What should I do with scar hyperplasia after scald in children?

Patient: My child is now one year old (male). In May last year, he accidentally sprinkled cooked instant noodles on him, mainly under the small stomach and inside the two thighs. After treatment, he was discharged. Now more than half a year has passed, now the scar has hyperplasia, the surface of the scar is dark red, and the child always scratches his hand at night. The child looks very itchy. We now mainly wash him the affected area every night and use aloe vera gel. Give him to the affected area and massage. I would like to ask if this is the case, is there any better way to not delay the child's normal development test and check results (please upload using the tool on the right) ).


Doctor: Scars in non-articular areas generally do not affect limb development, but scars in the perineum and breast area can cause organ displacement. In principle, as long as the function has little effect, you can wait until the child is close to adulthood and re-operation. If the function has a greater impact, surgery should be performed as soon as possible. Premature surgery, when the child is small, the choice of surgical methods is limited; secondly, as the development will continue to do many operations in the future, the more difficult the surgery is. However, if you need surgery, please be sure to ask the specialist to see more.


Patient: Thank you for your reply. My son is now 14 months old. I was burned in five months. I gave some photos to my son. Please see if there is any need for surgery or other related treatment. And what treatments are needed!


Doctor: At present, the child is small and most of the scars are not in the position where the joint affects the function. According to the photo, the injury is still in the period of 10 months of scarring, and it is still in the period of scarring instability. At present, it is treated conservatively: 1. External anti-scarring drugs, such as silicone ointment, buck, Kangruibao, Meipi, etc.; 2. External elastic sleeve Compression is a more effective method. 3, Kelly scars, silicone gels and other silicon-containing preparations or molds 3. It can also be treated with laser or other general scars. After one year, the scars gradually stabilize and shrink, and the pigments will gradually decrease. However, it is more difficult to fully recover to the pre-injury state. Surgery and other children are older.


Patient: Thank you for your reply. I would like to ask again. The scar near my son's perineum is harder and thicker. Will it affect the development of the child's genitals? What other drugs are you talking about? If you buy it, are there other precautions, such as diet and other aspects. Thank you!


Doctor: Perineal scars do not affect penis development, but when adolescent pubic hair grows, it is prone to folliculitis, sebaceous cysts, or concurrent infections. It can be surgically removed in advance. Anti-scarring drugs are generally not sold because of the scope of application and application population. Please go to a specialist hospital to buy.

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