Laser therapy as a treatment for chronic radiation fibrosis Journal Article


Authors: Wilson, B.; Shah, R.; Menzer, C.; Aleisa, A.; Rossi, A.
Article Title: Laser therapy as a treatment for chronic radiation fibrosis
Abstract: Background: Chronic radiation fibrosis (CRF) is a long-term sequala of radiation therapy that has a significant impact on patient quality of life. There is no standard of care or single therapeutic modality that has been found to be consistently effective. Objective: To describe our experience using fractional 10,600 nm carbon dioxide (CO2) laser therapy and vascular laser therapy in a series of patients with CRF. Methods: Patients presenting to the dermatology service for CRF were evaluated for laser therapy eligibility. Patients were eligible if they had a clinical diagnosis of CRF confirmed by physical examination. Results: We identified five patients with CRF treated with fractional ablative CO2 laser and vascular laser. Patients were a median age of 57 years old, and the amount of time between the initiation of radiotherapy and laser treatment ranged between 3 months and 40 years. The satisfactory response was achieved in all cases. Limitations: Lack of standardized laser protocol, small sample size, lack of a control group, different anatomical locations. Conclusion: Fractional ablative and vascular laser therapy may serve as an additional treatment for CRF, leading to functional improvements. © 2022 The Authors. Lasers in Surgery and Medicine published by Wiley Periodicals LLC.
Keywords: osteosarcoma; adult; clinical article; treatment outcome; aged; middle aged; range of motion; case report; quality of life; breast cancer; retrospective study; infant; radiation dose fractionation; clinical evaluation; physical examination; drug therapy; tongue carcinoma; radiation dermatitis; ktp laser; lumpectomy; carbon dioxide; low level laser therapy; laser therapy; procedures; radiation fibrosis syndrome; humans; human; female; article; radiation fibrosis; gas laser; lasers, gas; cancer therapy sequelae; chronic radiation fibrosis; fractional co2 laser; reticulosarcoma
Journal Title: Lasers in Surgery and Medicine
Volume: 55
Issue: 1
ISSN: 0196-8092
Publisher: John Wiley & Sons  
Date Published: 2023-01-01
Start Page: 82
End Page: 88
Language: English
DOI: 10.1002/lsm.23617
PUBMED: 36349748
PROVIDER: scopus
PMCID: PMC10099494
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in PubMed and PDF -- Corresponding author is MSK authors: Anthony Rossi -- Source: Scopus
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MSK Authors
  1. Anthony Rossi
    234 Rossi
  2. Christian Menzer
    9 Menzer
  3. Britney N. Wilson
    17 Wilson
  4. Abdullah Aleisa
    13 Aleisa