Shumaker PR , Kwan JM & Badiavas EV et al.: Rapid healing of scar-associated chronic wounds after ablative fractional resurfacing. Arch Dermatol 148: 1289, 2012.
Morton LM , Dover JS & Phillips TJ et al.: Treatment of ulcers with ablative fractional lasers. Semin Cutan Med Surg 34: 37, 2015.
Lee HN , Bae JM & Goo BCL et al.: Promotion of wound healing through low-fluence ablative fractional laser treatment in diabetic mice. Lasers Med Sci 34: 421, 2019.
Hajhosseini B , Chiou GJ & Dori G et al.: Er:YAG laser vs. sharp debridement in management of chronic wounds: effects on pain and bacterial load. Wound Repair Regen 28: 118, 2020.
Ishikawa I , Aoki A & Takasaki AA: Potential applications of erbium:YAG laser in periodontics. J Periodontal Res 39: 275, 2004.
Johnson MJ , Crisologo PA & Truong DH et al.: Erbium: yttrium aluminum garnet laser accelerates healing in indolent diabetic foot ulcers. J Foot Ankle Surg 58: 1077, 2019.
Hibst R & Keller U: Experimental studies of the application of the Er:YAG laser on dental hard substances: I. Measurement of the ablation rate. Lasers Surg Med 9: 338, 1989.
Caliskan E: Er: YAG laser ablation: an adjuvant treatment for medically resistant pyoderma gangrenosum. Dermatol Surg 43: 1405, 2017.
Ablative fractional laser is suggested to promote wound healing in diabetic and venous leg ulcers. In this article, we report the treatment outcome of a recalcitrant foot ulceration related to lower leg arteriopathy. A 43-year-old man with typical digital substraction angiographic findings of arteriopathy was admitted to our department after 30 sessions of hyperbaric oxygen therapy. There was heterotopic tissue within the ulcer consistent with osseous metaplasia and mature bone tissue. This tissue was removed with full-field erbium:yttrium-aluminum-garnet laser, and the remaining parts received fractional erbium:yttrium-aluminum-garnet laser for the induction of wound healing. A decrease in ulcer dimensions was achieved by the second month of laser interventions without recurrence in the first-year control.
University of Health Sciences, Gulhane Training and Research Hospital, Department of Dermatology, General Dr. Tevfik Saglam Cad., SBÜ Gülhane EAH Dermatoloji AD, Ankara, Turkey.