Post-burn hypertrophic and keloid scars: current understanding of the problem and approaches to treatment
https://doi.org/10.24884/0042-4625-2025-184-5-102-109
Abstract
Despite the reduction of mortality in the treatment of patients with burn injury, even with a large area of tissue damage, a significant proportion of victims (from 30 % to 91 %) still have consequences in the form of pathologic scarring with the formation of joint contractures, itching and pain, as well as changes in psychosomatic status. A review of domestic and foreign literature was conducted to study modern approaches and trends in the treatment of pathologic scarring of post-burn wounds. The questions of epidemiology, pathogenetic reactions in the formation of pathologic scars, various approaches to therapy, including modern methods such as: plasma radiofrequency ablation, laser therapy and micropiling, medication, physiotherapeutic and surgical methods of treatment were considered. Scales and questionnaires for assessing the scar process, the patient’s condition and the effectiveness of treatment dynamics were exemplified. Further development of prevention and treatment of pathologic post-burn scars is considered on the way of deepening the understanding of the occurring molecular mechanisms in the scarring process, qualitatively planned and conducted studies to confirm the effectiveness of treatment.
About the Authors
S. V. Bragina
Northern State Medical University
Russian Federation
Russian Federation
Bragina Svetlana V., Cand. of Sci.(Med.), Associate Professor, Head of the Department of Traumatology, Orthopedics and Military Surgery
Arkhangelsk
A. S. Kolbasenko
Northern State Medical University
Russian Federation
Russian Federation
Kolbasenko Aleksandra S., 6th year Student of the Faculty of Medicine
Arkhangelsk
S. A. Nemanova
Northern State Medical University
Russian Federation
Russian Federation
Nemanova Sofya A., 6th year Student of the Faculty of Medicine
Arkhangelsk
G. V. Didenko
Northern State Medical University
Russian Federation
Russian Federation
Didenko Georgij V., 6th year Student of the Faculty of Medicine
Arkhangelsk
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Bragina S.V., Kolbasenko A.S., Nemanova S.A., Didenko G.V. Post-burn hypertrophic and keloid scars: current understanding of the problem and approaches to treatment. Grekov's Bulletin of Surgery. 2025;184(5):102-109. (In Russ.) https://doi.org/10.24884/0042-4625-2025-184-5-102-109
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