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Energie für die Haut pp 323–338Cite as

Laserbehandlungen von Narben

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Zusammenfassung

Narben können auf unterschiedlichen Wegen durch Verletzung der mittleren bis tiefen Dermis entstehen, etwa durch Operationen, Verletzungen, verschiedene entzündliche Hautkrankheiten oder auch spontan, ohne offensichtliche äußere Einflüsse. Meist gehen damit keine weiteren Beschwerden einher, in manchen Fällen kommt es jedoch zur Entstehung pathologischer Narbenformen wie etwa von linearen oder flächigen hypertrophen Narben oder Keloiden. Diese gehen oftmals mit quälenden Symptomen, wie Schmerzen oder Juckreiz und starken ästhetischen, funktionellen und psychosozialen Einschränkungen einher. Dies begründet die Notwendigkeit effektiver Narbentherapieoptionen. Aktuell kommen zur Narbentherapie eine Reihe von operativen und nicht-operativen Behandlungs- und Präventionsmaßnahmen zum Einsatz. Dazu zählt u. a. der Einsatz intraläsionaler Injektionstechniken mit kristallinen Kortikosteroiden oder 5-Fluorouracil, die Anwendung Silikon- oder Zwiebelextrakt-haltiger Wundauflagen und Gels, Drucktherapie sowie die chirurgische Exzision von Narbengewebe, die Spannungsreduktion durch Z- oder W-Plastiken, lokale und Fernlappenplastiken oder die Verwendung von Hauttransplantaten. In diesem Kapitel geht es um die wichtigsten Aspekte zum Thema Narbenbehandlung mittels Laser.

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Authors and Affiliations

  1. Klinikum St. Georg Leipzig, Klinik für Plastische und Handchirurgie mit Schwerbrandverletztenzentrum, Leipzig, Deutschland

    J. Pötschke

  2. LMU München, Abt. f. Ästhetische Dermatologie u. Lasermedizin, München, Deutschland

    PD Dr. G. Gauglitz

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  1. J. Pötschke
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  1. Hautarztpraxis, Konz, Deutschland

    Gerd Kautz

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Pötschke, J., Gauglitz, G. (2018). Laserbehandlungen von Narben. In: Kautz, G. (eds) Energie für die Haut. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-56436-3_25

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  • DOI: https://doi.org/10.1007/978-3-662-56436-3_25

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