Evidence map›Paper›PMID 33303965›Full record

ArticleScientific reports2020

Treatment of hypertrophic scars and keloids using an intralesional 1470 nm bare-fibre diode laser: a novel efficient minimally-invasive technique.

Ke Li, Fabio Nicoli, Chunxiao Cui, Wen Jing Xi, Ahmed Al-Mousawi, Zheng Zhang, Alberto Balzani, Lindsay Neill, Roberto Sorge, Yun Tong and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
2.8field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Efficacy and safety of fractional COFrontiers in medicine · 2025
    Pooled it
  3. Pooled it
  4. Trial
  5. Article
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  8. Keloid and Hypertrophic Scars Treatment.Aesthetic plastic surgery · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 3 countries.

Ke LiDivision of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine (China), 639 Zhi Zao Ju Road, Shanghai, 200011, China.
Fabio NicoliDepartment of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", Rome, Italy. dr.fabionicoli@gmail.com.
Chunxiao CuiDivision of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine (China), 639 Zhi Zao Ju Road, Shanghai, 200011, China.
Wen Jing XiDivision of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine (China), 639 Zhi Zao Ju Road, Shanghai, 200011, China.
Ahmed Al-MousawiDepartment of Plastic and Reconstructive Surgery, Royal Victoria Infirmary Hospital NHS Foundation Trust, Newcastle upon Tyne, UK.
Zheng ZhangDivision of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine (China), 639 Zhi Zao Ju Road, Shanghai, 200011, China.
Alberto BalzaniDepartment of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", Rome, Italy.
Lindsay NeillNorthumbria University, Newcastle upon Tyne, UK.
Roberto SorgeLaboratory of Biometry, University of Rome "Tor Vergata", Rome, Italy.
Yun TongDepartment of Medical Cosmetology Surgery, Jinhua People's Hospital, Jinhua, China. 342090769@qq.com.
Yixin ZhangDivision of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine (China), 639 Zhi Zao Ju Road, Shanghai, 200011, China. zhangyixin6688@hotmail.com.
Shanghai Jiao Tong University · CNUniversity of Rome Tor Vergata · ITEye & ENT Hospital of Fudan University · CNJinhua Academy of Agricultural Sciences · CNNorthumbria University · GBRoyal Victoria Infirmary · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hypertrophic and keloid scars result from abnormal wound healing and can have a variable response to a number of available treatment modalities. The evolution of laser treatments in recent years has shown a wide range of clinical applications including their use in the treatment of scars. We investigated the effectiveness of a 1470 nm diode laser using an intralesional optical fibre delivery device in the treatment of hypertrophic and keloid scars. We evaluated its safety and efficacy as a novel and minimally invasive treatment alternative for scar modulation and volume reduction. A prospective cohort study was performed involving 21 patients with hypertrophic scars (HS) (n = 9) and keloids (n = 12) resulting from various aetiology. Patients were treated with one to three treatment sessions. Comprehensive evaluations were performed using the Vancouver Scar Scale, Doppler ultrasound, Cutometer, Mexameter and PeriCam PSI. Scar thickness was reduced by an average of 0.308 ± 0.138 cm (p < 0.001). In particular the two subgroups showed a significant 27.7% and 28.2% reduction in scar thickness of HS and Keloids, respectively. Scar firmness showed a significant improvement of 1.2% (p < 0.05) for HS, though for keloids this was 0.4% (p = 0.26). Keloids had a significant reduction in pigmentation at 21.3%. Blood perfusion had a significant reduction of 29.6% in HS and 22.7% in Keloids. Overall VSS total score improvement of 42% in the HS and at 37.9% in the Keloid subgroup. No adverse events such as hypo/hyperpigmentation, skin infection, or recurrence were reported. This study shows that the intralesional 1470 nm bare-fibre diode laser significantly improved hypertrophic and keloid scars based on both subjective and objective analyses and supports this type of laser therapy as a safe and effective minimally-invasive treatment option.

Indexed as

AdolescentAdultAgedChildChild, PreschoolCicatrix, HypertrophicFemaleHumansKeloidLasers, SemiconductorLaser TherapyMaleMiddle AgedMinimally Invasive Surgical ProceduresProspective StudiesTreatment Outcome

Identifiers

PMID33303965
PMCPMC7728807
OpenAlexW3110752540

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.