Soft Laser in Hypertrophic Scars

Patiño, Osvaldo; Bolgiani, A.; Prezzavento, Gustavo; Ramos, Gyl Henrique Albrecht; Jeřábek, Jiří; Benaim, F

doi:10.1097/00004630-200103002-00201

Cited by 18 publications

(31 citation statements)

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“…Although there is no scientific evidence, it has been shown that massage therapy not only reduces scar-related pain and itching [16], but also increases range of motion, reveals patients’ anxiety and improves their mood and mental status [17]. …”

Section: Classical Treatment and Preventive Options For Keloids Anmentioning

confidence: 99%

Up-to-date approach to manage keloids and hypertrophic scars: A useful guide

Arno

Gauglitz

Barret

et al. 2014

Burns

311

314

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Keloids and hypertrophic scars occur anywhere from 30 to 90% of patients, and are characterized by pathologically excessive dermal fibrosis and aberrant wound healing. Both entities have different clinical and histochemical characteristics, and unfortunately still represent a great challenge for clinicians due to lack of efficacious treatments. Current advances in molecular biology and genetics reveal new preventive and therapeutical options which represent a hope to manage this highly prevalent, chronic and disabling problem, with long-term beneficial outcomes and improvement of quality of life. While we wait for these translational clinical products to be marketed, however, it is imperative to know the basics of the currently existing wide array of strategies to deal with excessive scars: from the classical corticotherapy, to the most recent botulinum toxin and lasers. The main aim of this review paper is to offer a useful up-to-date guideline to prevent and treat keloids and hypertrophic scars.

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Section: Classical Treatment and Preventive Options For Keloids Anmentioning

confidence: 99%

Up-to-date approach to manage keloids and hypertrophic scars: A useful guide

Arno

Gauglitz

Barret

et al. 2014

Burns

311

314

View full text Add to dashboard Cite

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“…15,47 There are several studies that show no benefit to scar massage, although these studies looked at the effectiveness of adding only10 to 15 minutes of scar massage to the standard treatment. 48,49 Early Ambulation and Exercise After Grafting…”

Section: Heterotopic Ossificationmentioning

confidence: 99%

Select Practices in Management and Rehabilitation of Burns: A Survey Report

Holavanahalli

Helm

Parry

et al. 2011

Journal of Burn Care & Research

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The purpose of this study is to document the organization and current practices in physical rehabilitation across burn centers. An online survey developed for the specific purposes of this study sought information regarding a) logistics of the burn center; b) inpatient and outpatient treatment of patients with burn injury; and c) specific protocols in the treatment of a few complications secondary to burn injuries. Of the 159 responses received, 115 were received from the United States, 20 from Australia, 16 from Canada, and 7 from New Zealand. The overall sample included responses from 76 physical therapists (PTs) and 78 occupational therapists. Seventy-three of those surveyed considered themselves primarily a burn therapist. Nurses (86%) were reported as primarily responsible for wound care of inpatients, followed by wound care technicians (24%). Ninety-seven percent of the therapists reported following their own treatment plans. The trunk and areas of head and neck were treated by both PTs and occupational therapists, whereas the lower extremities continue to be treated predominantly by PTs. Some common practices regarding treatment of a few complications secondary to burn injuries such as splinting to prevent contractures, treatment of exposed or ruptured extensor tendons, exposed Achilles tendons, heterotopic ossification, postoperative ambulation, conditioning, scar massage, and use of compression garments are described. Opportunities exist for 1) developing a common document for practice guidelines in physical rehabilitation of burns; and 2) conducting collaborative studies to evaluate treatment interventions and outcomes.

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“…Once scars form, some patients are at risk for hypertrophi c scarring, probably secondary to the continuous tissue remodelling [23]. Attempts at massaging the hypertrophic scars for a year were not successful in reducing size, vascularity or pliability of these scars [24]. Many patients have an improved result with silicone gels such as Cica-Care 1 (Smith & Nephew, Largo, FL), applied to scars either alone or under compression garments [25].…”

Section: Scar Flattening and Pressure Garmentsmentioning

confidence: 99%