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 Vol. 9 No. 1, January 2003
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AAP Grand Rounds 9:9-10 (2003)
© 2003 American Academy of Pediatrics

PLASTIC SURGERY

Management of Hypertrophic Scars and Keloids

Source: Mustoe TA, Cooter RD, Gold MH, et al. International clinical recommendations on scar management. Plast Reconstr Surg. 2002;110:560–571.[Medline]

The first 20% of the full text of this article appears below.

An international group of authors presents a very extensive systematic review of the clinical literature on the prevention and treatment of abnormal hypertrophic and keloid scars. They provide evidence-based recommendations and, where studies are insufficient, a consensus view of the best practices for prevention and treatment based on a standard scar classification scheme. Preventative recommendations included meticulous surgical technique, hypoallergenic taping, and silicone gel sheeting. Non-surgical scar treatments include triamcinolone injections, cryotherapy, silicone gel sheeting, pressure sheeting, and radiation therapy. Surgical treatment only . . . [Full Text of this Article]

Fernando D. Burstein, MD, FAAP
Plastic Surgery, Childrens Healthcare of Atlanta, Atlanta, GA