Surgical and Noninvasive Modalities for Scar Revision

Ward, Rachel Elizabeth; Sklar, Lindsay R; Eisen, Daniel B.

doi:10.1016/j.det.2019.03.007

Cited by 20 publications

(30 citation statements)

References 43 publications

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“…The child were encouraged to use the reconstructed thumb by playing with small objects, such as toy bricks. Anti-scar measures, such as massage and silicone gel, were also recommended from 2 weeks after surgery (Ward et al., 2019).…”

Section: Methodsmentioning

confidence: 99%

A volar approach to on-top plasty for correction of radial polydactyly: a case series of 21 patients

Fang

Chan

Zhou

et al. 2021

J Hand Surg Eur Vol

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Correction of unequal radial polydactyly in which neither thumb duplicates possess both well-developed proximal and distal components, remains challenging. Current techniques using on-top plasty techniques require circumferential incisions, often resulting in postoperative swelling and dorsal scars. We described our experience using a volar approach to achieve better aesthetic and functional results. Twenty-one patients underwent this surgery between 2008 and 2018, with a mean follow-up of 5.1 years. The mean flexion–extension arc for the metacarpophalangeal joint was 75° and that of the interphalangeal joint was 43°. Mean percentage of key, tripod and tip pinch strength were 77%, 79% and 77%, respectively, when compared with the contralateral side. The Vancouver Scar Scale showed an average score of 1.2. We conclude from our study that the volar approach to on-top plasty is a good technique for the correction of unequal radial polydactyly, with good functional and aesthetic results. Level of evidence: IV

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Section: Methodsmentioning

confidence: 99%

A volar approach to on-top plasty for correction of radial polydactyly: a case series of 21 patients

Fang

Chan

Zhou

et al. 2021

J Hand Surg Eur Vol

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“…33 While there is limited evidence validating the anecdotal efficacy of scar massage and compression garments, silicone gel sheets have demonstrated significant efficacy as a prophylactic and therapeutic agent. 31,[33][34][35] Laser therapy, both ablative and nonablative, may also be used to treat postoperative scarring. 31,35,36 Nonablative laser therapies, such as pulsed dye lasers, function by disrupting the vascular blood supply to the scar tissue to decrease its size, while ablative therapies, such as CO 2 lasers, induce rearrangement of collagen in the scar by inducing dermal injury through the direct transfer of energy.…”

Section: Postoperative Scarringmentioning

confidence: 99%

“…31,[33][34][35] Laser therapy, both ablative and nonablative, may also be used to treat postoperative scarring. 31,35,36 Nonablative laser therapies, such as pulsed dye lasers, function by disrupting the vascular blood supply to the scar tissue to decrease its size, while ablative therapies, such as CO 2 lasers, induce rearrangement of collagen in the scar by inducing dermal injury through the direct transfer of energy. 37 While optimal laser selection for different types of scars is still being investigated, both pulsed dye and CO 2 lasers have been shown to be effective for treatment of hypertrophic scars.…”

Section: Postoperative Scarringmentioning

confidence: 99%

Avoidance and Correction of Deformities in Body Contouring

et al. 2021

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Body contouring procedures are highly impactful because of their potential to improve a patient's quality of life. These procedures, particularly when performed on patients following massive weight loss, may require secondary intervention to treat residual contour abnormalities. Presently, there is a paucity of information in the literature detailing the avoidance and correction of body contouring deformities. Herein, we will discuss the management of patients seeking revisional body contouring procedures.

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“…1,8,9 Silicone is hypothesized to improve scar color via occlusion and hydration of the stratum corneum, and has been validated across several studies. 1,[10][11][12] Laser therapy may be considered for erythematous scars unresponsive to conventional topical therapy. Pulsed dye laser (PDL) and intense pulsed light (IPL) laser are best suited for treatment of such scars.…”

Section: Nonsurgical Scar Revision Dyspigmented Scarsmentioning

confidence: 99%

Scar Revisions

et al. 2021

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Scars pose a complex challenge to the reconstructive surgeon in the variability of their presentation and their effect on cosmesis and function. Numerous surgical and nonsurgical options exist for scar management, each with their respective advantages and disadvantages. Each treatment modality should be tailored to the patient to ensure enhanced outcomes. In this review, we discuss different scar presentations, scar management options, and the benefits and risks with undergoing these various treatment modalities.

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Surgical and Noninvasive Modalities for Scar Revision

Cited by 20 publications

References 43 publications

A volar approach to on-top plasty for correction of radial polydactyly: a case series of 21 patients

A volar approach to on-top plasty for correction of radial polydactyly: a case series of 21 patients

Avoidance and Correction of Deformities in Body Contouring

Scar Revisions

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