Potassium Titanyl Phosphate 532-nm Laser for Treatment of a Chronic Nonhealing Exophytic Wound with Hypergranulation Tissue

Madden, Katherine; Paghdal, Kapila V.; Cohen, George

doi:10.1111/j.1524-4725.2011.01976.x

Cited by 6 publications

(2 citation statements)

References 4 publications

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“…Suggested treatments include a thorough evaluation and treatment of infection, minimizing external irritation, and changing dressing types, typically to a less occlusive dressing (2). Other authors have suggested using destructive techniques such as silver nitrate, laser ablation targeted at angiogenesis, and excision (6–8).…”

Section: Discussionmentioning

confidence: 99%

Treatment of Hypergranulation Tissue with High Potency Topical Corticosteroids in Children

McShane

Bellet

2012

Pediatric Dermatology

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Hypergranulation is having more granulation tissue than needed to fill a wound defect. Some pediatric dermatologists and most dermatologic surgeons will encounter this complication during their careers. Associated factors include wound site, prolonged inflammation, an imbalance in matrix metalloproteinases, and excessive angiogenesis. Reported treatments have included silver nitrate, excision, laser ablation, and topical corticosteroids. Our case series supports the use of medium- to high-potency topical corticosteroids in the treatment of hypergranulation tissue.

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Section: Discussionmentioning

confidence: 99%

Treatment of Hypergranulation Tissue with High Potency Topical Corticosteroids in Children

McShane

Bellet

2012

Pediatric Dermatology

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“… 4 , 5 However, the etiology behind the development of hypergranulation tissue is not well understood. 6 Predisposing factors that have been suggested include healing by secondary intention, 7 excessive moisture, prolonged inflammation related to infection or residue dressing fibers, 8 external friction, and the repeated use of occlusive dressings. 2 Furthermore, a prolonged stimulation of fibroplasia and angiogenesis may result in the formation of hypergranulation tissue that is problematic for wound healing.…”

Section: Introductionmentioning

confidence: 99%

Treatment of hypergranulation tissue in burn wounds with topical steroid dressings: a case series

Jaeger¹,

Harats²,

Kornhaber³

et al. 2016

IMCRJ

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Hypergranulation tissue (or also known as overgranulation) may negatively influence burn wound healing time and contribute to recurrence of contractures in burn wounds and grafts. Subsequently, the treatment of hypergranulation tissue remains controversial and problematic. In this case series, we aimed to examine the feasibility and document the use of topical hydrocortisone in the treatment of hypergranulation tissue formation resulting from burn wounds. We report five cases where hypergranulation tissue developed following deep dermal/full-thickness burns. Initial burn wound treatment included necrotic tissue debridement, wound cleansing, and Flaminal®. All five cases underwent surgical debridement and split-skin grafting. Upon identification of hypergranulation tissue, hydrocortisone acetate 0.25% was applied topically as usual care for the treatment of hypergranulation tissue. All five patients had deep dermal/full-thickness burns with a total body surface area ranging from 22% to 61% and were aged from 3–41 years. All five cases developed hypergranulation tissue during their admission after debridement and split-thickness skin grafts. All patients showed an improvement in the treated areas with a complete regression of hypergranulation tissue and closure of the burn wounds. No clinically apparent local or systemic side effects of the treatment were observed. Topical hydrocortisone can be utilized as an effective, inexpensive, and noninvasive practical option in the treatment of hypergranulation tissue resulting from burn wounds.

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Light-Based Devices for Wound Healing

et al. 2020

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Potassium Titanyl Phosphate 532-nm Laser for Treatment of a Chronic Nonhealing Exophytic Wound with Hypergranulation Tissue

Abstract: The authors have indicated no significant interest with commercial supporters.

Cited by 6 publications

References 4 publications

Treatment of Hypergranulation Tissue with High Potency Topical Corticosteroids in Children

Treatment of Hypergranulation Tissue with High Potency Topical Corticosteroids in Children

Treatment of hypergranulation tissue in burn wounds with topical steroid dressings: a case series

Light-Based Devices for Wound Healing

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