POST-BURN SCARS and SCAR CONTRACTURES
25 years male.... Burn accident 1 year back... Now burning and pricking sensation at burning areas... What to do this case?
Long term BURN patients suffer from their changed appearance. Burns of the face and hands are felt as especially disturbing, as they are continuously visible to other people. So , it is essential to consider the esthetic plan of surgery.. Meshed split-thickness skin grafts should be used on the face and hands. The donor skin site should have the same texture as the recipient site. For example, a donor site with low pigmentation should be selected for a site with low pigmentation. This avoids hyperpigmentation . Scar care is an important part of the follow-up in the primary care setting. Fresh scars are initially dressed with simple silicone-based preparations. In this early stage, the scar tissue should be massaged in a circular fashion several times a day . In this way, consistent orientation of the collagen fibers can be obtained, leading to a softer and flatter scar. The scarred tissue should not be exposed to the sun for at least six months. If necessary, SUNSCREEN SPF50 is ideal Matt technology based lotion is best option. In the course of treatment, silicone-based plasters may be useful. These lead to softening and flattening of the scar through occlusive hydration of the stratum corneum . Other topical immune modulatory substances, such as retinoids and calcineurin inhibitors are also used as external agents for the treatment of hypertrophic scar tissue on advise of plastic surgeon. Furthermore, injectable substances such as corticosteroids, 5-fluorouracil, and interferons are used in the local therapy of hypertrophic scars.
Sir some keloids are seen on face ; so ILS will work well along with silicon gel sheet ; for whole face depigmenting agent like glycolic acid ; kojic ; niacinamide along with mild steroid at night ; on neck & hand their are some white patches I have burn pt in my clc so on white patches I did excimer with low intensity & results are good ; hand lesion skin grafting may be the option ; can use Co2 laser over face after
Regeration of nerve endings Rx as Neuropathic pain
Cases that would interest you
- Login to View the image
30 male such lesions since 5 years on chest no any complaint.rx and DX pleas
Dr. Anilkumar Dange0 Like18 Answers - Login to View the image
spot diagnosis n treatment ... c/o itching pain n burning sensation since ten days.... similar episodes in past
Dr. Geetha Jyothy2 Likes16 Answers - Login to View the image
55 years of male patient is having these such of lesions. Pain present over these lesions. What is the diagnosis and treatment?
Dipti Vanzara3 Likes22 Answers - Login to View the image
11 years boy itching multiple irregular shaped lesions on right and left external aspects of both elbow since 1 month diagnosis and treatment?
Dr. P.kishore Kumar4 Likes18 Answers - Login to View the image
15 year old male with multiple such masses.. no oozing no discharge .. patient had microcephaly and was imbecile..with smaller upper body and comparatively long legs
Akshaya Gadekar2 Likes16 Answers
2 Likes