Paper
Management of scars
Published Jan 1, 2006 · DOI · K. Thomas, P. Critchley
Surgery (oxford)
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Abstract
Abstract A normal scar is the final result of wound healing, initiated when tissue is injured by trauma, surgery or inflammation. Abnormal scars such as widened, atrophic, hypertrophic or keloid scars can occur in certain individuals, and management is primarily preventative, through careful surgical technique. Further management can be with conservative therapies alone or in combination with surgery. Conservative options include pressure garments, laser therapy, silicon gel, corticosteroid injections, radiation, laser therapy and cryotherapy. Certain scars can be revised surgically using specific techniques (e.g. Z-plasty). Keloid scars have a high rate of recurrence with surgery alone. Conservative treatment (e.g. radiotherapy) can be used in conjunction to decrease the risk of recurrence.
Preventative surgical technique and conservative therapies can effectively manage abnormal scars, including keloid scars, while reducing recurrence risk.
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