How to check scar constitution

summary

Comprehensive measures should be taken to control scar hyperplasia and prevent contracture. So far, there is no effective method to prevent scar hyperplasia after burn, and comprehensive treatment is still the main method to prevent scar. As a more complex disease, how to check the scar constitution?

How to check scar constitution

Symptom 1: superficial scar, more common in abrasions. For the formation of skin damage and infection, this scar appearance is slightly rough, sometimes pigmentation or depigmentation, but local soft, no dysfunction, generally do not do special treatment. Clinically, it is common in skin abrasions, superficial skin infections and superficial II degree burns.

Symptom 2: atrophic scar, more flat appearance. The scar surface is smooth and bright, the hypopigmentation is white, and a few pigmentation areas are dark brown. In general, it does not cause dysfunction, and the face can be treated by fractional resection or scar resection, local flap transfer to improve the appearance. It is difficult to predict whether the skin graft can achieve the expected purpose of surgery because of the long-term skin color changes after the skin graft survival, so it should be used with caution.

Symptom 3: sunken scar, scar surface is obviously lower than surrounding normal skin. Most of them are caused by wound healing of skin, subcutaneous tissue or deep tissue defect. It can also be caused by extensive tissue defects caused by severe suppurative infection of skin and soft tissue.

matters needing attention

This disease needs to be noted: most cases are single, a few cases are multiple. Keloid develops rapidly in a few weeks or months after injury, and can grow continuously or be in a stable state for a long time. There may be inflammatory necrosis due to residual hair follicle glands, or liquefying necrosis due to central blood supply. Keloid generally does not have contracture, except for a few joint lesions caused by mild limited activity, generally does not cause dysfunction. Keloid usually can't degenerate by itself. Occasionally, it is reported that the lesions degenerate after menopause, which has nothing to do with the course, location, etiology or symptoms. Malignant transformation of keloid has been reported, but the incidence is very low.