248 Functional and psychological outcomes of combined pulsed dye laser and fractional carbon dioxide laser treatment for scars in pediatric patients

Scars can manifest with cosmetic disfigurement, functional impairment, and discomfort which be particularly impactful in children adolescents. Laser therapy has been recently developed as a useful modality to improve both the appearance of scars status patients. Our study aims determine an association between ratings blind evaluators patient reported outcomes pediatric scar patients pre- post-treatment combined pulsed dye laser (PDL) fractional carbon dioxide (CO2) therapy. A retrospective medical record review was performed receiving intervention for management 1/2001 9/2021. Pre-treatment clinical photographs were extracted from record; cases fewer than 2 images during treatment excluded. Demographic data, type, etiology, images, details, adverse events collected patients’ records. total 306 underwent 9/2021; 136 had baseline photo 165 scars. Average number per lesion 4.5 (SD ± 3.04, range 1-16). Locations predominantly on head/neck (33%), followed by upper extremity (24%), trunk (19%), lower (19%). The type treated hypertrophic (90%). To date, this is largest cohort that have undergone various etiologies. We hypothesize objective not correlated improvement satisfaction. Thus, we aim develop patient-centered scale utilized evaluate progress.