"Scar" refers to the damage to human skin and soft tissue caused by physical, biological, chemical and other factors, which causes serious damage to skin and soft tissue and cannot be completely repaired normally. The local symptoms left by fiber tissue replacement repair affect the appearance and function. "Scar" has brought huge physical and mental obstacles to patients, especially the scars left after burns, scalds and severe trauma. The years of scar hyperplasia almost made the patient miserable. Wuhan Tongji Plastic Surgery Hospital has three methods to treat scars:
Three characteristics of scar treatment in Wuhan Tongji Plastic Hospital:
Category (I):
1. Compression therapy: The scar is close to the cosmetic adhesive tape, and the scar is gradually smoothed by forced fixed point massage. This method must last for more than 6 months to get results.
2. Silicone sheet pressing method: apply silicone film on scars for 8 hours every day in the early stage. After the skin slowly adapts, it can increase to 12 hours, which takes 6 months. As for the mechanism of action of silicon film, Quinn thinks it is the chemical action of continuous release of silicon oil, while Swada and Son think it is the physiological action of hydration and occlusion of scar inhibiting fruit. PS. The above 1.2 is applicable to scars that have formed for no more than half a year
3. Scar injection steroid: use * * steroid preparation to directly inject into the scar to inhibit the excessive collagen in the scar and achieve the effect of inhibiting the scar.
4. Irradiation: In the past, excessive proliferation of scar tissue was controlled by killing, inhibiting or transforming fibroblasts through radiation. At present, this method paper is retained in the treatment of steroid patients with large areas of crab foot swelling.
Class II: laser
According to the principle of laser scar removal, it can be divided into two types:
The dermabrasion laser can be divided into carbon dioxide laser and (Er YAG) laser, which can make the scar bulge smooth, and the surface depression uses the principle of surface depression scar.
Depigmented laser: it is divided into Dye laser and photoderm. Laser is applied to the blood vessels and heme of scars to fade the color of scars and gradually shrink. This kind of laser is especially suitable for people whose scar formation is not more than half a year and whose color is darker.
Class III: Operation
Scar is controlled by surgery and applied to the stable state of the scar (usually the scar is formed for more than half a year), with a wide or unsightly appearance. The surgical methods include scar resection and resurfacing, Z-shaped or W-shaped scar repair, skin abrasion, etc. If the scar is too large, it can be considered to resect the scar by stages or place a tissue expander for a period of time before resecting the scar.
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