The role of dermabrasion in treatment of different skin diseases of Upper Egypt patients

Mohamed A.Mohamed Abdel Raheem Al Sherif;

Abstract


This study included 40 patients who admitted to Plastic Surgery or Dermatology Department in Assiut University Hospital during the period from June 1999 to September 2001 to have operation of dermabrasion.

Those patients were enrolled in this study after ethical approval from our institute (Assiut Faculty of Medicine) and informed consent was obtained from them or their parents.

The ages of those patients ranged from 4-37 years. 20 were males and 20 females.

Pre- and postoperative instructions were explained to all patients as, avoiding the adminstration of aspirin and aspirin containing products for 2 weeks before dermabrasion and strict promise was obtained from them to avoid any exposure to sun rays for 3 months postoperatively.

The lesions were postacne scarring (14 patients), hyperpigmented lesions (8 patients), verrocus epidermal naevi (6 patients), old post traumatic scars (4 patients), Trichoepithelioma (4 patients), postinfective scars (2 patients), and cloasma (2 patients).

Dermabrasion was done by wire brush either in one setting (38 patients) or multiple setting with 3 months interval (2 patients).

Postoperatively, We used systemic antibiotics from the day of surgery till complete healing, analgesics for one week, and vitamin c for one month to all cases.

The whole dressings were removed by running water 24 hours after dermabrasion and washing with saline was done, then a thick film
of topical antibiotic cream and corticosteroid cream (0.5 mg betamethasone) is applied by the patient himself twice daily till complete healing. Healing and falling of all crusts occurred within 4-15 days.

After complete healing occurred, we applied the same topical corticosteroid cream to the healed areas twice daily for 3 months. Hydroquinone-containing cream was applied once daily at night from the third month for approximately 3 months postoperatively and sunscreen cream (factor> 15) after the third month till the sixth month.


Other data

Title The role of dermabrasion in treatment of different skin diseases of Upper Egypt patients
Other Titles "دور صنفرة الجلد فى علاج أمراض الجلد المختلفة لمرضى صعيد مصر "
Authors Mohamed A.Mohamed Abdel Raheem Al Sherif
Issue Date 2002

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