medigraphic.com
SPANISH

Medicina Cutánea Ibero-Latino-Americana

ISSN 0210-5187 (Electronic)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2010, Number 5

<< Back Next >>

Med Cutan Iber Lat Am 2010; 38 (5)

Chemical reconstruction of skin scars with 90% trichloroacetic acid or 88% phenol: a comparative study

Mühlmann AC, Macedo FJC, Baião FG, Chiara ML
Full text How to cite this article

Language: Portugu?s
References: 8
Page: 189-193
PDF size: 150.10 Kb.


Key words:

Acne scars, treatment, phenol, trichloroacetic acid, chemical reconstruction, CROSS.

Text Extraction

Introduction: Acne is a comon disease that affects the pilosebaceous unit and produces many cosmetic sequels, like scarring.
Patients and methods: This study has been performed to evaluate the benefit of treating depressed acne scars with CROSS ( chemical reconstruction of skin scars ) technique versus 90% trichloroacetic acid (90% TCA) and 88% phenol. Acne scars in eight patients were treated by applying the chemical substances directly to the scars. We used wooden applicators to apply 88% phenol to the scars of the right hemiface and 90% TCA to the scars of the left hemiface. The procedure was repeated at monthly intervals for a total of five treatments.
Results: The burning sensation that occurs at the time of application of both substances was more intense when using TCA. The erythema area that surges at the site of application is more evident and lasts longer with TCA. The reepithelization of the skin treated was slower with TCA. The majority of patients showed best cosmetic results at the hemiface where 88% phenol has been used.
Discussion: In this study, the CROSS technique had good results but it required long time to produce clinical visible results. When both substances were compared, 88% phenol seemed to be more satisfactory than 90% TCA since it produced less pain, showed best cosmetic results and had faster reepithelization.


REFERENCES

  1. Lehman HP, Robison KA, Andrews JS, Holloway V, Goodman SN. Acne Therapy: A Methodologic Review. J Am Acad Dermatol 2002; 47: 231-40.

  2. Goodman GJ. Pos-acne scaring: a short reviw of its pathophysiology. Autralas J Dermatol 2001; 42: 84-90.

  3. Jacob CI, Dover JS, Kaminer MS. Acne scarring: a classification system and review of tratament options. J Am Acad Dermatol 2001; 45: 109-17.

  4. Lee JB, Chung WG, HoK, Lee, KH. Focal Tratament of Acne Scars with Tricloroacetic Acid: Chemical Reconstruction of Skin Scars Method. Dermatol Surg 2002; 28: 1017-21.

  5. Freedberg IM, Eisen AZ, Wolff KF, Austen KF, Goldsmith LA, Katz SI. Fitzpatrick’s Dermatology in General Medicine. 6th ed. New York: McGraw-Hill, 2003; 1: 673-87.

  6. Mackee GM, Karp FL. The tratament of post acne scars with phenol. Br J Dermatol 1952; 64: 456-59.

  7. Rubin MG. Trichloroacetic Acid and other Non-Fhenol Peels. Clinics in Plastic Surgery 1992; 19: 523-36.

  8. Whang KK, Lee M. The principle of a threestaged operation in the surgery of acne scars. J Am Acad Dermatol 1999; 1: 95-7.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Med Cutan Iber Lat Am. 2010;38