Abstract
Objective:
To assess the impact of photobiomodulation (PBM) therapy on healing of infected wounds and document the microscopic findings throughout the recovery process.
Background:
Previous studies have suggested that PBM accelerates wound healing and reduces inflammation and pain. However, the ideal protocol and ultimate value of PBM treatment for infected wounds are controversial.
Materials and methods:
Eight-month-old male rats were randomly divided into the control group, the nonirradiation group, or the irradiation group. A 1 cm diameter skin excision was made. The wounds of the nonirradiated and irradiated rats were inoculated with a suspension of Staphylococcus aureus. We then performed 7 days of PBM therapy at a wavelength of 660 nm for 35 min/day. On day 8, the rats were sacrificed for histological assessment. Sections were stained with hematoxylin and eosin, Masson trichrome, and a proliferating cell nuclear antigen (PCNA) kit. Defect diameter was calculated using the Visus Image Analysis System.
Results:
The irradiated group had more epithelial cells and richer granulation tissue compared to those in the other groups. The irradiation group had a significantly smaller defect size than the nonirradiation group (p < 0.01) and the control group (p < 0.05). The amount of collagen was highest in the irradiation group and was graded as 3, 2, and 3+ in the control, nonirradiation, and irradiation groups, respectively. The percentage of PCNA in the control group was significantly lower than that in the other two groups (p < 0.05).
Conclusions:
PBM therapy (660 nm) promoted cell proliferation and collagen synthesis, thereby improving the wound healing response to an S. aureus infection.
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