Scar tissue

Current Opinion in Otolaryngology & Head and Neck Surgery
Nick Jones

Abstract

To examine the place of surgery and other modes of treating scar tissue given the plethora of measures that are advocated on the internet. There is good evidence to support the use of silicone sheets, pulsed dye laser (PDL), intralesional triamcinolone and dermabrasion in reducing hypertrophic scars, but each needs qualifying in terms of their timing and the type of scar tissue that they are used for. The surgical revision of scars should be delayed for at least 12 months unless there is webbing when redistributing skin tension forces with a Z-plasty or multiple Z-plasties or other local flaps negates the need to wait for the scar to mature. In a posttraumatic 'horse shoe' shaped, or a very oblique, cut an irregular contour is likely to occur. Under these circumstances a triamcinolone injection into any raised area can help and this needs to be re-evaluated after 6 weeks. With a less irregular contour dermabrasion can help if used 8 weeks after surgery. With hypertrophic scarring both silicone gel sheeting and PDL may help reduce the prominence of the scar. Most of all time helps scars to settle and fade and typical scar maturation takes 18-24 months. The role of stem cells, particularly from adipose tissue, warrants further st...Continue Reading

References

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Citations

Jan 4, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Youbin WangZhi Wang
Apr 14, 2016·Journal of Huazhong University of Science and Technology. Medical Sciences = Hua Zhong Ke Ji Da Xue Xue Bao. Yi Xue Ying De Wen Ban = Huazhong Keji Daxue Xuebao. Yixue Yingdewen Ban·Shao-Wei YangXiao-Bing Fu
Jan 14, 2017·Plastic and Reconstructive Surgery·Nicola FredaGian Luca Gatti
Dec 12, 2018·Advances in Skin & Wound Care·Sander KantAndrzej Piatkowski de Grzymala
Apr 3, 2019·The Journal of Craniofacial Surgery·Xiaoping BiXianqun Fan
Nov 23, 2011·Journal of Biophotonics·Timothy Andrew KelfAndrei V Zvyagin
Jul 14, 2019·The Journal of Craniofacial Surgery·Xiaoping BiXianqun Fan

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