International clinical recommendations on scar management

被引:944
作者
Mustoe, TA
Cooter, RD
Gold, MH
Hobbs, R
Ramelet, AA
Shakespeare, PG
Stella, M
Téot, L
Wood, FM
Ziegler, UE
机构
[1] Northwestern Univ, Sch Med, Div Plast & Reconstruct Surg, Chicago, IL 60611 USA
[2] Royal Adelaide Hosp, Adelaide, SA 5000, Australia
[3] Univ Birmingham, Laing Burn Res Labs, Birmingham B15 2TT, W Midlands, England
[4] Salisbury Dist Hosp, Burns Ctr, Salisbury, Wilts, England
[5] Univ Hosp Lapeyronie, CTO, Burns Unit, Lausanne, Switzerland
[6] Univ Wurzburg, Chirurg Klin, D-97070 Wurzburg, Germany
[7] Royal Perth Hosp, Burns Unit, Perth, WA, Australia
关键词
D O I
10.1097/00006534-200208000-00031
中图分类号
R61 [外科手术学];
学科分类号
摘要
Many techniques for management of hypertrophic scars and keloids have been proven through extensive use, but few have c been supported by prospective studies with adequate control groups. Several new therapies showed good results in small-scale trials, but these have not, been repeated in larger trials with long-term follow-up. This article reports a qualitative overview of the available clinical literature by an international panel of experts using standard methods of appraisal. The article provides evidence-based recommendations on prevention and treatment of abnormal scarring and, where studies are insufficient, consensus on best practice. The recommendations focus on the management of hypertrophic scars and keloids, and are internationally applicable in a range of clinical situations. These recommendations support a move to a more evidence-based approach in scar management. This approach highlights a primary role for silicone gel sheeting and intralesional corticosteroids in the management of a wide variety of abnormal scars. The authors concluded that these are the only treatments for which sufficient evidence exists to make evidence-based recommendations. A number of other therapies that are in common use have achieved acceptance by the authors as standard practice. However, it is highly desirable that many standard practices and new emerging therapies undergo large-scale studies with long-term follow-up before being recommended conclusively as alternative therapies for scar management.
引用
收藏
页码:560 / 571
页数:12
相关论文
共 128 条
[1]
CONTROL OF CONNECTIVE-TISSUE METABOLISM BY LASERS - RECENT DEVELOPMENTS AND FUTURE-PROSPECTS [J].
ABERGEL, RP ;
MEEKER, CA ;
LAM, TS ;
DWYER, RM ;
LESAVOY, MA ;
UITTO, J .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 1984, 11 (06) :1142-1150
[2]
Silicone gel sheet dressings for prevention of post-minigraft cobblestoning in vitiligo [J].
Agarwal, US ;
Jain, D ;
Gulati, R ;
Bhargava, P ;
Mathur, NK .
DERMATOLOGIC SURGERY, 1999, 25 (02) :102-104
[3]
An inexpensive self fabricated pressure clip for the ear lobe [J].
Agrawal, K ;
Panda, KN ;
Arumugam, A .
BRITISH JOURNAL OF PLASTIC SURGERY, 1998, 51 (02) :122-123
[4]
AHN ST, 1991, ARCH SURG-CHICAGO, V126, P499
[5]
AHN ST, 1989, SURGERY, V106, P781
[6]
ALTERATION OF ARGON LASER-INDUCED SCARS BY THE PULSED DYE-LASER [J].
ALSTER, TS ;
KURBAN, AK ;
GROVE, GL ;
GROVE, MJ ;
TAN, OT .
LASERS IN SURGERY AND MEDICINE, 1993, 13 (03) :368-373
[8]
TREATMENT OF KELOID STERNOTOMY SCARS WITH 585 NM FLASHLAMP-PUMPED PULSED-DYE LASER [J].
ALSTER, TS ;
WILLIAMS, CM .
LANCET, 1995, 345 (8959) :1198-1200
[9]
Treatment of scars: A review [J].
Alster, TS ;
West, TB .
ANNALS OF PLASTIC SURGERY, 1997, 39 (04) :418-432
[10]
FAILURE OF CARBON-DIOXIDE LASER EXCISION OF KELOIDS [J].
APFELBERG, DB ;
MASER, MR ;
WHITE, DN ;
LASH, H .
LASERS IN SURGERY AND MEDICINE, 1989, 9 (04) :382-388