Successful resurfacing of scars from previous deliberate self-harm using Integra dermal matrix substitute

Ismail, Amir; Jarvi, Kristiina; Canal, Alessandra

doi:10.1016/j.bjps.2007.01.066

Cited by 10 publications

(6 citation statements)

References 8 publications

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“…244,245 Groos et al 246 reported less than 50% of the initial graft surface remaining in 7 of 22 cases, 51% to 75% in 5 of 22 cases, and more than 76% in 8 of 22 cases. Complications included infection and graft failure in 5 cases.…”

Section: Artificial Skin Graftmentioning

confidence: 96%

Prevention and Management of Hypertrophic Scars and Keloids After Burns in Children

Berman

Viera

Amini

et al. 2008

Journal of Craniofacial Surgery

128

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Hypertrophic scars and keloids are challenging to manage, particularly as sequelae of burns in children in whom the psychologic burden and skin characteristics differ substantially from adults. Prevention of hypertrophic scars and keloids after burns is currently the best strategy in their management to avoid permanent functional and aesthetical alterations. Several actions can be taken to prevent their occurrence, including parental and children education regarding handling sources of fire and flammable materials, among others. Combination of therapies is the mainstay of current burn scar management, including surgical reconstruction, pressure therapy, silicon gels and sheets, and temporary garments. Other adjuvant therapies such as topical imiquimod, tacrolimus, and retinoids, as well as intralesional corticosteroids, 5-fluorouracil, interferons, and bleomycin, have been used with relative success. Cryosurgery and lasers have also been reported as alternatives. Newer treatments aimed at molecular targets such as cytokines, growth factors, and gene therapy, currently in developing stages, are considered the future of the treatment of postburn hypertrophic scars and keloids in children.

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Section: Artificial Skin Graftmentioning

confidence: 96%

Prevention and Management of Hypertrophic Scars and Keloids After Burns in Children

Berman

Viera

Amini

et al. 2008

Journal of Craniofacial Surgery

128

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“…This observation is of relevance to the high predominance of women, in comparison to men, seeking help from dermatologists and plastic surgeons to perform aesthetic procedures. Also patients with acne excoriée, neurotic excoriations and other self-injurious behaviour of the skin are increasingly seeking medical help during adolescence (30,(34)(35)(36)(37)(38)(39).…”

Section: Discussionmentioning

confidence: 99%

Cutaneous Deliberate Self-harm in Polish School Teenagers – An Interdisciplinary Challenge

Gmitrowicz¹,

Kostulski²,

Kropiwnicki³

et al. 2014

Acta Derm Venerol

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Self-harm of the skin is a complex problem encountered mainly in adolescents and young adults. The aim of the study was to assess the prevalence of deliberate cutaneous self-harm without suicidal intent among secondary school teenagers of the Lodz region. A self-administered specially designed anonymous questionnaire was delivered to 1,448 secondary school teenagers, aged 12-19 years. The lifetime prevalence of self-reported deliberate self-harm was 19.5%, out of which 14.4% confirmed isolated cutaneous self-injury (self-cutting in the vast majority of cases), 1.7% ingested a substance or drug in excessive amounts and 3.5% declared both behaviours. Our results indicate that skin is the organ most commonly involved in deliberate self-harm. Dermatologists, especially those focussed on dermatosurgery and aesthetic dermatology, should understand the special issues relating to such patients before taking decisions concerning performing any procedures on these individuals, since deliberate self-harm has been recognised as one of the main risk factors of suicide.

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“…The only literature series of 2 cases of DSH scars resurfaced with Integra reported improved self-confidence in the patient cohort. 3 , 4…”

Section: Discussionmentioning

confidence: 99%

Isotopic Split-skin Graft for Resurfacing of Deliberate Self-harm Scars

Goutos

Ogawa

2018

Plastic and Reconstructive Surgery - Global Open

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Summary:We present a novel surgical approach for the revision of deliberate self-harm scars. The isotopic skin graft technique employs the harvest of a thin split-skin graft from the affected area, excision and closure of wide dermal scars with replacement of the graft back onto the harvest site. We present the sequential steps of the surgical technique and a case series of 2 patients treated with our novel approach.

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Successful resurfacing of scars from previous deliberate self-harm using Integra dermal matrix substitute

Cited by 10 publications

References 8 publications

Prevention and Management of Hypertrophic Scars and Keloids After Burns in Children

Prevention and Management of Hypertrophic Scars and Keloids After Burns in Children

Cutaneous Deliberate Self-harm in Polish School Teenagers – An Interdisciplinary Challenge

Isotopic Split-skin Graft for Resurfacing of Deliberate Self-harm Scars

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Successful resurfacing of scars from previous deliberate self-harm using Integra dermal matrix substitute

Cited by 10 publications

References 8 publications

Prevention and Management of Hypertrophic Scars and Keloids After Burns in Children

Prevention and Management of Hypertrophic Scars and Keloids After Burns in Children

Cutaneous Deliberate Self-harm in Polish School Teenagers – An Inter­disciplinary Challenge

Isotopic Split-skin Graft for Resurfacing of Deliberate Self-harm Scars

Contact Info

Product

Resources

About

Cutaneous Deliberate Self-harm in Polish School Teenagers – An Interdisciplinary Challenge