Skin burns are common in daily life. This is a serious skin injury. After the burned skin heals, it often leaves ugly scars. At this time, the scar tissue is an unhealthy tissue. In order to effectively remove burn scars, regular treatment should be carried out in time. There are many treatment methods, the most common ones are surgical therapy, skin grinding, etc. 1. Pressure therapy: Suitable for patients with large scar area who are not suitable for radiotherapy and local drug treatment. The daily downtime should not exceed 30 minutes. This method is not effective for active keloids, but it can reduce the dose of postoperative radiotherapy and injection. 2. Chemotherapy: Use long-acting steroid preparations and inject them directly into the scar to inhibit the excess collagen in the scar and achieve the effect of scar degeneration. The main side effects include skin atrophy, depigmentation, capillary dilation, necrosis, ulcers and Cushing's syndrome, most of which are reversible. Other chemical drugs such as cytotoxins, immunosuppressants and other drug treatments have been reported, but serious systemic side effects limit their application. 3. Radiotherapy: Early use of electron beam or X-ray irradiation (within 24 hours) after keloid removal can reduce the postoperative recurrence of keloid and improve the cure rate. 4. Laser treatment: Suitable for flat scars without obvious functional impairment, and scattered, uneven, depressed scars of varying sizes left after healing of smallpox, chickenpox, and acne. 5. Surgical treatment 1) Scar excision and suture: It is a commonly used surgical method for treating scars and can be used for scars of smaller area. 2) Dermabrasion: It is a surgical method to grind the epidermis and dermis to improve the irregularities on the skin surface, making it smooth and flat and similar in color. It is suitable for superficial scars left over from acne, smallpox, chickenpox, shingles, eczema, trauma, burns or surgery. If necessary, it can be performed simultaneously with scar surgical excision, and the effect is better than simple grinding. 3) Scar release and local reshaping: For smaller, tense, linear or webbed scars, the scar can be removed and then a skin flap can be formed with the surrounding normal skin tissue to repair the skin defect at the scar site through cross-replacement. Burn scars are a normal and inevitable physiological reaction during the natural healing process of the wound or wound surface when the human body is subjected to external injuries, even very minor injuries (such as mosquito bites) in the absence of purulent infection. They are also the inevitable result of the wound healing process. The essence of a burn scar is that it lacks normal skin tissue structure and physiological function. |
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