ADVANCES IN LASER SCAR REHABILITATION
A review of scar assessment scales
At our current level of understanding, scars are an unavoidable result of disruption of the integument following trauma and other sources of injury in the postnatal period. Millions of people worldwide suffer from diminished quality of life due to varying degrees of disfigurement, functional impairment, and psychosocial comorbidity. Scars also represent a significant financial burden to the healthcare system at large. Substantial momentum currently exists in scar research associated with innovative techniques and devices devoted to treating scars. In order to properly ascertain and compare responses to various therapies, accurate and reproducible qualitative and quantitative assessments are vital. At least 10 different scar assessment scales and tools have been created to date in an attempt to quantify scar severity. However, a “gold standard” scar scale still does not yet exist. A major limitation of most scar scales is their focus on a relatively narrow group of individual subjective and objective features, while failing to address the overall cosmetic, functional, and psychological sequelae. Herein, we provide a brief review of current scar assessment scales, discuss some of the major advantages and limitations of each, and introduce several characteristics that might be addressed in a new “gold standard” scar scale. The assessment and treatment of scars, particularly large traumatic scars, is frequently a multidisciplinary effort. The creation of an “ideal” scar scale will undoubtedly require input from therapists, surgeons, dermatologists, and other professionals alike. Semin Cutan Med Surg 34:28-36 © 2015 Frontline Medical Communications
Treatment of ulcers with ablative fractional lasers
Chronic, nonhealing ulcers are a frustrating therapeutic challenge and investigation of innovative therapies continues to be an important research pursuit. One unique and newly applied intervention is the use of ablative fractional lasers. This technology has recently been employed for the treatment of hypertrophic, disfiguring and function-limiting scars, and was first shown to induce healing of chronic wounds in patients with persistent ulcers and erosions within traumatic scars. Recent reports suggest it may be applicable for other types of chronic wounds as well. The mechanism of action for this modality remains to be elucidated but possible factors include laser-induced collagen remodeling, photomicrodebridement and disruption of biofilms, and induction of a proper wound healing cascade. Semin Cutan Med Surg 34:37-41 © 2015 Frontline Medical Communications
Fractional epidermal grafting in combination with laser therapy as a novel approach in treating radiation dermatitis
Letter of Apology and Notice of Retraction
The paper I authored and published 3 years ago in Seminars in Cutaneous Medicine and Surgery1 contains significant portions of wording and sections from this other article.2 This was highly negligent on my behalf and I deeply apologize for my actions. As a trainee at the time I submitted my paper, I had limited experience in publishing manuscripts. Without any malicious intent, due to ignorance and poor judgment, I plagiarized the words of another author in my paper and without proper citation. I apologize to Dr Leona Yip, Dr Nick Rufaut and Dr Rod Sinclair, the authors whose knowledge and words I appropriated. I also apologize to Dr Stephen Shumack and Dr H. Peter Soyer from the Australian Journal of Dermatology for breaching the copyright of their Journal. I apologize to the editors of the Seminars in Cutaneous Medicine and Surgery for using their trust and submitting an original contribution that fell short of originality. Most of all, I apologize to the national and international research community for presenting a part of another authors’ work as my own. I respectfully ask that the article “Yazdan P. Update on the genetics of androgenetic alopecia, female pattern hair loss, and alopecia areata: implications for molecular diagnostic testing. Semin Cutan Med Surg. 2012 Dec;31(4):258-266.” be retracted.