Evidence-Based Scar Management: How to Improve Results with Technique and Technology

@article{Khansa2016EvidenceBasedSM,
  title={Evidence-Based Scar Management: How to Improve Results with Technique and Technology},
  author={Ibrahim Khansa and Bridget Harrison and Jeffrey E. Janis},
  journal={Plastic and Reconstructive Surgery},
  year={2016},
  volume={138},
  pages={165S–178S}
}
BACKGROUND Scars represent the visible sequelae of trauma, injury, burn, or surgery. [] Key Method Each intervention's effectiveness at preventing or reducing scars was rated as none, low, or high, depending on the strength of the evidence for that intervention. RESULTS For the prevention of hypertrophic scars, silicone, tension reduction, and wound edge eversion seem to have high efficacy, whereas onion extract, pulsed-dye laser, pressure garments, and scar massage have low efficacy. For the treatment of…
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85 Citations
Background Citations
13
Methods Citations
2

85 Citations

Laser treatment of specific scar characteristics in hypertrophic scars and keloid: A systematic review.
Current Therapeutic Approach to Hypertrophic Scars
TLDR
Current therapeutic approach and emerging therapeutic strategies for the management of HSs are reviewed, which should be individualized, based on an evaluation of the scar itself, patients’ expectations, and practical, evidence-based guidelines.
Scoping Review of Therapeutic Strategies for Keloids and Hypertrophic Scars
TLDR
Neither excision plus adjuvant therapy or nonsurgical treatments can be recommended preferentially at this time for keloid or hypertrophic scar treatments, based on qualitative review of recurrence.
The Efficacy and Safety of Botulinum Toxin Injections in Preventing Postoperative Scars and Improving Scar Quality: A Systematic Review and Meta-Analysis
TLDR
It is demonstrated that botulinum toxin injections can significantly improve cosmetic appearance and postoperative scar quality and are safe.
Summary and evidence grading of over-the-counter scar treatments.
TLDR
Online advertising may tempt patients to buy and trial products to help minimize scarring, although the evidence for the effectiveness of these products is absent to minimal.
Mitigation of Postsurgical Scars Using Lasers: A Review
TLDR
Treatment with lasers in the postsurgical wound healing phase is safe, effective, and advised in mitigation of pathologic scar formation.
A systematic review evaluating the influence of incisional Negative Pressure Wound Therapy on scarring
TLDR
Preclinical as well as clinical evidence indicates a beneficial influence of incisional Negative Pressure Wound Therapy on scarring, and moderate level evidence indicates that iNPWT decreases scar width and improves patient and observer‐reported scar satisfaction.
The Most Current Algorithms for the Treatment and Prevention of Hypertrophic Scars and Keloids: A 2020 Update of the Algorithms Published 10 Years Ago
  • R. Ogawa
  • Medicine
    Plastic and reconstructive surgery
  • 2021
Background: In 2010, this Journal published my comprehensive review of the literature on hypertrophic scars and keloids. In that article, I presented evidence-based algorithms for the prevention and…
Keloids: A Review of Etiology, Prevention, and Treatment.
TLDR
Despite the growing literature investigating reliable methods for keloid management, there are no standardized guidelines or treatment protocols supported by academic governing bodies and stronger evidence with high-fidelity randomized clinical trials will be needed to determine the optimal therapy regimens.
Diagnosis and Treatment of Keloids and Hypertrophic Scars—Japan Scar Workshop Consensus Document 2018
TLDR
A tool that allows clinicians to objectively diagnose and distinguish between keloids, hypertrophic scars, and mature scars is created, and a Consensus Document on keloid and hypertrophic scar treatment guidelines are prepared, which will allow even inexperienced clinicians to choose the most appropriate treatment strategy.
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