Dermabrasion in dermatology
Dermabrasion in dermatology
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DOI：
10.2165/00128071-200304070-00003
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发表时间：
2003-01-01
影响因子：
7.3
通讯作者：
Gold, MH
中科院分区：
文献类型：
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作者：
Gold, MH
磨皮术已被用于治疗各种皮肤病，包括面部皮肤表面重塑和疤痕修复多年。随着包括化学剥脱、激光换肤、非烧蚀性激光换肤和微晶磨皮在内的更新程序的出现，这种程序的普及程度已经降低。磨皮术在治疗痤疮和创伤性面部疤痕以及美容面部重塑中找到了自己的利基市场。小型便携式手持式磨皮机是当今最受欢迎的设备，能够产生每分钟18 000-35 000转的旋转速度。末端部件，包括钢丝刷，金刚石锉和锯齿轮，连接到磨皮机的末端，以实现精确的磨皮和治疗。与所有美容外科手术一样，适当的患者选择和房间准备（适当的照明和监控设备）是必不可少的，以确保磨皮手术的最佳结果。患者必须了解与手术相关的所有潜在风险、受益和局限性。患者还必须了解可用的替代疗法。磨皮术依赖于技术，外科医生在进行这种治疗之前应该精通该技术。甘精紫溶液用于描绘待治疗的区域。冷冻表面麻醉用于在手术前冷冻皮肤。皮肤磨削术是一种常规的皮肤磨削术，一次只处理一个解剖部位。术后，患者可以使用开放式或封闭式敷料系统。还建议进行术后药物治疗，包括使用抗病毒药物、抗菌药物和皮质类固醇。上皮再生过程通常在5-7天内完成，残留红斑通常长达4周。磨皮术后必须有足够的防晒措施。磨皮术也与其他皮肤科手术结合使用，包括化学剥脱、软组织填充和激光手术，以增强磨皮术的效果。磨皮术仍然是一种有用的面部皮肤表面重塑和疤痕修复技术，特别是由训练有素和熟练的外科医生进行时。大多数皮肤科医生认为，纯磨皮术是一种有用的方式在熟练的外科手，并应考虑在适当的时候。
Dermabrasion has been used for a number of years to treat a variety of dermatologic conditions, including facial skin resurfacing and scar revision. The popularity of this procedure has diminished with the advent of newer procedures including chemical exfoliation, laser resurfacing, non-ablative laser resurfacing, and microdermabrasion. Dermabrasion found its niche in treating acne and traumatic facial scars, and in cosmetic facial resurfacing.Small, portable hand-held dermabraders are the most popular units available today and are able to generate rotation speeds of 18 000-35 000 revolutions per minute. End pieces, including wire brushes, diamond fraises and serrated wheels, attach to the end of the dermabrader to allow precise resurfacing and treatment.As with all cosmetic surgical procedures, appropriate patient selection and room preparation (with appropriate lighting and monitoring equipment) are essential to assure optimal outcomes with the dermabrasion procedure. Patients must understand all of the potential risks, benefits and limitations associated with the procedure. Patients must also be aware of alternative therapies that are available.Dermabrasion is technique-dependent and the surgeon should be well versed on the technique prior to performing this therapy. Gentian violet solution is used to delineate the areas to be treated. Refrigerant topical anesthesia is used to freeze the skin prior to the procedure. Holding the skin taut, the dermabrasion procedure occurs in a routine manner, treating one anatomic unit at a time.Postoperatively, patients may have an open or closed dressing system. Postoperative medical treatment is also recommended, including the use of antiviral agents, antibacterials and corticosteroids. The re-epithelialization process is usually complete in 5-7 days and residual erythema is common for up to 4 weeks. Adequate sun protection is essential following dermabrasion.Dermabrasion has also been used in combination with other dermatologic procedures, including chemical exfoliation, soft tissue augmentation and laser procedures, to enhance the results of dermabrasion.Dermabrasion remains a useful facial skin resurfacing and scar revision technique, particularly when performed by a trained and skilled surgeon. Most dermatologic surgeons argue that pure dermabrasion is a useful modality in skilled surgical hands and should be considered when appropriate.