Document Detail


Principles to minimize scars.
MedLine Citation:
PMID:  23027213     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Principles to minimize scars include attention to a multitude of intrinsic and extrinsic patient factors preoperatively, operatively, and postoperatively. Preoperatively the goal is to maximize the treatment of patient specific comorbidities and limit the usage of medications that can have negative effects on healing. Operatively, the focus is on proper incisional planning, meticulous surgical technique and hemostasis, judicious use of prophylactic antibiotics, and focus on tensionless closures. Postoperatively, we must maximize the healing environment by keeping the wound well hydrated and closely monitoring and intervening early in high-risk wounds. We also have the responsibility to provide evidence-based recommendations, to the best of our ability, regarding the myriad of over-the-counter products. The field of scar prevention is ever changing and the new frontier focuses on controlling the microenvironment of wounds and altering signaling molecules to promote near scarless healing.
Authors:
Eric Alan Gantwerker; David B Hom
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Publication Detail:
Type:  Journal Article     Date:  2012-10-01
Journal Detail:
Title:  Facial plastic surgery : FPS     Volume:  28     ISSN:  1098-8793     ISO Abbreviation:  Facial Plast Surg     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8405303     Medline TA:  Facial Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  473-86     Citation Subset:  D    
Copyright Information:
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
Affiliation:
Division of Head and Neck Surgery, Department of Otolaryngology, University of Cincinnati, Cincinnati, Ohio.
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