Scars and Keloids

摘要: Despite the disfigurement and symptoms from these abnormal wound responses, literature offers little consensus about appropriate therapy. Few prospective blinded studies have been performed to compare therapeutic options. Multiple therapies reported. Most physicians agree with Kelly's emphasis on importance of prevention. All effort should be directed avoid or minimize any stimuli that could promote an response in predisposed individuals. Treatment must carefully selected for lesions. Hypertrophic scars may surgically corrected, but other measures such as intralesional corticosteroid injection, pressure therapy, cryotherapy, topical treatments useful. These a different clinical course than do keloids. Published recurrence rates keloid treatment are lowest combination surgery radiation. Although some keloids respond steroid tissue removed resulting treated risk recurrence.