Hypertrophic scars and keloids: Assessment of the effectiveness and outcome of different treatment modalities
Hypertrophic scars and keloids occur due to an abnormal wound heal-ing process frequently seen after a surgical procedure or trauma. There has been no general consensus in the management of hypertrophic scars and keloids so far. Our aim was to assess the impact of mono-therapy as well as multimodal...
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| Format: | Article |
| Language: | English |
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Deccan College of Medical Sciences
2019-01-01
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| Series: | Journal of Medical and Allied Sciences |
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| Online Access: | http://www.ejmanager.com/fulltextpdf.php?mno=2679 |
| _version_ | 1819162649036849152 |
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| author | Samuel Lalruatfala Sailo Vanlalhlua Chawngthu |
| author_facet | Samuel Lalruatfala Sailo Vanlalhlua Chawngthu |
| author_sort | Samuel Lalruatfala Sailo |
| collection | DOAJ |
| description | Hypertrophic scars and keloids occur due to an abnormal wound heal-ing process frequently seen after a surgical procedure or trauma. There has been no general consensus in the management of hypertrophic scars and keloids so far. Our aim was to assess the impact of mono-therapy as well as multimodal treatment in hypertrophic scars and keloids. The study was conducted on 66 patients at an institute based hospital. Classification was made according to the morphologic fea-tures of the scar and the treatments determined by clinical evaluation. Parameters for scar assessment, previous treatment history, complica-tions, recurrences, and clinical photograph were analysed. Assessment was measured using VSS, and POSAS scales and results were statis-tically analysed. Burn was the single most common etiology. The num-ber of hypertrophic scars (40.9%) was higher than keloids (33.3%). We had used intralesional corticosteroid in 41 patients, surgical procedures for 29 patients, cryotherapy in 23 patients and CO2 laser for three pa-tients. Ten (15.2%) recurrences were noted with a higher recurrence rate in keloids patients. Non-operative treatments should remain the first line of treatment for post-operative and preventable scars. Multimodal approaches showed significant benefits in keloids and hypertrophic scars. We found cryotherapy to be effective as a monotherapy or as an adjuvant for small scars. Clinically classifying the scar based on their morphological features aids in choosing the type of treatment. [J Med Allied Sci 2019; 9(1.000): 3-9] |
| first_indexed | 2024-12-22T17:31:35Z |
| format | Article |
| id | doaj.art-392933a4c9424587a6c892972e11179c |
| institution | Directory Open Access Journal |
| issn | 2231-1696 2231-170X |
| language | English |
| last_indexed | 2024-12-22T17:31:35Z |
| publishDate | 2019-01-01 |
| publisher | Deccan College of Medical Sciences |
| record_format | Article |
| series | Journal of Medical and Allied Sciences |
| spelling | doaj.art-392933a4c9424587a6c892972e11179c2022-12-21T18:18:36ZengDeccan College of Medical SciencesJournal of Medical and Allied Sciences2231-16962231-170X2019-01-01913910.5455/jmas.26792679Hypertrophic scars and keloids: Assessment of the effectiveness and outcome of different treatment modalitiesSamuel Lalruatfala Sailo0Vanlalhlua Chawngthu1Mizoram Institute of Medical Education and Research, Falkawn, Mizoram, India Mizoram Institute of Medical Education and Research, Falkawn, Mizoram, IndiaHypertrophic scars and keloids occur due to an abnormal wound heal-ing process frequently seen after a surgical procedure or trauma. There has been no general consensus in the management of hypertrophic scars and keloids so far. Our aim was to assess the impact of mono-therapy as well as multimodal treatment in hypertrophic scars and keloids. The study was conducted on 66 patients at an institute based hospital. Classification was made according to the morphologic fea-tures of the scar and the treatments determined by clinical evaluation. Parameters for scar assessment, previous treatment history, complica-tions, recurrences, and clinical photograph were analysed. Assessment was measured using VSS, and POSAS scales and results were statis-tically analysed. Burn was the single most common etiology. The num-ber of hypertrophic scars (40.9%) was higher than keloids (33.3%). We had used intralesional corticosteroid in 41 patients, surgical procedures for 29 patients, cryotherapy in 23 patients and CO2 laser for three pa-tients. Ten (15.2%) recurrences were noted with a higher recurrence rate in keloids patients. Non-operative treatments should remain the first line of treatment for post-operative and preventable scars. Multimodal approaches showed significant benefits in keloids and hypertrophic scars. We found cryotherapy to be effective as a monotherapy or as an adjuvant for small scars. Clinically classifying the scar based on their morphological features aids in choosing the type of treatment. [J Med Allied Sci 2019; 9(1.000): 3-9]http://www.ejmanager.com/fulltextpdf.php?mno=2679Hypertrophic scarsKeloidsMultimodal treatmentsPathological scarsScar assessment scale |
| spellingShingle | Samuel Lalruatfala Sailo Vanlalhlua Chawngthu Hypertrophic scars and keloids: Assessment of the effectiveness and outcome of different treatment modalities Journal of Medical and Allied Sciences Hypertrophic scars Keloids Multimodal treatments Pathological scars Scar assessment scale |
| title | Hypertrophic scars and keloids: Assessment of the effectiveness and outcome of different treatment modalities |
| title_full | Hypertrophic scars and keloids: Assessment of the effectiveness and outcome of different treatment modalities |
| title_fullStr | Hypertrophic scars and keloids: Assessment of the effectiveness and outcome of different treatment modalities |
| title_full_unstemmed | Hypertrophic scars and keloids: Assessment of the effectiveness and outcome of different treatment modalities |
| title_short | Hypertrophic scars and keloids: Assessment of the effectiveness and outcome of different treatment modalities |
| title_sort | hypertrophic scars and keloids assessment of the effectiveness and outcome of different treatment modalities |
| topic | Hypertrophic scars Keloids Multimodal treatments Pathological scars Scar assessment scale |
| url | http://www.ejmanager.com/fulltextpdf.php?mno=2679 |
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