Soft tissue trauma and scar revision

Steven R Mobley1, Phayvanh P Sjogren1

  • 1Division of Otolaryngology-Head and Neck Surgery, University of Utah, 50 North Medical Drive, Salt Lake City, UT 84132, USA.

Insights

Pediatric facial scar revision lacks extensive research. This review details current techniques for revising scars in children, covering closure, topical treatments, injections, lasers, and tissue expanders.

Area of Science:

  • Plastic Surgery
  • Pediatric Dermatology
  • Wound Healing

Background:

  • Scar revision literature predominantly focuses on adult populations.
  • There is a significant gap in research and established guidelines for pediatric facial scar revision.
  • Facial scars in children present unique challenges due to growth and development.

Purpose of the Study:

  • To provide a comprehensive overview of available scar revision modalities specifically for pediatric facial scars.
  • To integrate current practices in soft tissue trauma and scar management for children.
  • To address the paucity of literature concerning pediatric scar revision.

Main Methods:

  • Literature review integrating current practices in soft tissue trauma and scar revision.
  • Discussion of various treatment modalities including closure techniques, topical therapies, and surgical interventions.
  • Inclusion of advanced techniques such as steroid injections, cutaneous laser therapy, and tissue expanders.

Main Results:

  • Identified and described multiple techniques applicable to pediatric facial scar revision.
  • Highlighted the importance of considering growth and developmental factors in pediatric scar management.
  • Synthesized information on both established and emerging treatment options.

Conclusions:

  • Effective pediatric facial scar revision requires tailored approaches considering the unique physiology of children.
  • A range of treatment options, from basic closure to advanced therapies, are available and discussed.
  • Further research is warranted to establish evidence-based guidelines for pediatric scar revision.

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