Scar Revisions

Skochdopole, Anna; Dibbs, Rami P.; Sarrami, Shayan M.; Dempsey, Robert F.

doi:10.1055/s-0041-1727291

Cited by 2 publications

(2 citation statements)

References 63 publications

(161 reference statements)

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“…However, the total scar length cannot be extended since shorter incisions are used. 8 Therefore, it is preferred more often in the facial area. The most important disadvantage of the w-plasty is that it causes a tense closure due to normal tissue excision.…”

Section: Discussionmentioning

confidence: 99%

A Novel Method for Correction of the Tethered and Contracted Facial Scars: The Three-Dimensional Subcutaneous Z-Plasty

Demir

Yaşar²,

Alagöz³

2021

Journal of Craniofacial Surgery

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Objective: Scar revision is 1 of the basic surgery in the field of plastic and reconstructive surgery. The classic treatment of the scar is excision scarless tissue, wide undermining and suture by planes. This method has had unsatisfying results on contracted and tethered scars. The aim of this study is to present the threedimensional subcutaneous z-plasty technique for correction of tethered facial scars without scar lengthening. Materials and Methods: Twenty tethered scars were corrected using this technique. All scars were located on the face. Objectively, the final result was evaluated by using the Stony Brook Scar Evaluation Scale. Subjectively, patients' overall satisfaction was assessed 1 year after the surgical operation. In addition, the information on the age, gender, etiology, scar location, scar length, type of anesthesia, and follow-up period were examined. Results: This procedure was used in nineteen patients (8 males and eleven females). The mean follow-up period was 15.3 months. There was a mean increase of 2.85 points increase in the Stony Brook Scar Evaluation Scale value. The overall success rates for the procedure, as assessed by the patients, were: very satisfied in 12 patients, satisfied in 5 patients, and slightly satisfied in 2 patients. One patient had minimal wound dehiscence. No complications including hypertrophic scar, infection, hematoma, and suture reaction were observed in any patients. Conclusions: The three-dimensional subcutaneous z-plasty technique is a procedure that uses only basic plastic surgery principles. It offers a good solution for the correction of tethered and contracted scars without recurrence. This technique combines the advantages of elliptical excision and z-plasty by enabling the augmentation of the depressed area without extending the scar length.

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Section: Discussionmentioning

confidence: 99%

A Novel Method for Correction of the Tethered and Contracted Facial Scars: The Three-Dimensional Subcutaneous Z-Plasty

Demir

Yaşar²,

Alagöz³

2021

Journal of Craniofacial Surgery

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“…The indication that emerges from the literature reveled that due to the hypersensitivity of injured tissues to mechanical stimulations, the most delicate approaches possible re to be used, avoiding treatments that are too direct and manually invasive. It is reasonable to consider any existing gentle manual approach as valid, only if the clinician in combination with a multidisciplinary staff deem a certain treatment procedure correct for the individual patient [ 62 ]. A very delicate approach that we can propose is an approach used in a previous randomized study with cardiac surgery patients: an indirect osteopathic technique, with the hand placed delicately and directly over the scar (Figure 2 ) [ 63 ].…”

Section: Reviewmentioning

confidence: 99%

Osteopathic Approach for Keloids and Hypertrophic Scars

Bordoni,

Escher,

Girgenti

et al. 2023

Cureus

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The skin is a complex organ, a system that influences and is influenced by the body system, with different skin layers always mechano-biologically active. In the presence of a lesion that damages the dermis, the skin undergoes sensory, morphological, and functional alterations. The subsequent adaptation is the formation of scar tissue, following distinct and overlapping biological phases. For reasons not yet fully elucidated, some healing processes lead to pathological scars, from which symptoms such as pain, itching, and functional limitations are derived. Currently, there is no gold standard treatment that fully meets the needs of different scars and can eliminate any symptoms that the patient suffers. One such treatment is manual medicine, which involves direct manual approaches to the site of injury. Reviewing the phases that allow the skin to be remodeled following an injury, this article reflects on the usefulness of resorting to these procedures, highlighting erroneous concepts on which the manual approach is based, compared to what the current literature highlights the cicatricial processes. Considering pathological scar adaptations, it would be better to follow a gentle manual approach.

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Scar Revisions

Cited by 2 publications

References 63 publications

A Novel Method for Correction of the Tethered and Contracted Facial Scars: The Three-Dimensional Subcutaneous Z-Plasty

A Novel Method for Correction of the Tethered and Contracted Facial Scars: The Three-Dimensional Subcutaneous Z-Plasty

Osteopathic Approach for Keloids and Hypertrophic Scars

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