The methods of choice for the removal of scars after burns in children

Abstract:

In the last decades the treatment of children’s burns have brought great technological innovation and the availability of many types of biological, semi-synthetic and synthetic skin grafts, dressings and various preparations. The approach to such patients has become more complex, precise and surgically demanding, improving the final results of treatment. At the same time, numerous methods of corrective dermatology are present in clinical practice, contributing to the growing number of corrective procedures in dermatology and surgical clinics and institutions. Hypertrophic and keloid scars can occur after surgery and injuries, being particularly frequent after burns. The biology of hypertrophic healing is complex and still poorly understood. It involves a number of factors associated with the host and the injury. Until now, therapeutic approaches to hypertrophic scars often had a limited effect. Recently, laser procedures for treating scars offer promising results, however, they do not represent a safe final choice. So far, the best results are achieved by laser procedures in combination with several individually designed corrective treatments.

Key words:
burns; cicatrix; child; lasers; surgery