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Otolaryngology, ENT & Sinus News Provided by Dallas ENTScar tissueAugust 1, 2010, 12:00 pm by Current Opinion in Otolaryngology & Head and Neck SurgeryPurpose of review: To examine the place of surgery and other modes of treating scar tissue given the plethora of measures that are advocated on the internet. Recent findings: There is good evidence to support the use of silicone sheets, pulsed dye laser (PDL), intralesional triamcinolone and dermabrasion in reducing hypertrophic scars, but each needs qualifying in terms of their timing and the type of scar tissue that they are used for. Summary: The surgical revision of scars should be delayed for at least 12 months unless there is webbing when redistributing skin tension forces with a Z-plasty or multiple Z-plasties or other local flaps negates the need to wait for the scar to mature. In a posttraumatic 'horse shoe' shaped, or a very oblique, cut an irregular contour is likely to occur. Under these circumstances a triamcinolone injection into any raised area can help and this needs to be re-evaluated after 6 weeks. With a less irregular contour dermabrasion can help if used 8 weeks after surgery. With hypertrophic scarring both silicone gel sheeting and PDL may help reduce the prominence of the scar. Most of all time helps scars to settle and fade and typical scar maturation takes 18-24 months. The role of stem cells, particularly from adipose tissue, warrants further study. (C) 2010 Lippincott Williams & Wilkins, Inc.
More from Current Opinion in Otolaryngology & Head and Neck Surgery Editorial introductions Current Opinion in Otolaryngology & Head and Neck Surgery: January 31, 2012, 5:00 am No abstract available Airway assessment by four-phase rhinomanometry in septal surgery Current Opinion in Otolaryngology & Head and Neck Surgery: January 31, 2012, 5:00 am Purpose of review: This article updates the state of the art in functional ventilation tests of the nasal airway. Multidisciplinary international cooperation has led within the last years to the development of Odontogenic sinusitis: an ancient but under-appreciated cause of maxillary sinusitis Current Opinion in Otolaryngology & Head and Neck Surgery: January 31, 2012, 5:00 am Purpose of review: For well over 100 years, it has been appreciated that maxillary dental infections can cause sinusitis. This insight has been largely overlooked with the advent of functional endoscopic sinus Olfactory improvement after endoscopic sinus surgery Current Opinion in Otolaryngology & Head and Neck Surgery: January 31, 2012, 5:00 am Purpose of review: Olfactory dysfunction is a common complaint in patients with chronic rhinosinusitis (CRS). The purpose of this article is to review the current evidence on the impact of endoscopic sinus Role of fungi in pathogenesis of chronic rhinosinusitis: the hypothesis rejected Current Opinion in Otolaryngology & Head and Neck Surgery: January 31, 2012, 5:00 am Purpose of review: Fungi have been suggested to play an important role in the pathogenesis of chronic rhinosinusitis (CRS). This review describes the recent knowledge concerning the role of fungi in the
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