Usefulness of Skin Explants for Histologic Analysis after Fractional Photothermolysis

作者：Park Gyeong Hun; Chang Sung Eun^*; Bang Seunghyun; Won Kwang Hee; Won Chong Hyun; Lee Mi Woo; Choi Jee Ho; Moon Kee Chan

来源：Annals of Dermatology, 2015, 27(3): 283-290.

DOI：10.5021/ad.2015.27.3.283

• Tissue culture techniques
• Tissue survival
• Laser therapy
• Cosmetic techniques

Background: Fractional laser resurfacing treatment has been extensively investigated and is widely used. However, the mechanism underlying its effects is poorly understood because of the ethical and cosmetic problems of obtaining skin biopsies required to study the changes after laser treatment. Objective: To evaluate the usefulness of human skin explants for the investigation of fractional photothermolysis. Methods: Full-thickness discarded skin was treated in 4 ways: no treatment (control), fractional carbon dioxide laser, fractional Er:YAG laser, and fractional 1,550-nm erbium-doped fiber laser. Both treated and non-treated skip samples were cultured ex vivo at the air-medium interface for 7 days. Frozen tissue was sectioned and stained with hematoxyl in & eosin for histologic examination and nitro blue tetrazolium chloride for viability testing. Results: Skin explants cultured for up to 3 days exhibited histologic changes similar to those observed in in vivo studies, including microscopic treatment zones surrounded by a thermal coagulation zone, re-epithelialization, and formation of microscopic epidermal necrotic debris. However, the explant structure lost its original form within 7 days of culture. The viability of skin explants was maintained for 3 days of culture but was also lost within 7 days. Conclusion: The skin explant model may be a useful tool for investigating the immediate or early changes following fractional photothermolysis, but further improvements are required to evaluate the long-term and dermal changes.

• 出版日期2015-6