RESUMO
In spite of the remarkable progress science and medicine have experienced, many facts concerning healing processes and pathological scars are still unknown or incompletely explained. This paper is part of a larger study (research for a PhD thesis) concerning new approaches in the prevention and treatment of pathological post-burn scars. We present and analyze the cases of some patients who developed abnormal scars in order to understand and point out the characteristics, that different types of pathological scars have in common and how we can differentiate them. Knowing what issue to address is the key to any successful therapy. Thus, the information we obtained will help us in applying more appropriate and efficient methods of treatment and in our further research: comparing the efficiency of newer therapies to that of older ones.
Assuntos
Queimaduras/terapia , Cicatriz/patologia , Pele/patologia , Cicatrização , Actinas/metabolismo , Adulto , Apoptose , Queimaduras/complicações , Cicatriz/terapia , Cicatriz Hipertrófica/patologia , Cicatriz Hipertrófica/terapia , Colágeno/metabolismo , Feminino , Humanos , Inflamação , Queloide/patologia , Queloide/terapia , Masculino , Complicações Pós-Operatórias , Adulto JovemRESUMO
The authors present a case of free microsurgical transfer of combined flexor carpi radialis muscle and radial fasciocutaneous forearm flap in reconstruction of facial paralysis associated with severe ipsilateral skin scar deformity after removal of a giant cavernous hemangioma 22 years previously. The flexor carpi radialis muscle was used to reanimate the paralyzed face, and its fasciocutaneous radial forearm part restored overlying hemifacial skin, with good functional and rather pleasing aesthetic results. The follow-up period was 5 years.