the effectiveness and safety of narrow-spectrum intense pulsed light (DPL) in the treatment of scar after surgery of primary unilateral cleft lip. Methods From September 2019 to June 2022, 56 children with primary unilateral cleft lip treated by surgery were selected. According to random number table, they were divided into group A and group B respectively, with 28 children in each group. Both groups began to use silicone gel drug to smear the scar on the second day after surgery until 6 months post-operation. Group B also taken three times DPL treatment at 4, 6 and 8 weeks post-operation. The scar was evaluated with Vancouver scar scale (VSS) before DPL treatment, after the last DPL treatment, 4 months after operation, and 6 months after operation. At the final follow-up, satisfaction questionnaire was used to evaluate the satisfaction of parents. The treatment-related adverse events during the DPL treatment pe-riod and within 1 month after the last treatment were recorded. The data was statistically analyzed. Results The difference of VSS scores between the two groups before DPL treatment was no significant (P>0.05). After the last DPL treatment, the VSS score of group B was lower than that of group A, with a statistically significant difference (P<0.05). At 4 months and 6 months post-operation, the VSS score of group B was lower than that of group A, the difference was statistically significant (P<0.05). At the final follow-up, 15 (53.6%) of group A were very satisfied with the efficacy, 10 (35.7%) were satisfied, and 3 (10.7%) were average; 24 (85.7%) of group B were very satisfied with the efficacy, and 4 (14.3%) were satisfied. Two patients in group B had transient pigmentation after treatment. Conclusion DPL can effectively treat the scar after primary unilateral cleft lip surgery, with high patient satisfaction and less adverse events.

Key words: narrow-spectrum intense pulsed light, primary unilateral cleft lip, scar, Vancouver scar scale score, satisfaction

CLC Number: 

  • R 782.2+1

TrendMD: 

Fig 1

Changes of VSS scores between groups A and B"

Tab 1

Comparison of satisfaction survey results between groups A and B"

满意度等级A组B组P值
问题1非常满意1524<0.05
满意104
一般30
不满意00
问题2愿意1928<0.001
一般90
不愿意00
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