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治疗疤痕:解决表面、体积和运动问题,以加速达到最佳效果。第 2 部分:更严重程度的疤痕。

Treating scars: addressing surface, volume, and movement to expedite optimal results. Part 2: more-severe grades of scarring.

机构信息

Monash University, Clayton, Vic., Australia.

出版信息

Dermatol Surg. 2012 Aug;38(8):1310-21. doi: 10.1111/j.1524-4725.2012.02439.x. Epub 2012 Jun 5.

Abstract

BACKGROUND

The management of scarring (after acne, surgery, or disease) is an ongoing challenge.

METHODS

This is the second of two reviews and will use a grading scale of disease burden to classify scarred patients. Treatment discussion will concentrate on procedures exerting effect on volume and surface changes and the effects of movement.

RESULTS

Treatment relevant to the type and severity of scarring will be discussed and tabulated treatment plans outlined.

CONCLUSION

Severe grades of scarring often require a combination of filling agents for volume deficit, injectable agents for hypertrophic disease, neurotoxins to effect movement, and fractionated and ablative resurfacing for surface changes.

摘要

背景

瘢痕(痤疮、手术或疾病后)的管理是一个持续存在的挑战。

方法

这是两篇综述中的第二篇,将使用疾病负担分级量表对瘢痕患者进行分类。治疗讨论将集中在对体积和表面变化有影响的程序以及运动的影响上。

结果

将讨论与瘢痕类型和严重程度相关的治疗,并列出治疗计划。

结论

严重程度的瘢痕通常需要结合填充剂来弥补体积不足,注射剂治疗肥大性疾病,神经毒素来影响运动,以及分阶段和消融性表面重塑。

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