Effect of photodynamic therapy on the healing of cutaneous third-degree-burn: histological study in rats

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Data

2010-03-01

Autores

Garcia, Valdir Gouveia [UNESP]
Lima, Marcos Alcantara de
Okamoto, Tetuo [UNESP]
Milanezi, Luis Alberto [UNESP]
Gualberto Junior, Erivan Clementino [UNESP]
Fernandes, Leandro Araujo [UNESP]
Almeida, Juliano Milanezi de [UNESP]
Theodoro, Letícia Helena [UNESP]

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Editor

Springer London Ltd

Resumo

The aim of this study was to conduct a histological assessment of the effect of photodynamic therapy (PDT) on the repairing of third-degree-burn wounds made on the backs of rats with a heated scalpel. Ninety-six rats were divided into groups: G1, control (n = 24), cold scalpel; G2, burned, heated scalpel (n = 24); G3, low-level laser therapy (LLLT) (n = 24), on burns; and G4, photodynamic therapy (PDT) (n = 24), toluidine-O blue (100 A mu g/ml) and LLLT treatment on burns. The laser (685 nm) was applied in continuous mode, 50 mW, 4.5 J/cm(2), contact mode at nine points (9 s/point). Eight animals in each group were killed at 3 days, 7 days or 14 days after surgery, and tissue specimens containing the whole wounded area were removed and processed for histological analysis; the results were statistically analyzed with Kruskal-Wallis and Dunn's tests (P < 0.05). The results demonstrated significant differences between G2 and G3, and between G2 and G4, at both 3 days and 7 days, with regard to acute inflammation scores; G1 and G2 showed significant differences when compared with G4 at 3 days, with regard to neo-angiogenesis scores; G1 and G2 were statistically different from G3 and G4 at both 3 days and 7 days, with regard to re-epithelization scores; G2 showed statistically significant differences when compared with G3 and G4 with regard to collagen fiber scores at 7 days. LLLT and PDT acted as a biostimulating coadjuvant agent, balancing the undesirable effect of the burn on the wound healing process, acting mainly in the early healing stages, hastening inflammation and increasing collagen deposition.

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Palavras-chave

Wound healing, Burns, Laser biomodulation, Photodynamic therapy

Como citar

Lasers In Medical Science. Artington: Springer London Ltd, v. 25, n. 2, p. 221-228, 2010.