The Contracture of Skin or of a Scar Medical Term


Silicone gel films have proven useful for the treatment of hypertrophic scars. [14] They should be worn 24 hours a day, paying particular attention to local hygiene to avoid the development of contact dermatitis [Figure 9]. The exact mechanism of action of silicone gel is not known. It can exert its effect by increasing the temperature of the scar, thereby increasing the activity of collagenase, which is known to increase body temperature several times above 1-2°F. Other effects of silicone gel, such as increasing pressure, decreasing oxygen tension, and occlusion, may be less important. Hydration of the stratum corneum and the direct release of low molecular weight silicone liquid into the scar are other possible modes of action. However, silicone does not appear to penetrate the scar tissue. Keloids and hypertrophic scars (HTS) are growths of fibrous tissue that result from a derailment in the normal wound healing process. The first description of keloids dates from about 1700 in the ancient Egyptian script of smith papyrus Documents. Even today, African sculptures, drawings, and body scarifications show various patterns that develop from hypertrophic scars and may indicate kinship, stature, or acts of bravery (Fig. 1).2 The term keloids was originally described by Alibert in the early 1800s. The root “Chele” comes from the Greeks and means “crab claw”. This describes keloid side growths and crab-like extensions in surrounding tissues}`4 Axillary contracture after burn is treated with laser-resurfacing leaf split skin grafts.

Laser resurfacing uses high-energy light to burn damaged skin. Laser resurfacing can be used to minimize wrinkles and refine hypertrophic scars. Neck scar contracture can significantly and negatively affect the function of chewing, phonetics or breathing, leading to neck pain and aesthetic problems. The best way, of course, is such a contract. Radiation. This can be used for scars that do not respond to other treatments. The use of intralesional and topical corticosteroids has been widely covered in the literature and is the mainstay of HRT and keloid treatment.6,21,42-44 The success of corticosteroids in reducing scarring is due to their ability to reduce fibroblast proliferation, collagen synthesis and glycosaminoglycan synthesis, as well as to suppress inflammatory mediators.6,21 With the development of keloid or HRT treatment, with direct, serial, intralesional injections. Triamcinolone acetonide (10 mg/ml; Kenalog 10, Westward-Squib, Buffalo, NY) is injected intralesionally with a 25 or 27 gauge needle at intervals of 4 to 6 weeks. Injections are stopped when the scar is stable, when surgery is imminent, or when side effects occur. The steroid solution should be injected directly into the lesion. Extravasation into surrounding normal tissues can lead to tissue atrophy, hypopigmentation and teleangektasis.

Scar contracture is the result of a contractile wound healing process that occurs in a scar that has already been reepithelialized and sufficiently healed. Keloids and hypertrophic scars (HTS) are growths of fibrous tissue that result from a derailment in the normal wound healing process. The exact incidence of keloids and HRT remains unknown. Aside from the general belief that trauma is the triggering event for keloid and hypertrophic scarring, the rest of the process remains uncertain. A combination of biochemical factors, skin tension, endocrinological factors and genetic factors are the likely culprits. Treatment begins by educating the patient about the etiology of the healing process. All treatment protocols are individualized, but the standard approach for keloids and HRT begins with a corticosteroid injection, followed by surgical excision, pressure bandages, and long-term follow-up. Dockery GL, Nilson RZ. Treatment of hypertrophic and keloid scars with SILASTIC Gel Sheeting.

J Foot Ankle Surg 1994;33:110-119 Incision vs Excision: In general, a contracture should be resolved by incision and not by excision. This is especially true for patients who have received adequate preoperative physiotherapy and whose scars have become soft and supple. The incision alone reduces the need for skin coating. If the scars are large, it is useless to remove a small amount, and not all of them can be cut, for fear of creating an extensive raw surface. However, female circumcision may be necessary in certain circumstances, such as .B. (a) small adjacent depigmented or hypertrophic areas whose excision contributes to the aesthetic end result, (b) atrophic/unstable scars/chronic non-healing ulcers/relieving sinuses should be cut with the release of contractures to maintain a healthy bed for split skin grafts (c) scars can also be removed, to apply the graft/flap according to the principles of aesthetic units. Partial excision of hypertrophic scars can sometimes be performed, for example, in the case of .B a neck contracture, the scars can extend from the chin, neck to chest and even on the abdomen after the burn. Here, only the scars of the neck are cut. A scar is a permanent patch of skin that develops on a wound.

It forms when your body heals itself after a cut, scratch, burn or injury. You may also have scars from surgeries that cut through the skin, infections like chickenpox, or skin conditions like acne. Scars are often thicker, as well as pink, redder or shinier than the rest of your skin. Collagen injections. A type of collagen (made from purified cow collagen) is injected under the skin. It replaces the body`s natural collagen that has been lost. Injectable collagen is usually used to treat facial wrinkles, scars and wrinkles. There are several other types of injectable materials that can also be used. A scar is the body`s natural way to heal and replace lost or damaged skin.

A scar is usually made up of fibrous tissue. Scars can form for many different reasons, including as a result of infection, surgery, injury, or inflammation of the tissues. .