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JKM > Volume 36(3); 2015 > Article
Le Min, Lee, and Go: A Clinical Report on Facial Atrophic Scars treatment with Acupotomy

Abstract

Objectives:

The purpose of this study is to evaluate the clinical effectiveness of acupotomy in the treatment of various facial atrophic scars except acne scars.

Methods:

Four patients with facial atrophic scars were treated by superficial dermal undermining with acupotomy. They were treated six times, and evaluated by comparing before and after photos, PGA(Physician’s Global assessment), SESES(The Stony Brook Scar Evaluation Score) and patient satisfaction.

Results and Conclusions:

After observing case photos, PGA, SBSES, patient’s satisfaction, it can be considered that acupotomy is an effective treatment modality for facial atrophic scars and it has no significant side effects.

Fig. 1.
Before and after treatment of case 1 patient
jkm-36-3-144f1.tif
Fig. 2.
Before and after treatment of case 2 patient
jkm-36-3-144f2.tif
Fig. 3.
Before and after treatment of case 3 patient
jkm-36-3-144f3.tif
Fig. 4.
Before and after treatment of case 4 patient
jkm-36-3-144f4.tif
Fig. 5.
SBSES change before and after scar treatment
jkm-36-3-144f5.tif
Table 1.
Physician’s Global Assessment(PGA)
Evaluation of improvement Points
None 0
Slight 1
Average 2
Good 3
Very good 4
Table 2.
The Stony Brook Scar Evaluation Score
Scar category No. of*Points
Width > 2mm 0
≤ 2mm 1

Height Elevated or depressed in relation to surrounding skin 0
Flat 1

Color Darker than surrounding skin (red, purple, brown, or black) 0
Same color or lighter than surrounding skin 1

Hatch marks or suture marks Present 0
Absent 1

Overall appearance Poor 0
Good 1

* Total score=sum of individual scores; range, 0 (worst) to 5 (best)

Table 3.
The Results of Scar Treatment
Case Sex Age PGA SBSES Satisfaction Recommendation Re-treatment
before after
1 F 21 4 0 (0-0-0-0-0) 3 (0-1-0-1-1) Good 7 7
2 F 22 4 0 (0-0-0-0-0) 5 (1-1-1-1-1) Very good 10 10
3 F 29 3 0(0-0-0-0-0) 3 (0-1-1-0-1) Very good 8 10
4 F 30 4 0(0-0-0-0-0) 4 (1-1-0-1-1) Very good 10 10

참고문헌

1. Freedberg IM, Eisen AZ, Wolff K, Austen KF, Goldsmith LA, Katz SI. Fitzpatrick’s Dermatology in general medicine. 6th ed. New York: McGraw-Hill;2003. p. 22–3.


2. Akasaka Y, Fujita K, Ishikawa Y, et al. Detection of apoptosis in keloids and a comparative study on apoptosis between keloids, hypertrophic scars, normal healed flat scars, and dermatofibroma. Wound Repair Regen. 2001; 9:6. 501–6.
crossref

3. Lee SJ. The focal laser treatments on depressed acne scars. Kor J Dermatol. 2011; 63:1. 290


4. Gwon JC, You GR, Jung SD. Western medicine and surgery on the comparative study of Oriental Medicine. The Journal of Korean Academy of Medical Gi-Gong. 2006; 9:1. 238–74.


5. Ju HJ. Acupotomy. Seoul: Jungdam;2003. p. 9–42.


6. Choi YT. The Acupuncture and Moxibustion (The second volume). Seoul: Jipmoondang;2007. p. 1035–6. p. 1046–7.


7. Lee KS, Kim YR, Choi HS. Case Study of Treating Acne Scar Using Scar Regeneration Acupuncture Therapy and Micro-needle Therapy. The Acupuncture. 2012; 29:4. 81–91.


8. Baek SC, Hong MS, Jegal H, et al. A Clinical Report on The Atrophic Acne Scar with Subcision. The Journal of Korean Medical Ophthalmology & Otolaryngology & Dermatology. 2012; 25:4. 80–8.
crossref

9. Singer AJ, Arora B, Dagum A, Valentine S, Hollander JE. Development and validation of a novel scar evaluation scale. Plast Reconstr Surg. 2007; 120:7. 1892–7.
crossref

10. Ritvo E, Del Rosso JQ, Stillman MA, La Riche C. Psychosocial judgements and perceptions of adolescents with acne vulgaris: A blinded, controlled comparison of adult and peer evaluations. Biopsychosoc Med. 2011; 5:1. 1–15.
crossref

11. Robert R, Meyer W, Bishop S, Rosenberg L, Murphy L, Blakeney P. Disfiguring burn scars and adolescent self-esteem. Burns. 1999; 25:7. 581–5.
crossref

12. Bakker A, Maertens KJ, Van Son MJ, Van Loey NE. Psychological consequences of pediatric burns from a child and family perspective: a review of the empirical literature. Clin Psychol Rev. 2013; 33:3. 361–71.
crossref

13. Patel L, McGrouther D, Chakrabarty K. Evaluating evidence for atrophic scarring treatment modalities. JRSM Open. 2014; 5:9. 1–13.
crossref

14. Han JB. What is IMS? The Acupuncture. 2007; 24:5. 127–36.


15. Korean Wound Management Society. The new wound healing. Seoul: Korea Medical Book Publisher;2002. p. 46–67.


16. Jang EH, Kim SC, Lim NR, et al. Case Study of Oriental Medicine Treatment with Acupotojy Therapy of the Herniated Lumbar Intervertebral Disc Patient. The Acupuncture. 2008; 25:4. 171–81.


17. Kwak BM, Hong KE. Four Case of HIVD-Lumbar Spine Patient Treated with Acupotomy. The Acupuncture. 2008; 25:4. 149–56.


18. Zhu HZ. Acupotomy. Beijing: Chinese Medicine Publishing Company;1992. p. 9–42.


19. Kang HC, Lee JT, Kim YJ. A Study on the Blood-Letting Therapy of SoMoon. J Korean Medical Classics. 2013; 26:4. 325–39.
crossref

20. Jin J. Study of XieXue method. [dissertation]. Daejeon: Daejeon Univ;2007.


21. Orentreich DS, Orentreich N. Subcutaneous incisionless(subcision) surgery for the correction of depressed scars and wrinkles. Dermatol Surg. 1995; 21:6. 543–9.
crossref

22. Aalami Harandi S, Balighi K, Lajevardi V, Akbari E. Subcision-suction method: new successful combination therapy in treatment of atrophic acne scars and other depressed scars. J Eur Acad Dermatol Venereol. 2011; 25:1. 92–9.
crossref

23. Jacob CI, Dover JS, Kaminer MS. Acne scarring : a classification system and review of treatment options. J Am Acad Dermatol. 2001; 45:1. 109–17.
crossref

24. Nast A, Eming S, Fluhr J, et al. Deutsche S2k Leitlinie zur Therapie pathologischer Narben (hypertrophe Narben und Keloide). J Dtsch Dermatol Ges. 2012; 10:10. 747–62.
crossref

25. Wagner JA. Therapy of pathological scars. J Dtsch Dermatol Ges. 2013; 11:12. 1139–57.
crossref

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