Management of scars: updated practical guidelines and use of silicones
| Autor: | Anne Le Pillouer-Prost, Diane Roseeuw, Sylvie Meaume, Bertrand Richert, Javid Vadoud |
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| Přispěvatelé: | Specialities |
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Cicatrix Hypertrophic KELOID SCARS medicine.medical_treatment EXCISED KELOIDS Silicones Scars Cryotherapy Dermatology GEL SHEETS MEDIAN STERNOTOMY IMIQUIMOD 5-PERCENT CREAM CLINICAL-TRIAL Cicatrix Keloid Adrenal Cortex Hormones Compression Bandages medicine Humans Intensive care medicine Physical Therapy Modalities Rehabilitation business.industry Gold standard STRATUM-CORNEUM medicine.disease Surgery Radiation therapy Clinical trial HYPERTROPHIC SCARS PRESSURE GARMENT THERAPY Practice Guidelines as Topic Radiotherapy Adjuvant Laser Therapy medicine.symptom business Psychosocial INTRALESIONAL VERAPAMIL |
| Zdroj: | European journal of dermatology : EJD. 24(4) |
| ISSN: | 1952-4013 |
| Popis: | Hypertrophic scars and keloids resulting from surgery, burns, trauma and infection can be associated with substantial physical and psychological distress. Various non-invasive and invasive options are currently available for the prevention and treatment of these scars. Recently, an international multidisciplinary group of 24 experts on scar management (dermatologists; plastic and reconstructive surgeons; general surgeons; physical medicine, rehabilitation and burns specialists; psychosocial and behavioural researchers; epidemiologists; beauticians) convened to update a set of practical guidelines for the prevention and treatment of hypertrophic and keloid scars on the basis of the latest published clinical evidence on existing scar management options. Silicone-based products such as sheets and gels are recommended as the gold standard, first-line, non-invasive option for both the prevention and treatment of scars. Other general scar preventative measures include avoiding sun exposure, compression therapy, taping and the use of moisturisers. Invasive treatment options include intralesional injections of corticosteroids and/or 5-fluorouracil, cryotherapy, radiotherapy, laser therapy and surgical excision. All of these options may be used alone or as part of combination therapy. Of utmost importance is the regular re-evaluation of patients every four to eight weeks to evaluate whether additional treatment is warranted. The amount of scar management measures that are applied to each wound depends on the patient's risk of developing a scar and their level of concern about the scar's appearance. The practical advice presented in the current guidelines should be combined with clinical judgement when deciding on the most appropriate scar management measures for an individual patient. |
| Databáze: | OpenAIRE |
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