Potter Kathryn, Konda Sailesh, Ren Vicky Zhen, Wang Apphia Lihan, Srinivasan Aditya, Chilukuri Suneel
Department of Dermatology, University of Florida College of Medicine, Gainesville, FL.
Department of Dermatology, Loma Linda University Medical Center, Loma Linda, CA.
Skinmed. 2018 Apr 1;16(2):113-117. eCollection 2018.
Surgical management of benign or malignant cutaneous tumors may result in noticeable scars that are of great concern to patients, regardless of sex, age, or ethnicity. Techniques to optimize surgical scars are discussed in this three-part review. Part 3 focuses on scar revision for erythema, hyperpigmentation, and hypopigmentation. Scar revision options for erythematous scars include moist exposed burn ointment (MEBO), onion extract, silicone, methyl aminolevulinate-photodynamic therapy (MAL-PDT), pulsed dye laser, intense pulsed light (IPL), and nonablative fractional lasers. Hyperpigmented scars may be treated with tyrosinase inhibitors, IPL, and nonablative fractional lasers. Hypopigmented scars may be treated with needle dermabrasion, medical tattoos, autologous cell transplantation, prostaglandin analogues, retinoids, calcineurin inhibitors, excimer laser, and nonablative fractional lasers.
良性或恶性皮肤肿瘤的手术治疗可能会导致明显的疤痕，这是患者非常关心的问题，无论性别、年龄或种族如何。本系列三篇综述文章讨论了优化手术疤痕的技术。第3部分重点介绍了针对红斑、色素沉着过度和色素沉着不足的疤痕修复。红斑性疤痕的修复选择包括湿润暴露烧伤膏（MEBO）、洋葱提取物、硅酮、甲基氨基乙酰丙酸光动力疗法（MAL-PDT）、脉冲染料激光、强脉冲光（IPL）和非剥脱性分次激光。色素沉着过度的疤痕可用酪氨酸酶抑制剂、IPL和非剥脱性分次激光治疗。色素沉着不足的疤痕可用针刺磨皮、医学纹身、自体细胞移植、前列腺素类似物、维甲酸、钙调神经磷酸酶抑制剂、准分子激光和非剥脱性分次激光治疗。
