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巨大头颈部瘢痕疙瘩的多学科治疗:一例报告。

Multidisciplinary treatment of a massive head and neck keloid scar: A case report.

作者信息

Longowal Maninder S, Humphreys Rn Barbara, Remington Todd K

机构信息

Division of Dermatology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.

Remington Laser Dermatology Centre, Calgary, AB, Canada.

出版信息

SAGE Open Med Case Rep. 2020 Aug 10;8:2050313X20936033. doi: 10.1177/2050313X20936033. eCollection 2020.

DOI:10.1177/2050313X20936033
PMID:32850126
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7425316/
Abstract

Keloid scars can lead to significant patient morbidity and disfigurement, especially when located on the head and neck. Massive keloid scars are particularly difficult to manage due to ulceration, infection, pain, and high recurrence rates following excision. We report the successful treatment of a massive head and neck keloid scar with excision and grafting, post-excisional radiotherapy, and ablative fractional laser-assisted topical corticosteroid delivery.

摘要

瘢痕疙瘩可导致患者出现严重的发病情况和毁容,尤其是位于头颈部时。巨大的瘢痕疙瘩特别难以处理,因为切除后会出现溃疡、感染、疼痛和高复发率。我们报告了一例通过切除与移植、切除术后放疗以及剥脱性分数激光辅助局部给予皮质类固醇成功治疗巨大头颈部瘢痕疙瘩的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a225/7425316/92cd1fca4b35/10.1177_2050313X20936033-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a225/7425316/5db48c4ee2a1/10.1177_2050313X20936033-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a225/7425316/49217dfb5b9a/10.1177_2050313X20936033-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a225/7425316/92cd1fca4b35/10.1177_2050313X20936033-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a225/7425316/5db48c4ee2a1/10.1177_2050313X20936033-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a225/7425316/49217dfb5b9a/10.1177_2050313X20936033-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a225/7425316/92cd1fca4b35/10.1177_2050313X20936033-fig3.jpg

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本文引用的文献

1
Treatment of keloid scars using light-, laser- and energy-based devices: a contemporary review of the literature.使用光基、激光和能量基设备治疗瘢痕疙瘩:文献综述
Lasers Med Sci. 2017 Dec;32(9):2145-2154. doi: 10.1007/s10103-017-2332-5. Epub 2017 Oct 18.
2
Ablative fractional CO laser for burn scar reconstruction: An extensive subjective and objective short-term outcome analysis of a prospective treatment cohort.剥脱性分数二氧化碳激光用于烧伤瘢痕重建:对一个前瞻性治疗队列的广泛主观和客观短期结果分析
Burns. 2017 May;43(3):573-582. doi: 10.1016/j.burns.2016.09.014. Epub 2016 Oct 1.
3
Burden of Keloid Disease: A Cross-sectional Health-related Quality of Life Assessment.
瘢痕疙瘩疾病负担:一项基于横断面的健康相关生活质量评估。
Acta Derm Venereol. 2017 Feb 8;97(2):225-229. doi: 10.2340/00015555-2498.
4
Keloids and Hypertrophic Scars: Pathophysiology, Classification, and Treatment.瘢痕疙瘩与增生性瘢痕:病理生理学、分类及治疗
Dermatol Surg. 2017 Jan;43 Suppl 1:S3-S18. doi: 10.1097/DSS.0000000000000819.
5
Hypertrophic scars and keloids--a review of their pathophysiology, risk factors, and therapeutic management.肥厚性瘢痕和瘢痕疙瘩——关于其病理生理学、危险因素及治疗管理的综述
Dermatol Surg. 2009 Feb;35(2):171-81. doi: 10.1111/j.1524-4725.2008.34406.x.