Intralesional Cryosurgery for the Treatment of Hypertrophic Scars and Keloids Following Aesthetic Surgery: The Results of a Prospective Observational Study

Autor: Anne Dompmartin, Yaron Har-Shai, Irina Goldine, Wifred Brown, Issa Mettanes, Daniel Labbé, Tamir Gil, Norbert Pallua
Rok vydání: 2008
Předmět:
Zdroj: The International Journal of Lower Extremity Wounds. 7:169-175
ISSN: 1552-6941
1534-7346
DOI: 10.1177/1534734608322813
Popis: Keloids and hypertrophic scars are an abnormal healing response of injured skin, causing impaired quality of life, severe psychological and physical disturbances, and aesthetic disfigurement. Several studies have shown the incidence of emotional disturbances in connection with aesthetic surgical procedures of up to 47.7% in Japan and Hypertrophic scars and keloids following aesthetic surgery, which ignite patient dissatisfaction, are difficult to handle. Intralesional cryosurgery for the treatment of such scars has been introduced. This study was designed to evaluate the efficacy of this technology in the treatment of such scars and to assess the reduction of dissatisfaction. Eleven scars (on 11 patients) were treated by intralesional cryosurgery, following breast surgery, otoplasty, face-lifting, and brachioplasty. Each patient scored the concern from the scar and the scar deformity (scale from 1 to 5) prior and following treatment (higher score represents least satisfaction and a severe deformity). The follow-up period was between 3 months and 8 years. The results demonstrated a significant reduction in concern and deformity scores compared with before the cryotreatment (P = .001). The intralesional cryosurgery technique provides the plastic surgeon with an effective instrument to treat hypertrophic scars and keloids following aesthetic surgery, thus reducing the dissatisfaction of patients.
Databáze: OpenAIRE