Evidence map›Paper›PMID 39122490›Full record

ArticleDermatology practical & conceptual2024

Evaluation of Ultrasound Changes With the Use of Microneedling Versus Fractional CO2 Laser in Atrophic Acne Scars.

Claudio Ñanco-Meléndez, Mathias Yagnam-Díaz, Marco Muñoz-Cáceres, Javier Contador-González, Walter Gubelin-Harcha, Fernando Chicao-Carmona, Jerry Tan, Ximena Wortsman

Abstract read
In one paragraph

Article in Dermatology practical & conceptual, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
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

8 authors.

Claudio Ñanco-MeléndezDepartment of Dermatology, School of Medicine, Universidad de los Andes, Santiago, Chile.
Mathias Yagnam-DíazDepartment of Dermatology, School of Medicine, Universidad de los Andes, Santiago, Chile.
Marco Muñoz-CáceresDepartment of Dermatology, School of Medicine, Universidad de los Andes, Santiago, Chile.
Javier Contador-GonzálezDepartment of Dermatology, School of Medicine, Universidad de los Andes, Santiago, Chile.
Walter Gubelin-HarchaDepartment of Dermatology, School of Medicine, Universidad de los Andes, Santiago, Chile.
Fernando Chicao-CarmonaSchool of Medicine, Universidad de los Andes, Santiago, Chile.
Jerry TanSchulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada.
Ximena WortsmanInstitute for Diagnostic Imaging and Research of the Skin and Soft Tissues, Santiago, Chile.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAtrophic acne scarring, a common sequela of acne, can be treated by different interventions, including microneedling and laser resurfacing.

objectivesWe sought to evaluate the comparative efficacy of microneedling versus fractional CO2 laser in treating atrophic acne facial scars using imaging with high and ultra-high frequency ultrasound.

methodsParticipants received 2 sessions, separated by 1 month, of microneedling on the left side of the face and fractional CO2 laser on the right. Color Doppler ultrasound evaluations (24 and 70 MHz) were conducted at baseline and 3 months after treatment. Each patient completed questionnaires on satisfaction, pain, and adverse effects.

resultsNine subjects were enrolled. The frequency order of scar types was boxcar, ice-pick, and rolling. At 3 months, using the acne scar clinical evaluation scale, a decrease in scar scores of both methods was observed for total scars (P = 0.0005), ice-pick scars (P = 0.0128), and rolling scars (P = 0.0007). Twenty-two scars analyzed by ultrasound demonstrated a trend to decrease in size; however, no significant changes were observed for either microneedling or CO2 laser treatments. Moreover, there were no significant differences between these methods. Both treatments were rated as good or very good by patient assessments. There was a low frequency of pain and hyperpigmentation reported with both modalities, albeit somewhat higher with microneedling.

conclusionsBoth microneedling and CO2 laser improved atrophic acne scars. Ultrasound did not show significant differences between these modalities.

Identifiers

PMID39122490
PMCPMC11314431

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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.