Scars, burns & healing最新文献_第10页

Intralesional cryotherapy for hypertrophic scars and keloids: a review. 针对增生性疤痕和瘢痕疙瘩的区域内冷冻疗法：综述。

Scars, burns & healing Pub Date : 2017-04-17 eCollection Date: 2017-01-01 DOI: 10.1177/2059513117702162

Ciaran P O'Boyle, Holleh Shayan-Arani, Maha Wagdy Hamada

{"title":"Intralesional cryotherapy for hypertrophic scars and keloids: a review.","authors":"Ciaran P O'Boyle, Holleh Shayan-Arani, Maha Wagdy Hamada","doi":"10.1177/2059513117702162","DOIUrl":"10.1177/2059513117702162","url":null,"abstract":"Introduction: Hypertrophic and keloid scarring remain notoriously troublesome for patients to tolerate and frustratingly difficult for clinicians to treat. Many different treatment modalities exist, signifying the failure of any method to achieve consistently excellent results. Intralesional cryotherapy is a relatively recent development that uses a double lumen needle, placed through the core of a keloid or hypertrophic scar, to deliver nitrogen vapour, which freezes the scar from its core, outwards.Methods: This article provides a comprehensive review of the literature on intralesional cryotherapy for hypertrophic scars and keloids. A systematic review or meta-analysis was not possible, since the existing articles did not permit this.Results: A search of English language, peer-reviewed literature was carried out. The evidence base was found to be low (level 4). In addition, much of the published evidence comes from a very few groups. Despite this, consistent findings from case series suggest that the technique is safe and achieves good scar reduction with very few treatments. Adverse effects include depigmentation, recurrence and pain. Pain and recurrence appear to be uncommon and depigmentation may be temporary.Discussion: Well-constructed, prospectively recruited comparative trials are absent from the literature. These are strongly encouraged, in order to strengthen general confidence in this technique and in the repeatability of outcomes reported thus far.","PeriodicalId":21495,"journal":{"name":"Scars, burns & healing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/00/bc/10.1177_2059513117702162.PMC5965337.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36129979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Paraffin-based ointments and fire hazard: understanding the problem, navigating the media and currently available downloadable patient information. 石蜡基软膏和火灾危险：了解问题、浏览媒体和当前可下载的患者信息。

Scars, burns & healing Pub Date : 2017-04-12 eCollection Date: 2017-01-01 DOI: 10.1177/2059513117704932

Kayvan Shokrollahi

引用次数: 0

Autologous fat grafting in keloids and hypertrophic scars: a review. 自体脂肪移植治疗瘢痕疙瘩和增生性疤痕：综述。

Scars, burns & healing Pub Date : 2017-04-06 eCollection Date: 2017-01-01 DOI: 10.1177/2059513117700157

Geoffrey Lee, David J Hunter-Smith, Warren Matthew Rozen

{"title":"Autologous fat grafting in keloids and hypertrophic scars: a review.","authors":"Geoffrey Lee, David J Hunter-Smith, Warren Matthew Rozen","doi":"10.1177/2059513117700157","DOIUrl":"10.1177/2059513117700157","url":null,"abstract":"Keloid and hypertrophic scars are unique human dermal fibroproliferative disorders of the injured skin and are associated with pain, itch and can cause functional limitations. A number of genetic, systemic and local factors have been identified in the formation of keloids and hypertrophic scars. Studies have shown that adipose-derived stem cells have angiogenic and antiapoptotic properties which has effects on wound healing, soft-tissue restoration and scar remodelling, and thus may have a role in managing keloid scaring. However, this role is not well described in the literature. A systemic review of available literature was thus undertaken, regarding the use of fat grafting in treatment of keloids and hypertrophic scarring. In total, 858 articles were identified, with ten studies ultimately fulfilling inclusion criteria. There were no studies specifically isolating the keloids and hypertrophic group of patients, and thus quantitative data were completely lacking from the literature. There were, however, individual cases described, and qualitatively encouraging clinical results were reported for the use of fat grafting on keloids and hypertrophic scars. Combined with the current theoretical and immunohistochemical understanding through other laboratory and animal studies, fat grafting may play a role in the treatment of keloids and hypertrophic scaring; however, specific evidence is currently lacking. The role for further research is clear.","PeriodicalId":21495,"journal":{"name":"Scars, burns & healing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a8/e6/10.1177_2059513117700157.PMC5965318.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36131121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A systematic review of treatments for acne scarring. Part 1: Non-energy-based techniques. 痤疮瘢痕治疗方法的系统回顾。第 1 部分：非能量疗法。

Scars, burns & healing Pub Date : 2017-03-30 eCollection Date: 2017-01-01 DOI: 10.1177/2059513117695312

Georgios Kravvas, Firas Al-Niaimi

{"title":"A systematic review of treatments for acne scarring. Part 1: Non-energy-based techniques.","authors":"Georgios Kravvas, Firas Al-Niaimi","doi":"10.1177/2059513117695312","DOIUrl":"10.1177/2059513117695312","url":null,"abstract":"Introduction: Acne is a common condition that can result in permanent scarring. Acne scars can be broken down into three categories: atrophic; hypertrophic; and keloidal. Atrophic scars can be further sub-classified into: ice pick; rolling; and boxcar.Objectives and methods: We have performed a comprehensive literature search of the last ten years in order to determine the efficacy and adverse reactions of commonly used treatments against post-acne scarring.Results: A total of 36 relevant articles were identified on the following interventions: subcision (n = 10), dermabrasion (n = 1), microneedling (n = 8), dermal fillers (n = 5), and chemical peeling (n = 12).Discussion: Improvement in the appearance of post-acne scarring following subcision is in the range of 10-100%. Microdermabrasion achieved the least significant results. A total of 27.3% patients did not achieve any benefit despite eight treatment sessions, and only 9.1% achieved good results. All patients treated with microneedling achieved some improvement in scar appearance in the range of 31-62%. Dermal fillers also led to favourable outcomes. In particular, treatment with PPMA led to improvement in 84% of patients. Utilising chemical peels, trichloroacetic acid (TCA) CROSS achieved >70% improvement in 73.3% of patients, whereas 20% glycolic acid did not lead to any improvement in 25%.Conclusion: Post-acne scarring is a common and challenging condition with no easy and definitive solution. The above interventions have been used with varying degrees of efficacy, each having both pros and cons. All have been deemed to be safe with few and transient adverse reactions. However, further trials with a larger number of patients are necessary in order to reach more concrete conclusions regarding their efficacy.","PeriodicalId":21495,"journal":{"name":"Scars, burns & healing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f6/de/10.1177_2059513117695312.PMC5965325.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36130580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Burns units: A breeding ground for all three 'critical priority' bacteria in need of new antibiotics recently identified by the World Health Organization. 烧伤科：烧伤科：世界卫生组织最近确定的需要新抗生素的三种 "关键优先 "细菌的温床。

Scars, burns & healing Pub Date : 2017-03-28 eCollection Date: 2017-01-01 DOI: 10.1177/2059513117702298

Kayvan Shokrollahi, Susie Singleton

引用次数: 0

Perspectives on face transplantation. 关于面部移植的观点。

Scars, burns & healing Pub Date : 2017-03-21 eCollection Date: 2017-01-01 DOI: 10.1177/2059513117699339

William Lineaweaver

引用次数: 0

A review of the world's published face transplant cases: ethical perspectives. 回顾全球已发表的面部移植案例：伦理视角。

Scars, burns & healing Pub Date : 2017-03-21 eCollection Date: 2017-01-01 DOI: 10.1177/2059513117694402

Evgenia Theodorakopoulou, Sheneen Meghji, Georgios Pafitanis, Katrina A Mason

引用次数: 0

The development and impact of heterotopic ossification in burns: a review of four decades of research. 烧伤中异位骨化的发展和影响：四十年研究综述。

Scars, burns & healing Pub Date : 2017-03-15 eCollection Date: 2017-01-01 DOI: 10.1177/2059513117695659

Rachel Kornhaber, Nichola Foster, Dale Edgar, Denis Visentin, Elad Ofir, Josef Haik, Moti Harats

{"title":"The development and impact of heterotopic ossification in burns: a review of four decades of research.","authors":"Rachel Kornhaber, Nichola Foster, Dale Edgar, Denis Visentin, Elad Ofir, Josef Haik, Moti Harats","doi":"10.1177/2059513117695659","DOIUrl":"10.1177/2059513117695659","url":null,"abstract":"Introduction: Heterotopic ossification (HO) is the formation of lamellar bone within connective and other tissue where bone should not form and is a rare complication after burn injury. However, it leads to severe pain and distress, marked reduction in joint range of motion (ROM), impaired function and increased hospital length of stay. The pathophysiology, incidence and risk factors of HO remain poorly understood in burns and other traumas and the management, controversial. The aim of this comprehensive review, therefore, was to synthesise the available evidence on the development and treatment of HO after acute burn injury.Methods: The review was based on a systematic search of five electronic databases PubMed, EMBASE, CINAHL, LILACS and Scopus.Results: Synthesis and analysis of the data highlighted that, despite the passage of time, little translatable evidence is available to guide any prevention, screening, diagnostic or pharmacological or physical management protocols.Discussion: Causes of HO remain confounded, therefore prevention is difficult. Although spontaneous resolution is possible, surgical resection remains the recommended treatment when ROM and activities of daily living are severely affected.Conclusion: The findings from this review indicate that multicentre data pooling is needed to understand the optimum pathway to prevention, identification and treatment of HO in acute burn patients.","PeriodicalId":21495,"journal":{"name":"Scars, burns & healing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e8/c7/10.1177_2059513117695659.PMC5965316.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36131127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lasers and ancillary treatments for scar management Part 2: Keloid, hypertrophic, pigmented and acne scars. 激光和辅助治疗疤痕第 2 部分：瘢痕疙瘩、增生性疤痕、色素性疤痕和痤疮疤痕。

Scars, burns & healing Pub Date : 2017-03-14 eCollection Date: 2017-01-01 DOI: 10.1177/2059513116689805

Rory Boyd McGoldrick, Evgenia Theodorakopoulou, Ernest Anthony Azzopardi, Maxwell Murison

引用次数: 0

Increased burn healing time is associated with higher Vancouver Scar Scale score. 烧伤愈合时间的延长与温哥华疤痕量表评分的提高有关。

Scars, burns & healing Pub Date : 2017-03-14 eCollection Date: 2017-01-01 DOI: 10.1177/2059513117696324

Vidya Finlay, Sally Burrows, Maddison Burmaz, Hussna Yawary, Johanna Lee, Dale W Edgar, Fiona M Wood

{"title":"Increased burn healing time is associated with higher Vancouver Scar Scale score.","authors":"Vidya Finlay, Sally Burrows, Maddison Burmaz, Hussna Yawary, Johanna Lee, Dale W Edgar, Fiona M Wood","doi":"10.1177/2059513117696324","DOIUrl":"10.1177/2059513117696324","url":null,"abstract":"Increased burn wound healing time has been shown to influence abnormal scarring. This study hypothesised that scar severity increases commensurate to the increase in time to healing (TTH) of the wound. Wound healing and scar data from burn patients treated by the Burn Service of Western Australia at Royal Perth Hospital were examined. The relationship between TTH and scar severity, as assessed by the modified Vancouver Scar Scale (mVSS), was modelled using regression analysis. Interaction terms evaluated the effect of surgery and total body surface area - burn (TBSA) on the main relationship. Maximum likelihood estimation was used to account for potential bias from missing independent variable data. The sample had a median age of 34 years, TTH of 24 days, TBSA of 3% and length of stay of five days, 70% were men and 71% had burn surgery. For each additional day of TTH, the mVSS score increased by 0.11 points (P ≤ 0.001) per day in the first 21 days and 0.02 points per day thereafter (P = 0.004). The relationship remained stable in spite of TBSA or surgical intervention. Investigation of the effect of missing data revealed the primary model underestimated the strength of the association. An increase in TTH within 21 days of injury is associated with an increase in mVSS or reduced scar quality. The results confirm that efforts should be directed toward healing burn wounds as early as possible.","PeriodicalId":21495,"journal":{"name":"Scars, burns & healing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f9/2f/10.1177_2059513117696324.PMC5965328.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36131227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0