Clinical Analysis of Postburn Hypertrophic Scar/Keloid.
- Author:
Sang Hun LEE
1
;
Ho Gyun LEE
;
Jong Min KIM
Author Information
1. Department of Dermatology, College of Medicine, Hallym University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Burn;
Hypertrophic scar/Keloid
- MeSH:
Burns;
Cicatrix;
Humans;
Incidence;
Physical Examination;
Skin;
Transplants;
Wounds and Injuries
- From:Korean Journal of Dermatology
1997;35(4):638-644
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Cosmetic and functional sequelae of thermal injuries are receiving increased attention as more patients survive severe burns and develop wound problems. A major problem in patients surviving thermal injury is the development of hypertrophic burn scars. OBJECTIVE: The current study was performed to determine the factors associated with an in creased risk of the development of postburn hypertrophic scar/keloid and therapeutic indications. METHODS: The study population consisted of 103 cases with postburn wounds. The patient age, sex, previous hypertrophic scar/keloid history, family history, skin phototype, location, extent, depth, healing time of the burn wounds were recorded by records reviews interviews, and physical examinations and the relationship to the development of hypertrophic scar/keloid was analyzed. RESULTS: 374(65%) of the 577 burn sites developed hypertrophic scar/keloid, which was unrelated to age, sex, and shin phototype, but was related to burn depth involvement as well as to the healing time of the burn wounds. Grafted wounds had lower incidences of postburn hypertrophic scar/keloid than non-grafted burn wounds. CONCLUSION: The prophylactic therapy to hypertrophic burn scars is recommended in patients with deep burn wounds and/or with long healing time.
