Hypertrophic scar is common after burns, car accidents or severe trauma, and its treatment has been a major problem for burn plastic surgeons. Children are more prone to scar proliferation and contracture due to their developmental characteristics, thin skin, mobility, and poor compliance with treatment, etc. The accompanying cosmetic defects and limb dysfunction caused by contracture deformity often bring a series of psychosocial problems to the affected children. In recent years, the combination of fractional laser and glucocorticoid treatment for hyperplastic scarring has received much clinical attention. The purpose of this review is to summarize the progress of research on fractional laser combined with glucocorticoid treatment for hypertrophic scar in children in the past 5 years, to evaluate the effectiveness and safety of this treatment method, and to explore the rational application of this therapy, in order to provide more scientific guidance and suggestions for the treatment of hypertrophic scar in children.

Hypertrophic scar is common after burns, car accidents or severe trauma, and its treatment has been a major problem for burn plastic surgeons. Children are more prone to scar proliferation and contracture due to their developmental characteristics, thin skin, mobility, and poor compliance with treatment, etc. The accompanying cosmetic defects and limb dysfunction caused by contracture deformity often bring a series of psychosocial problems to the affected children. In recent years, the combination of fractional laser and glucocorticoid treatment for hyperplastic scarring has received much clinical attention. The purpose of this review is to summarize the progress of research on fractional laser combined with glucocorticoid treatment for hypertrophic scar in children in the past 5 years, to evaluate the effectiveness and safety of this treatment method, and to explore the rational application of this therapy, in order to provide more scientific guidance and suggestions for the treatment of hypertrophic scar in children.