ArticleCureus2025
Burn Scar Revision With Tissue Expansion, Long-Pulsed 1064-nm Neodymium-Doped Yttrium Aluminum Garnet (Nd:YAG) Laser, and Microneedling: A Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Therapeutic heat devices can cause iatrogenic burns that lead to infection, grafting, and disfiguring scars. A 56-year-old woman sustained full-thickness burns of the left flank/posterior trunk after postoperative application of microwaved saline hot packs. The wounds became infected and necrotic, requiring antibiotics, debridement, and split-thickness skin grafting. Two years later, she presented with a hypertrophic, hyperpigmented ~20×10 cm graft scar and contour deformity. We implemented a staged plan: placement of two tissue expanders with serial fills over ~8 weeks; expander removal with complete scar excision and tension-free closure using the expanded native skin; adjunct scar therapies including multiple sessions of long-pulsed 1064-nm neodymium-doped yttrium aluminium garnet (Nd:YAG) laser and microneedling; and a focused office scar-revision excision (6×3 cm) for residual margin hypertrophy. Objective assessment was done with the Modified Vancouver Scar Scale (MVSS), total score improved from ~10 (pigment 3, vascularity 2, pliability 3, height 2) to ~3 at 23 months (pigment 1, vascularity 1, pliability 1, height 0). No expander-related complications occurred. This case shows that for extensive trunk graft scars, staged tissue expansion provides like-for-like, sensate skin to restore contour, while 1064-nm laser and microneedling further improve scar vascularity, thickness, pliability, and color with low morbidity.
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