HYPERTROPHIC SCAR
scar which has not overgrown the original wound boundaries but is instead raised. Abnormal exaggerated response to trauma or burn Causing
CASE REPORT
An
11 year old female patient with the hypertrophic scar was referred from plastic surgery department. H/o :fire accident 1 month back. O/n:immature hypertrophic scars were found on mid facial region,involving naso labial,labio cheeks and naso cheeks folds.
Scar
face.
HYPERTROPHIC SCAR
TREATMENT PLAN
As
per the international recommendation on scar management silicone gel sheeting with pressure therapy was planned. A custom made auto polymerizing resin stent was fabricated to act as carrier for silicone sheeting It also provided pressure on the concave areas
ACRYLIC STENT
An
alginate impression was made. A positive plaster mold was obtained. Self cure stent was prepared finished &polished. Adhesive silicone gel sheeting was applied to the tissue side of stent. Elastics was attached to the stent.
The
patient was instructed to wear the stent continuously for at least 23 hours a day for a minimum period of 3 months,except when bathing and eating. In regular visits elastics were changed to maintain adequate pressure.
DISCUSSION
Successful
management of hypertrophic scar depends upon early and aggressive treatment. Pressure therapy has been the preferred conservative management in treating hypertrophic scars since 1970s.
PRESSURE THERAPY
Healing of scar
PURPOSE OF SILICONE
Static
electricity---friction--antiscarring effect. Gel improves hydration and occlusion. Decrease hyperemia and minimize fibroblast production of collagen and promoye wound flattening.
BEFORE TREARMENT
AFTER TREATMENT
CONCLUSION
The
first towards treatment of excessive scarring is early recognition and institution of therapy after surgery or trauma. this article shows successful treatment of hypertrophic scar.
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