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Related Experiment Videos

[Keloid and hypertrophic scars].

Kim Alexander Tønseth1, Tyge Tind Tindholdt, Ulf Sverre Solberg

  • 1Plastisk kirurgisk avdeling, Sykehuset Telemark, Skien. kim.tonseth@rikshospitalet.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|November 18, 2003
PubMed
Summary

Keloid and hypertrophic scars result from excessive collagen metabolism in high-tension wounds. Standard treatment includes silicone sheeting, pressure, and steroid injections, with surgery considered for persistent cases.

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Area of Science:

  • Dermatology
  • Wound Healing
  • Scar Management

Context:

  • Keloid and hypertrophic scars are common, particularly on the upper trunk.
  • These scars result from abnormal collagen metabolism in high-tension wounds.

Purpose:

  • To review current literature on the treatment of keloid and hypertrophic scars.
  • To provide evidence-based recommendations for scar management.

Summary:

  • Surgical techniques should minimize wound tension during elective procedures.
  • For high-risk patients, initial treatment involves silicone sheeting and/or pressure.
  • If initial treatments are ineffective, steroid injections are recommended after two months, with surgical revision considered after 12 months if results are unsatisfactory.

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Impact:

  • Optimizing surgical techniques can reduce scar formation.
  • Standardized treatment protocols improve outcomes for patients with problematic scars.
  • This review guides clinicians in selecting appropriate therapies for keloid and hypertrophic scars.