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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 Surgical management of common peripheral vestibular diseases Current Opinion in Otolaryngology & Head and Neck Surgery: August 20, 2010, 6:00 am Purpose of review: To review the latest developments in the surgical management of common peripheral vestibular disorders. Recent findings: Although surgery is indicated mainly for patients with Meniere's disease, other less common disorders Cochlear efferent innervation and function Current Opinion in Otolaryngology & Head and Neck Surgery: August 20, 2010, 6:00 am Purpose of review: This review covers topics relevant to olivocochlear-efferent anatomy and function for which there are new findings in papers from 2009 to early 2010. Recent findings: Work within the review period Reconstruction of cheek defects: a review of current techniques Current Opinion in Otolaryngology & Head and Neck Surgery: August 1, 2010, 12:00 pm Purpose of review: The article discusses the fundamental principles of cheek reconstruction and summarizes recently published techniques and reviews in the field. Recent findings: Reconstruction of the cheek is a complex endeavour. Patient, Editorial introductions Current Opinion in Otolaryngology & Head and Neck Surgery: August 1, 2010, 12:00 pm No abstract available Editorial introduction to the maxillofacial surgery section Current Opinion in Otolaryngology & Head and Neck Surgery: August 1, 2010, 12:00 pm No abstract available
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