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Clinical and Histopathological evaluation of different tools for the Subcision of Atrophic Acne Scars
Faculty
Medicine
Year:
2021
Type of Publication:
ZU Hosted
Pages:
Authors:
Halle Mohamed Morsi AboulFotouh
Staff Zu Site
Abstract In Staff Site
Journal:
Journal of cosmetic dermatology Wiley
Volume:
Keywords :
Clinical , Histopathological evaluation , different tools for the
Abstract:
Abstract Background: Acne scarring can lead to social and psychological distress. Objective: To compare the safety, efficacy, and long- term improvement of subcision using tri- beveled hypodermic (Th) needle versus cannula for the treatment of atrophic post- acne scars. Methods: Forty- six patients with atrophic post- acne scars were treated with subci- sion using (Th) needle on one side of the face and a blunt cannula on the other side of the face for 6 sessions one month apart. The primary outcome was based on the clini- cal improvement and patient satisfaction score. Skin biopsies were taken at baseline and 3months after the final session. Follow- up was 9 months. Results: Three months after the final session, a statistically highly significant differ- ence was detected in both sides from the baseline (p < 0.001). The overall improve- ment was 73.9% on the (Th) needle side versus 65.2% on the cannula side (p = 0.68). There was no significant difference in acne severity scarring grade between both sides (p = 0.86). The mean number of sessions was significantly less in the (Th) needle side (p < 0.001). Collagen deposition and reorganization were achieved with both modalities. Patient satisfaction showed no significant difference between both sides. The side effects were mild and significantly higher in the (Th) needle side (p = 0.001). Conclusion: Both modalities are effective and economic techniques. However, using a cannula is associated with much fewer side effects, more convenient for the patients and physicians compared to the (Th) needle.
Author Related Publications
Halle Mohamed Morsi AboulFotouh, "Staphylococcus Aureus Isolates from Patients with Atopic Dermatitis: Clinical, Bacteriological and Molecular Characters", Egyptian Journal of microbiology, 2010
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Halle Mohamed Morsi AboulFotouh, "Successful Topical application of Botulinum toxin after Microneedling versus microneedling alone for the Treatment of Atrophic Post Acne Scars: A prospective, Split face, Controlled study", Wiley, 2022
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Halle Mohamed Morsi AboulFotouh, "Bivalent Human Papilloma Virus Vaccine (Cervarix) in the treatment of cutaneous warts", azig University Medical Journa, 2021
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Halle Mohamed Morsi AboulFotouh, "A combined approach of subcision with either cross- linked hyaluronic acid or threads in the treatment of atrophic acne scar", Wiley, 2021
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Halle Mohamed Morsi AboulFotouh, "Subcision, chemical peels, and platelet-rich plasma: Combination approaches for the treatment of striae distensae", Wiley, 2021
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