Affiliation:
1. Mariinsky Hospital
2. St Petersburg State Pediatric Medical University
Abstract
The treatment of scars and impact by them their deformations, as well as the formation of pathological scars, remain one of the most difficult and insufficiently explored problems of plastic and reconstructive surgery. The most severe type of pathological scars is keloid a tumor-like growth of immature connective tissue due to uncontrolled proliferative fibroblast activity. The simple removal of keloids even within healthy tissue was often accompanied by their recurrence. Here presented clinical observation of the patient with benign fibroma of 1 finger of the right foot, who had after excision of formation, keloid scar has developed. Repeated operations with keloid excision and the use of free skin plastic have proved ineffective. Only long-term therapy with diprospan injections for 1.5 years allowed to achieve cure of the patient.
Reference7 articles.
1. Carantino I., Florescu I.P., Carantino A. Overview about the keloid scars and the elaboration of a non-invasive, unconventional treatment. J Med Life. 2010;3(2):122–127. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3019047.
2. Sharobaro V.I., Romanets O.P., Grechishnikov M.I., Baeva A.A. Optimization of treatment and prevention of scars. Khirurgiya. Zhurnal imeni N.I. Pirogova = Pirogov Russian Journal of Surgery. 2015;(9):85–90. (In Russ.) doi: 10.17116/hirurgia2015985-90.
3. Mustoe T.A., Cooter R.D., Gold M.H., Hobbs R., Ramelet A., Shakespeare P.G. et al. International recommendations on managing patients having pathologic scars. Voprosy rekonstruktivnoy i plasticheskoy khirurgii = Issues of Reconstructive and Plastic Surgery. 2013;(1):61–73. (In Russ.) Available at: http://journals.tsu.ru/plastic_surgery/&journal_page==archive&id=1151&article_id=21583.
4. Hochman B., Locali R.F., Matsuoka P.K., Ferreira L.M. Intralesional triamcinolone acetonide for keloid treatment: a systematic review. Aesth Plast Surg. 2008;32:705–709. doi: 10.1007/s00266-008-9152-8.
5. Roques C., Teot L. The use of corticosteroids to treat keloids: a review. Int J Low Extrem Wounds. 2008;7(3):137–145. doi: 10.1177/1534734608320786.