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The beneficial effects of silicone gel sheeting on the treatment and prevention of these two scars have been confirmed. [10] Since most patients develop hypertrophic and keloid scars within 3 months after surgery or injury, the silicone gel sheeting therapy should be started in the early repair phase to achieve an optimal therapeutic effect.
A hypertrophic scar is a cutaneous condition characterized by deposits of excessive amounts of collagen which gives rise to a raised scar, but not to the degree observed with keloids. [1] Like keloids, they form most often at the sites of pimples, body piercings , cuts and burns.
According to Weerda: cosmetically disfiguring cartilage edges along the anterior surface of the antihelix if the cartilage is scratched or scored too deeply or is injured; post-operative bleeding; haematoma; relapse (ears protrude again); too closely pinned ear; hypertrophic scar; keloid; hypersensitivity; pressure damage if hard bandages are applied too tightly; perichondritis (inflammation ...
However, unlike hypertrophic scars which are contained within the area where the injury once was, keloid scars grow beyond the borders of the original injury, according to Dr. Zakia Rahman, a ...
Common graft sites include the temporalis fascia and the tragus. The surgery takes 1 ⁄ 2 to 1 hour if done through the ear canal and 1 + 1 ⁄ 2 to 2 hours if an incision is needed. It is done under local or general anesthesia. It is done on an inpatient or day case basis and is successful 85–90% of the time. [4]
[1] [2] [3] When myringoplasty is combined with removal of scar tissue, it is called tympanoplasty. The operation is performed with the patient supine and face turned to one side. The graft material most commonly used for the surgery is temporalis fascia. The tragal cartilage [1] and tragal perichondrium are also used as the graft by some surgeons.
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