Traumatic Tattoos Research Articles

Traumatic tattoos mimicking pigmented skin tumors on videodermoscopy: A case series.

Traumatic tattoos mimicking pigmented skin tumors on videodermoscopy: A case series.

Pitfalls in Laser-Based Device Tattoo Removal: A Literature Review

Laser therapy has been popular and widely used for tattoo removal. Basic principles for utilizing lasers in tattoo removal for different types and colors of tattoos are required to minimize and avoid unwanted side effects. Appropriate parameters of lasers are not the only keys to successful laser removal treatment. In this review, common pitfalls in removing tattoos with lasers are discussed. Several factors should be taken into consideration and realistic goals should be discussed at the first encounter with patients. Non-ablative lasers may apply to a simple tattoo without any cutaneous reaction while ablative lasers are better for traumatic tattoos. Laser is not always the best option for tattoo removal in some circumstances and other measures can be considered for the best interest of patients and outcome.

Lasers treatment for traumatic facial tattoo

Effective treatment for traumatic tattoo is lacking. We aimed to compare the effectiveness and safety between Q-1064 nm laser as monotherapy and alternating Q-1064 nm laser with CO2 AFL in treating traumatic facial tattoo (black or blue color) and accompanied scars. Clinical data of 98 patients were grouped and analyzed based on the different treatment lasers. Tattoo clearance was evaluated with a 4-point scale, and scar improvement was analyzed with modified VOSAS scores. Patient satisfaction of the tattoo clearance and scar improvement, and treatment-related complications were analyzed. Significant increased clinical effects with patient satisfaction and decreased worsened scar were confirmed with the two alternated lasers, relative to those with Q-1064 nm laser alone (P < 0.05). Consequently, alternating Q-1064 nm laser and CO2 AFL treatment could be used for traumatic facial tattoo with black or blue color removal safely and effectively.

Histopathologic Spectrum of Findings Associated With Tattoos: Multicenter Study Series of 230 Cases.

Reactions to tattoo may simulate common dermatosis or skin neoplasms. Histopathology allows diagnosis and helps determining the level and degree of inflammation associated, consequently orientating treatment. To describe the histological features found in biopsies of cutaneous reactions to tattoo. This study was designed as a multicenter case series. All consecutive histopathological samples of tattoos referred from 1992 to 2019 to the Hospital General de Catalunya, Hospital Germans Trias i Pujol, and a private practice, all in Barcelona, Spain, and from the Kempf und Pfaltz Histologische Diagnostik in Zurich, Switzerland were retrieved from the files. The inclusion criteria were all cosmetic/permanent makeup, artistic/professional, and traumatic tattoos associated with either inflammatory reactions alone and/or with tumors and/or infections. Exclusion criteria were cases without any associated pathologic finding in the place of the ink, amalgam tattoos, and medical or temporary tattoos. In all patients, clinical features (age, sex, location, tattoo color, and presentation) were recorded. Histological features evaluated included ink color, associated tumors or infections, and inflammatory reaction pattern. Inflammation was graded in low to moderate or severe. From 477 biopsies diagnosed as tattoos, 230 cases from 226 patients met the inclusion criteria. Samples corresponded to 107 male and 120 female subjects and 3 of unknown gender. Median age was 39 years (ranging from 9 to 84 years). Fifty-three samples were referred from centers in Spain and 177 from the center in Switzerland. The series was analyzed in 2 parts: tattoos associated only with inflammatory reactions (117/230) and tattoos associated with tumors or infections (113/230). The most common form of inflammatory pattern associated with tattoo was the fibrosing reaction (79/117, 68%), followed by granulomatous reaction (56/117, 48%), lichenoid reaction (33/117, 28%), epithelial hyperplasia (28/117, 24%), pseudolymphoma (27/117, 23%) and spongiotic reaction (27/117, 23%). Combined features of 2 or more types of inflammatory patterns were seen in 64% cases. Our series confirms that cutaneous reactions to tattoos are polymorphous. Inflammation tends to present with combined patterns. Infections are tending to decline, and pathologic findings are not specific to ink color or clinical features.

536 Road Rash: Understanding a Challenging Form of Burn Injury

Abstract Introduction Road rash is a unique burn injury due to imbedded foreign debris and deeply seeded bacteria. Literature on this injury fails to address its unique mechanism and ways to reduce scarring and infection. Given the paucity of data, a retrospective review was performed at a single level 1 trauma center to study friction burn characteristics and outcomes from these injuries Methods We performed a systematic literature search with PubMed, Scopus, and OvidSP Medline databases using the following keywords: friction burn, traumatic tattoo, and road rash. Subsequently, we analyzed all patients treated by our ABA verified burn center for friction related injuries from January 1, 2015 to September 15, 2019 and evaluated demographics, interventions, and outcomes. Results Twenty-four pertinent articles were identified. Seven articles were included after full-text analysis. Analysis of 225 patients from these studies identified an average age of 23±7 years with 66% male. Most occurred from motor accidents (74%) with industrial (11%) and blast (10%) mechanisms accounting for the majority of the remaining cases. None of the studies recorded TBSA, but 49% were full thickness and 36% had associated injuries. Most patients (58%) required surgery. At our institution, 44 patients met inclusion criteria and the majority were young (25±18 years), men (75%), involved in motor accidents (75%), and low TBSA burns (6.3±5.6%). Over half (57%) had full thickness burns and 72% required surgery. Length of stay was 12±11 days. Of the 27% of patients with traumatic tattooing on admission, 92% successfully had all foreign debris removed by discharge. Eight (18%) patients had wound infections. Importantly, 75% of patients with wound infections had delayed evaluation by a burn practitioner; elucidating a strong and significant correlation (p&amp;lt; 10–5, Cramer’s V 0.84). Conclusions While road rash injuries are often small TBSA, the majority tend to be full thickness, often involve underlying critical structures and frequently require operative intervention. Significantly, patients who developed wound infections were often not evaluated by a burn provider. Applicability of Research to Practice The unique trauma of road rash causes a high degree of superficial and deep tissue injury with high risk for contamination, infection, and scarring such that rapid debridement is critical for optimal care. Burn surgeons should be consulted early as these patients have a high risk of wound infection when not consulted by wound experts.

Combined pulsed dye laser and Q-switched Nd:YAG laser intraumatic facial tattoo removal: A case series.

Traumatic tattoos can be treated with several methods, including mechanical and chemical devices. However, they are rarely used due to the high risk of permanent side effects such as scarring and depigmentation. Recently, laser devices, especially the Q-switched (QS) laser and the pulsed dye laser (PDL), applied in combination, have achieved complete clearance of the lesions without any risk of side effects. Herein, we reported three cases of traumatic facial tattoos successfully treated with combined PDL and QS Nd:YAG laser.

Facial Scars after a Road Accident – Combined Treatment with Pulsed Dye Laser and Picosecond Neodymium:Yttrium-Aluminum-Garnet Laser

A 34-year-old man presented with facial scars one month after a road accident. A physical examination revealed erythematous, minimally hypertrophic scars with bluish brown pigments from traumatic tattoos on the left cheek and left upper cutaneous lip. He was treated with combined laser therapy of a pulsed dye laser (PDL) and picosecond neodymium:yttrium-aluminum-garnet (Nd:YAG) laser. After three sessions of this combined technique, the patient showed significant clinical improvement without side effects. To the best of the authors’ knowledge, this is the first case of traumatic scars after a road accident treated effectively and safely with combination laser therapy of PDL and picosecond Nd:YAG laser, targeting the traumatic scars and tattoos, respectively.

Efficacy and Safety of Picosecond-Domain neodymium-Doped Yttrium Aluminum Garnet Laser Treatment on Various causes of Traumatic Tattoos

Efficacy and Safety of Picosecond-Domain neodymium-Doped Yttrium Aluminum Garnet Laser Treatment on Various causes of Traumatic Tattoos

Laser tattoo removal: an overview of ink fragmentation and elimination

Laser tattoo removal is increasingly being sought by individuals for the removal of amateur, professional, cosmetic, medicinal and traumatic tattoos. Tracy Butler evaluates the effectiveness of Q-switched lasers for the eradication of tattoo ink, discusses potential treatment-related side effects and adverse events, and describes the processes of ink fragmentation and elimination

Cosmetic Concerns Related to the Posttraumatic Nose without Nasal Obstruction.

Because of its prominent position on the facial skeleton, the nose is commonly injured. Though significant trauma can result in nasal obstruction, there is also considerable concern for potential cosmetic deformity. Repairing traumatic deformities is complex and can involve all aspects of the nose, including the bony and cartilaginous framework as well as the soft tissue envelope. Trauma can result in deflection, asymmetry, and deformity of the bony nasal dorsum, midvault, and nasal tip. Any serious nasal trauma places patients at risk for complications that may include nasal septal hematoma, septal perforation, and possible cerebral spinal fluid leak. Unrecognized or untreated septal hematomas can result in cartilaginous septal necrosis followed by saddle nose deformity. Though damage to structural scaffolding is often the cause of cosmetic deformity following nasal trauma, the nasal soft tissue envelope is also commonly affected. This can result in lacerations, avulsions, and traumatic tattooing. The following will discuss the evaluation, diagnosis, and management of these cosmetic concerns relating to nasal trauma.

Hydrosurgery System for the Treatment of Extensive Traumatic Tattoo in the Face：A Case Report

Hydrosurgery System for the Treatment of Extensive Traumatic Tattoo in the Face：A Case Report

Fractional CO2 laser is as effective as Q-switched ruby laser for the initial treatment of a traumatic tattoo

Background and objective: Q-switched laser treatments are considered the standard method for removing both regular and traumatic tattoos. Recently, the removal of tattoo ink using ablative fractional lasers has been reported. Ablative fractional CO2 laser and q-switched ruby laser treatments were used in a split-face mode to compare the safety and efficacy of the two types of laser in removing a traumatic tattoo caused by the explosion of a firework. Study design/Patients and methods: A male patient suffering from a traumatic tattoo due to explosive deposits in his entire face was subjected to therapy. A series of eleven treatments were performed. The right side of the face was always treated using an ablative fractional CO2 laser, whereas the left side was treated only using a q-switched ruby laser. Results: After a series of eleven treatments, the patient demonstrated a significant lightening on both sides of his traumatic tattoo, with no clinical difference. After the first six treatments, the patient displayed greater lightening on the right side of his face, whereas after another five treatments, the left side of the patient's face appeared lighter. No side effects were reported. Conclusions: In the initial stage of removing the traumatic tattoo, the ablative fractional laser treatment appeared to be as effective as the standard ruby laser therapy. However, from the 6th treatment onward, the ruby laser therapy was more effective. Although ablative fractional CO2 lasers have the potential to remove traumatic tattoos, they remain a second-line treatment option.

Emergency plastic treatment in children's facial injury

Objective To analyze and summarize the features of children's facial wound and to share the emergency treatment experiences.Methods An retrospective study was conducted on the pathogenesis,age distribution,emergency treatment methods and complications in 1407 children (under 15 years of age) during recent 8 years (from January 2004 to December 2011).Results In this study the major facial wound type was simply lacerations (1196/1407,85.0 ％),and the most common wound cause was trumbling injury (1154/1407,82.0 ％).The T area was the easiest injured,successively,forehead (562/1407,39.9％),chin (211/1407,15.0％),lips (196/1407,13.9％) and nose (95/1407,6.8％).Here were 2 peaks in age distribution which were 2 and 5 years of age,respectively.Pleased outcome would be found while normalized plastic means were taken.After 3 to 6 months following up,there were 5 infection cases,27 cases healed with hypertrophic scars,and 7 cases with traumatic tattoos in wound location.Conclusions The most common wound type is simply laceration.2 and 5 years of age are two of the highest risk stages.It is necessary to act up to plastic surgery principles and take children's particularity into account when emergency treatment,and to do our best to minimize the scar in the first operation time. Key words: Emergency treatment; Children; Facial wound; Plastic surgery

Immediate Debridement of Road Rash Injuries with Versajet® Hydrosurgery: Traumatic Tattoo Prevention?

Traumatic tattoos can result from accidental deposition of foreign particles in the dermis. These pigmented particles become permanently lodged in the dermis after re-epithelialization of the wound and can give rise to irregular black or blue discoloration of the skin. Different methods for tattoo removal exist. The best strategy is to prevent traumatic tattooing by immediate removal of the foreign bodies before the healing process has begun. We present a fine-tuned debridement method to selectively debride the wound and preserve as much viable tissue as possible. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Behandlung von Pulverschmauch- und Fremdkörpereinsprengungen

Gunpowder traumatic tattoo and foreign bodies in the skin secondary to explosions or gunshots need to be treated within 72 h if possible to achieve good aesthetic results. Hypertrophic scars can be treated by skin resurfacing using the Erb-YAG laser or the CO₂ laser, while traumatic tattoos can be removed with the Q-switched rubin laser.

Q-Switched Ruby Laser Treatments for Traumatic Tattoos

Q-Switched Ruby Laser Treatments for Traumatic Tattoos

Laser treatment of traumatic tattoos in the face after booby-trapped bomb explosion

Laser treatment of traumatic tattoos in the face after booby-trapped bomb explosion

Adverse effects following Q-switched ruby laser treatment of pigmented lesions

A retrospective study was conducted to investigate the incidence of adverse effects following Q-switched ruby laser treatment of pigmented lesions at the Wessex Specialist Laser Centre. Sixty-one patients received a total of 151 treatments between January 2006 and January 2008. This is the largest series to date of patients on whom adverse effects have been reported following Q-switched ruby laser treatment of an assortment of pigmented lesions. Patients with traumatic or decorative tattoos were excluded from this study. Two of the treatments (1.3%) resulted in adverse effects. One patient developed hyperpigmentation and the other experienced scabbing and subsequent textural change following abrasion of the scab. No predisposing medical or other factors were observed in either patient. This low incidence of adverse effects is consistent with the highly selective absorption of ruby laser light by melanin. The presence of these adverse effects highlights the importance of test patch treatments, the necessity for patients to follow good post-treatment advice and the case for vigilance in monitoring the quality of the laser output.

Facial scars after a road accident – combined treatment with pulsed dye laser and Q‐switched Nd:YAG laser

We report the case of a woman who presented with several facial scars following a road accident. Treatment was carried out using combined laser treatment with pulsed dye laser (PDL) and Q-switched neodymium:yttrium-aluminum-garnet laser (QS Nd:YAG laser). No side effects or complications from treatment were noted or reported. The patient had very good cosmetic results with this combined technique. A variety of facial scars - erythematous, pigmented, atrophic, and hypertrophic - may occur as a result of trauma, surgery, burns, and skin disease. Surgery with other adjunctive methods including radiotherapy, intralesional steroids, and pressure therapy have shown variable results. Laser treatment has been attempted for scar revision since the 1980s. The PDL is the optimal treatment for reducing scar bulk and symptoms. It also decreases erythema and telangiectasia associated with scars, normalizes the skin surface texture, and improves the scar pliability. The QS Nd:YAG laser (1064 nm) is highly effective for traumatic tattoo removal, resulting in complete clearance in the majority of cases.

Traumatic tattoo associated with jet injector (Dermojet) use

Traumatic tattoo associated with jet injector (Dermojet) use