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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. The maturity of scars takes over a year; therefore, silicone treatment is also effective in scars aged over 12 months. [15]
A 2006 clinical trial found no statistically significant change in hypertrophic scar appearance from products of this type compared to the standard petrolatum emollient. [6] According to a 2011 Los Angeles Times article, "there were just two randomized comparison trials of Mederma, with a combined total of 38 participants. Neither trial found ...
Scar revisions are cosmetic treatments to improve the appearance of scars, [27] with dermabrasion being a surgical procedure most often used for individuals with skin concerns such as scars caused by acne, surgery or injury. [28]
Surfer's ear is the common name for an exostosis or abnormal bone growth within the ear canal. They are otherwise benign hyperplasias (growths) of the tympanic bone thought to be caused by frequent cold-water exposure. [1] Cases are often asymptomatic. [1] Surfer's ear is not the same as swimmer's ear, although infection can result as a side ...
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]
Canaloplasty, where the ear canal is widened using grafts, was first proposed as the treatment for keratois obturans. However, with the migration of keratin within the canal, any amount of widening could not restore the migration of skin. Reconstruction of the bony canal with cartilage graft from temporalis fascia has showed some results. [6]
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