The Efficacy of Carbone Dioxide Laser Debridement Along With Low-Level Laser Therapy in Treatment of a Grade 3 Necrotic Burn Ulcer in a Paraplegic Patient (A Case Report).

A deep burn ulcer, especially in areas with sensory-motor dysfunction, is hard to cure. The patient was a 20-year-old paraplegic girl with a grade 3 necrotic burn ulcer for 3 weeks. We used a fractional Co laser along with chemical debridement with trichloroacetic acid (TCA 80%) and low-level laser therapy (LLLT) with a 808 nm infrared laser, 6 J/cm for the necrotic area, and a 650 nm red laser, 2 J/cm for the open wound area. Complete healing occurred after 25 sessions without surgery. Laser debridement along with LLLT and TCA administration may be useful to treat necrotic ulcers without surgery.