{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T07:52:30Z","timestamp":1783410750613,"version":"3.54.6"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2022,4,20]],"date-time":"2022-04-20T00:00:00Z","timestamp":1650412800000},"content-version":"vor","delay-in-days":1996,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2016,11,18]],"date-time":"2016-11-18T00:00:00Z","timestamp":1479427200000},"content-version":"tdm","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["www.e-aps.org"],"crossmark-restriction":true},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:p>\n          Background  Fractional CO2 laser is an effective treatment for scars, but most patients complain about sharp burning pain, even after the application of lidocaine ointment. This study analyzed the impact of a vibrating device to nonpharmacologically reduce the acute pain of laser treatment, in accordance with the gate control theory of pain management.<\/jats:p><jats:p>\n          Methods  This is a prospective study performed from May 2013 through March 2014. Fifty-three patients (mean age, 26.7 years; range, 16\u201344 years) who had donated livers for liver transplantation were treated with a fractional CO2 laser (10,600 nm; model eCO2, Lutronic Corp) for their abdomen scars. Laser treatment was applied 4 months after surgery. A commercially available, locally applied vibrating device (model UM-30M, Unix Electronics Co. Ltd.) was used, in an on-and-off pattern, together with the CO2 laser. A visual analogue scale (VAS; 0, no pain; 10, most severe pain) of pain sensation was assessed and statistically analyzed using a paired t-test.<\/jats:p><jats:p>\n          Results  The average VAS score for pain with the vibrating device was 4.60 and the average VAS score without the vibrating device was 6.11. The average difference between scores was 1.51 (P=0.001).<\/jats:p><jats:p>\n          Conclusions  A locally applied vibrating device was demonstrated to be effective in reducing pain when treating with a fractional CO2 laser. Vibration treatment could be helpful when treating scars with fractional CO2 laser in pain-sensitive patients, particularly children.<\/jats:p>","DOI":"10.5999\/aps.2016.43.6.570","type":"journal-article","created":{"date-parts":[[2016,11,23]],"date-time":"2016-11-23T02:57:12Z","timestamp":1479869832000},"page":"570-574","update-policy":"https:\/\/doi.org\/10.5999\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The Use of Locally Applied Vibration to Minimize Pain during Fractional CO2 Laser Therapy in Living Liver-Donor Scar Management"],"prefix":"10.1055","volume":"43","author":[{"given":"Sinyoung","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong Hoon","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tae Suk","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,4,20]]},"reference":[{"key":"ref1","first-page":"793","volume-title":"The assessment and management of acute pain in infants, children, and adolescents","author":"American Academy of Pediatrics Committee on Psychosocial Aspects of Child and Family Health; American Pain Society Task Force on Pain in Infants, Children, and Adolescents","year":"2001"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1093","DOI":"10.1542\/peds.109.6.1093","article-title":"A clinical study to evaluate the efficacy of ELA-Max (4% liposomal lidocaine) as compared with eutectic mixture of local 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Baxter","year":"2013","journal-title":"Adv Emerg Nurs J"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1177\/0009922806291013","article-title":"Ethyl vinyl chloride vapocoolant spray fails to decrease pain associated with intravenous cannulation in children","volume":"45","author":"M Costello","year":"2006","journal-title":"Clin Pediatr (Phila)"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1097\/AJP.0b013e3181a00414","article-title":"A randomized controlled trial of vapocoolant for pediatric immunization distress relief","volume":"25","author":"LL Cohen","year":"2009","journal-title":"Clin J Pain"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"623","DOI":"10.7150\/ijms.8.623","article-title":"Vapocoolant spray vs lidocaine\/prilocaine cream for reducing the pain of venipuncture in hemodialysis patients: a randomized, placebo-controlled, crossover study","volume":"8","author":"G Celik","year":"2011","journal-title":"Int J 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Kakigi","year":"1992","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1097\/AJP.0b013e3181af1236","article-title":"External thermomechanical stimulation versus vapocoolant for adult venipuncture pain: pilot data on a novel device","volume":"25","author":"AL Baxter","year":"2009","journal-title":"Clin J Pain"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/j.jbmt.2012.08.007","article-title":"Case study: use of vibration therapy in the treatment of diabetic peripheral small fiber neuropathy","volume":"17","author":"J Hong","year":"2013","journal-title":"J Bodyw Mov Ther"}],"container-title":["Archives of Plastic 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