Efficacy of Carbone Dioxide laser Debridement along with Low level laser Therapy in Treatment of Grade ۳ Necrotic Burn Ulcer in a Paraplegic Patient (A Case Report)

Abstract Introduction: A deep burn ulcer, especially in areas with sensory-motor dysfunction, is hard to cure.Case Report: The patient was a ۲۰-year-old paraplegic girl with a grade ۳ necrotic burn ulcer for ۳ weeks. We used a fractional Co۲ laser along with chemical debridement with trichloroacetic acid (TCA ۸۰%) and low-level laser therapy (LLLT) with a ۸۰۸ nm infrared laser, ۶ J/cm۲ for the necrotic area, and a ۶۵۰ nm red laser, ۲ J/cm۲ for the open wound area. Complete healing occurred after ۲۵ sessions without surgery.Conclusion: Laser debridement along with LLLT and TCA administration may be useful to treat necrotic ulcers without surgery. Keywords: Co۲ Laser debridement Trichloroacetic Acid Low level laser Therapy Wound healing