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[Hypertrophic scars and keloids: which therapeutic options today?]
M C Gailloud-Matthieu1, W Raffoul, D V Egloff
1Service de chirurgie plastique et reconstructive, CHUV, Lausanne.
Revue Medicale De La Suisse Romande
|October 21, 1999
Summary
Hypertrophic scars and keloids result from excessive connective tissue growth after injury. Keloids invade surrounding tissue, unlike hypertrophic scars, and intralesional techniques show promise for keloid treatment.
Area of Science:
- Dermatology
- Wound Healing
- Tissue Repair
Context:
- Hypertrophic scars and keloids represent abnormal connective tissue proliferation following skin trauma.
- Distinguishing between these scar types is crucial for effective management, with keloids invading adjacent healthy tissue and hypertrophic scars remaining within the wound boundary.
Purpose:
- To review the efficacy of various treatments for hypertrophic scars and keloids.
- To discuss preventative strategies for pathological scarring.
- To present the authors' current surgical approach for keloid treatment.
Summary:
- This review examines treatment options for hypertrophic scars and keloids, differentiating them based on histological invasion patterns.
- The authors discuss preventative measures and highlight their preferred intralesional surgical technique for managing keloids, citing superior outcomes.
Impact:
- Provides a comprehensive overview of current knowledge on hypertrophic scar and keloid management.
- Offers insights into effective surgical interventions, particularly the intralesional technique for keloids.
- Aims to guide clinicians in selecting appropriate treatments and preventative strategies for pathological scarring.