Efficacy of Carbone Dioxide laser Debridement along with Low level laser Therapy in Treatment of Grade 3 Necrotic Burn Ulcer in A paraplegic Patient (A Case Report)

A deep burn ulcer, especially in areas with sensory-motor dysfunction, is hard to cure.Case Report: The patient was a 20-year-old paraplegic girl with a grade 3 necrotic burn ulcer for 3 weeks. We used a fractional Co2 laser along with chemical debridement with trichloroacetic acid (TCA 80%) and low-level laser therapy (LLLT) with a 808 nm infrared laser, 6 J/cm2 for the necrotic area, and a 650 nm red laser, 2 J/cm2 for the open wound area. Complete healing occurred after 25 sessions without surgery.

Laser debridement along with LLLT and TCA administration may be useful to treat necrotic ulcers without surgery.Keywords: Co2 Laser debridement; Trichloroacetic Acid; Low-level laser Therapy; Wound healing.