{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T14:26:48Z","timestamp":1761056808990,"version":"build-2065373602"},"reference-count":11,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T00:00:00Z","timestamp":1472688000000},"content-version":"vor","delay-in-days":5388,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2001,12]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>This study was conducted to determine when it becomes safe to perform laser resurfacing after rhytidectomy flap elevation.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN<\/jats:title><jats:p>Eighty\u2010four sites on 12 domestic Yorkshire pigs were selected; 4 \u00d7 10\u2010cm skin flaps were elevated in 72 of the 84 sites and shortened 10%. The 12\u00a0remaining sites (controls) were treated with laser resurfacing alone. Laser resurfacing was also performed at days 0, 7, 14, 21, and 28 after closing the skin flaps. The healing time for the laser\u2010resurfaced sites without flap elevation were compared to that of the skin flaps treated with the laser at days 0, 7, 14, 21, and 28. Twelve \u201cskin flap\u201d controls were elevated, shortened 10%, and closed without laser treatment. Resurfacing was performed using 2 passes with the Sharplan Silk Touch CO<jats:sub>2<\/jats:sub> laser.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>The average healing time for the skin flaps treated with the laser at day 0 was 23.9\u00a0days. All of these flaps showed skin slough with delayed healing followed by scar formation. The areas treated with the laser alone (controls), and the subsequent skin flaps treated with the laser postoperatively at days 7, 14, 21, and 28\u00a0days completely re\u2010epithelialized in an average of 7.8, 8.1, 7.3, 7.4, and 7.3\u00a0days, respectively. There were no statistically significant differences in healing time between the controls and flaps treated with the laser on or after 7\u00a0days (<jats:italic>P<\/jats:italic> &gt; 0.05). However, there were statistically significant differences in healing time between the laser\u2010treated skin flaps at day 0 and the controls, between the laser\u2010treated flaps on day 0 and day 7, and between the laser\u2010treated flaps on day 0 and day 14 (<jats:italic>P<\/jats:italic> &lt; 0.001). Because there was little difference in healing time after 14\u00a0days, only the healing times for laser\u2010treated skin flaps up to 14\u00a0days were compared using paired <jats:italic>t<\/jats:italic> tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>From our observations using a pig model, we conclude that skin flaps may be safely laser resurfaced about 1 week postoperatively. On the other hand, simultaneous flap elevation and laser resurfacing results in delayed healing with subsequent scar formation.<\/jats:p><\/jats:sec>","DOI":"10.1067\/mhn.2001.120233","type":"journal-article","created":{"date-parts":[[2003,2,4]],"date-time":"2003-02-04T21:49:09Z","timestamp":1044395349000},"page":"590-592","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The Evaluation of Rhytidectomy Flap Healing After CO<sub>2<\/sub> Laser Resurfacing in a Pig Model"],"prefix":"10.1002","volume":"125","author":[{"given":"Gregory C.","family":"Park","sequence":"first","affiliation":[{"name":"Departments of Otolaryngology\u2010Head and Neck Surgery Wilford Hall Medical Center Lackland AFB Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joe B.","family":"Wiseman","sequence":"additional","affiliation":[{"name":"Departments of Otolaryngology\u2010Head and Neck Surgery Wilford Hall Medical Center Lackland AFB Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David K","family":"Hayes","sequence":"additional","affiliation":[{"name":"Brooke Army Medical Center Fort Sam Houston Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,9]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.1998.tb04214.x"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1090-820X(97)80017-9"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.1998.tb04258.x"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199812000-00035"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s002669900250"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199704000-00002"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.1998.tb04056.x"},{"key":"e_1_2_5_9_1","first-page":"12130","article-title":"Table talk: Common questions about laser resurfacing","volume":"24","author":"Geronemus RG","year":"1997","journal-title":"Dermat Surg"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199803000-00037"},{"key":"e_1_2_5_11_1","unstructured":"ClymerMA QuatelaVC ChoeS et al.A comparison of flap perfusion and survival between local flaps and local flaps with immediate laser skin resurfacing. 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