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An. bras. dermatol ; 92(4): 474-477, July-Aug. 2017. tab, graf
Artigo em Inglês | LILACS | ID: biblio-887001

RESUMO

Abstract: Background: Surgical sutures, wound tension, additional skin incisions and other factors may result in recurrence of tumor-like scar. Objective: To investigate the role of wound natural healing therapy in tumor-like hypertrophic scar. Methods: In this study, tumor-like hypertrophic scars of 47 cases were excised completely and the residual wounds were treated with natural healing. The short-term and long-term effects of treatment were evaluated. Results: All cases were successfully cured by natural healing therapy. The healing time of the maximum wound (80mm × 20mm) and the minimal wound (5mm× 5mm) was 25 days and 7 days respectively. The size of new skin scars ranged from 3mm to 11 mm. Clinical followed-up was performed in 34 cases for 36 months. Among them, no recurrence happened in 31 cases and new scar size ranged from 2mm to 8mm, while local recurrence happened in 3 cases whose scar size were less than 5 mm. Study Limitations: The cure rate of the therapy was 91.2%. Conclusion: The wound natural healing therapy is effective in treating tumor-like hypertrophic scar, which can prevent recurrence and has good cosmetic results.


Assuntos
Masculino , Feminino , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Adulto Jovem , Cicatrização/fisiologia , Cicatriz Hipertrófica/cirurgia , Técnicas de Fechamento de Ferimentos , Período Pós-Operatório , Recidiva , Infecção da Ferida Cirúrgica/etiologia , Suturas/efeitos adversos , Técnicas de Sutura/efeitos adversos , Resultado do Tratamento , Cicatriz Hipertrófica/patologia , Cicatriz Hipertrófica/prevenção & controle , Período Pré-Operatório
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