How to prevent scars in children after trauma or surgery
After trauma or surgery, children not only need to restore function, restore normal activity, but also make the appearance as normal as possible, and not cause obvious appearance abnormalities, thus affecting the psychological development of children during growth and development. Therefore, compared with adults, the prevention and treatment of scars in children after trauma or surgery must be taken seriously, because scars will have an important impact on children's life.
Child scar prevention is divided into two periods. Before wound healing, the main focus is to prevent and control infection, appropriate treatment to promote early wound healing, regular dressing change, debridement and surgery if necessary, close the wound as soon as possible, reduce scar The chance of hyperplasia.
After the wound has healed, scar control can be performed by:
(1) Body surface scar prevention and treatment preparations: including onion extract, cedar glycosides and the like.
(2) local injection therapy: local injections such as glucocorticoids and 5-fluorouracil can be used to make the scars flatten or disappear and the pain is relieved in most patients. Combined with other treatments can improve the efficacy.
(3) Physical therapy: including the application of silicone products, laser treatment, radiation therapy, cryotherapy, pressure therapy and viscous microporous hypoallergenic paper tape.
(4) Surgical treatment: For scars with severe scars, mature or near-mature scars, and scars that cannot be corrected by conservative treatment, only surgical treatment, especially for scars affecting joint function, can be considered even if not fully mature. .
Because children are less tolerant of toxic side effects of drugs than adults, and are not as easy to adhere to as adults, children's scar treatment needs to be considered with no obvious side effects and easy to adhere to the technology, relatively speaking, topical Ointments, silicone gels and optoelectronic technology are relatively easy to adhere to.
In short, there are many methods for scar treatment, but it is difficult to solve the scar problem in one way, especially the scars in different periods have different characteristics. Severe scar development time may reach 1-3 years, and the treatment time is longer. The overall treatment principles for scarring are early treatment, combination therapy, and continuous treatment.