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Scar Contractures


Presentation

  • Abstract We present a retrospective study of 134 axillae treated in 124 cases of axillary scar contractures with the use of skin grafts and various flaps over the last 25 years in our department.[ncbi.nlm.nih.gov]
Mucosal Edema
  • Pregnancy, in itself, leads to numerous anatomic and physiological changes including capillary engorgement and mucosal edema of the oropharynx, larynx and trachea leading to a more difficult airway.[oatext.com]
Drooling
  • Report Physical Examination: 1) lower eyelid ectropion, epiphora, and compulsive bow posture; 2) eversion of the lower lip caused by mandible-chest adhesion; 3) contracture of perioral scars, leading to the impossibility of mouth opening, closing, and drooling[file.scirp.org]
Microstomia
  • Ectropion of the eyelids, especially the upper eyelid with constant danger of keratoconjunctivitis, corneal ulceration, scarring or perforation with loss of vision Incapacitating contracture of the neck with inability to look forwards Severe microstomia[drnjithendran.com]
Photosensitivity
  • .: uncontrolled thyroid disease or Polycystic Ovary Syndrome), as per the Investigator's discretion Abnormal photosensitivity due to metabolic disorder or due to use of external agents, (drugs, herbs, etc.) within 2 weeks of initial treatment or during[clinicaltrials.gov]
Excitement
  • Furthermore, the concept of laser-assisted delivery of medications through ablative microchannels raises exciting possibilities for the delivery of a wide variety of substances below the epidermal barrier to the area of interest. 17 Without laser pretreatment[pediatrics.aappublications.org]
  • Pulsed-dye, Nd:YAG, carbon dioxide, and fractional lasers have varied indications but are exciting in their promise for scar management. [29] When performed correctly, the damage caused by the laser is limited to the underlying dermis, thereby lowering[emedicine.medscape.com]

Treatment

  • Abstract The treatment of burn scar contractures is a major emphasis in the rehabilitation of patients with burn injuries. Many treatment techniques have been used successfully but without a critical investigation of the best practice of care.[ncbi.nlm.nih.gov]

Etiology

  • Treatment begins by educating the patient about the etiology of the scarring process.[ncbi.nlm.nih.gov]
  • All releases were performed electively with the most common etiologies of burn injury were flame 25 or scald 10 (Table 1).[medbc.com]
  • […] from scars and have demonstrated the need to promptly and adequately treat burn wounds to prevent contractures from forming. 8-9 Chest contractures have also arisen iatrogenically from breast augmentation and reconstruction. 10-11 Regardless of the etiology[pulmonarychronicles.com]
  • Common etiologies of widened or dehisced scars include wounds closed under tension, repairs not formed parallel to relaxed skin tension lines (RSTLs), or wounds located on the trunk or extremities Proper screening of patients prior to surgery, proper[emedicine.medscape.com]

Epidemiology

  • Gangemi EN, Gregori D, Berchialla P, Zingarelli E, Cairo M, et al. (2008) Epidemiology and risk factors for pathologic scarring after burn wounds.[oatext.com]
  • EPIDEMIOLOGY The exact incidence of keloids and HTSs remains unknown.[drsherris.com]
Sex distribution
Age distribution

Pathophysiology

  • Descriptors : *BURNS(INJURIES) , *REHABILITATION , ACUITY , CLINICAL MEDICINE , DATA ACQUISITION , DEMOGRAPHY , MEDICAL PERSONNEL , MEDICAL SERVICES , MOTOR FUNCTION IMPAIRMENT , PATHOLOGY , PATHOPHYSIOLOGY , PATIENTS , PHYSIOLOGICAL EFFECTS , REGENERATION[dtic.mil]

Prevention

  • Can you prevent contractures? While it is not possible to prevent contractures in all cases, some things have been effective in minimizing their impact.[burnvictimsresource.org]
  • Can burn contractures and scarring be prevented? Yes.[drnjithendran.com]
  • Postoperative immobilization by the use of either a dynamic or an adynamic splint was found to be important both for preventing graft loss and for decreasing the rate of contracture recurrence.[ncbi.nlm.nih.gov]

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