Pulsed Dye Laser for the Treatment of Hypergranulation Tissue with Chronic Ulcer in Postsurgical Defects
December 2007 | Volume 6 | Issue 12 | Original Article | 1191 | Copyright © December 2007
Steven Q. Wang MD, Leonard H. Goldberg MD FRCP
Background and Objective: Hypergranulation tissue may complicate postoperative wounds, causing them to become
chronic nonhealing ulcers. There is no reliably effective treatment. We report the use of the 595-nm pulsed-dye laser (PDL)
for the treatment of wounds healing by second intention and complicated by hypergranulation tissue after Mohs micrographic
Methods: In a retrospective case review, 9 patients with slow-healing or nonhealing postoperative wounds with hypergranulation
tissue were treated with the 595-nm PDL. The majority of the wounds were located on the scalp, forehead,
Results: All of the patients demonstrated dramatic improvement after one treatment. Most patients achieved complete
or near complete re-epithelialization of the ulcers after 1 to 2 treatments. The PDL treatment required no local anesthesia,
and there were no postlaser treatment complications reported.
Conclusions: The 595-nm PDL is an effective, safe, and reliable treatment to promote second intention healing in postsurgical
wounds complicated by the formation of hypergranulation tissue.