Kwon Sun Hyung, Barrera Janos A, Noishiki Chikage, Chen Kellen, Henn Dominic, Sheckter Clifford C, Gurtner Geoffrey C
Department of Surgery, Stanford University School of Medicine, Stanford, CA, United States.
Front Physiol. 2020 Jul 29;11:916. doi: 10.3389/fphys.2020.00916. eCollection 2020.
Burn injury in the craniofacial region causes significant health and psychosocial consequences and presents unique reconstructive challenges. Healing of severely burned skin and underlying soft tissue is a dynamic process involving many pathophysiological factors, often leading to devastating outcomes such as the formation of hypertrophic scars and debilitating contractures. There are limited treatment options currently used for post-burn scar mitigation but recent advances in our knowledge of the cellular and molecular wound and scar pathophysiology have allowed for development of new treatment concepts. Clinical effectiveness of these experimental therapies is currently being evaluated. In this review, we discuss current topical therapies for craniofacial burn injuries and emerging new therapeutic concepts that are highly translational.
颅面部烧伤会导致严重的健康和心理社会后果,并带来独特的重建挑战。严重烧伤皮肤及深层软组织的愈合是一个涉及多种病理生理因素的动态过程,常常导致如增生性瘢痕形成和致残性挛缩等灾难性后果。目前用于减轻烧伤后瘢痕的治疗选择有限,但我们对细胞和分子层面伤口及瘢痕病理生理学认识的最新进展为新治疗理念的发展提供了可能。这些实验性疗法的临床效果目前正在评估中。在本综述中,我们讨论了当前针对颅面部烧伤损伤的局部治疗方法以及具有高度转化性的新兴治疗理念。