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2020, Número 3

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Cuba y Salud 2020; 15 (3)


Cicatrices Queloides; revisión y experiencia en un tratamiento integral

Tamayo CAM, Posada RDA, Orozco JMA, Cairos BJN, Florido SS

Idioma: Español
Referencias bibliográficas: 45
Paginas: 90-97
Archivo PDF: 899.34 Kb.


RESUMEN

Objetivo: aportar conocimiento actualizado sobre la fisiopatología y el tratamiento integral de las cicatrices queloideas.
Desarrollo: se construyeron descriptores en ciencias de salud DeCS-MESH y se hizo una búsqueda en Medline y EBSCO a través de cicatriz patológica, cicatriz queloide, cicatriz y tejido de granulación, mediante un conector booleano AND, encontrado 24 citas relacionadas con exactitud del tema y revisadas con sus respectivas referencias. Se utilizaron un total de 45 referencias bibliográficas pertinentes para el desarrollo de esta investigación. Los queloides son neoplasias benignas del tejido conectivo compuestas de masas densas de colágeno. Su etiología es variable y los tratamientos se direccionan a la exéresis del tejido afectado y control de la respuesta fibroproliferativa. Los tratamientos aceptados varían desde el manejo médico hasta la resección quirúrgica y la combinación de ambos.
Conclusiones: el tratamiento de los queloides es un reto para los cirujanos dada su alta recurrencia. Si bien los diferentes tratamientos se conocen de manera amplia y están bien documentados, se hace necesario emplear conjunta y sucesivamente múltiples técnicas terapéuticas combinadas como la cirugía, infiltración de fármacos, presoterapia, entre otras para aseguran un mejor resultado.


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