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2015, Number 3

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Cir Plast 2015; 25 (3)

Treatment of the hypertrophic scars secondary to a primary lip repair with intralesional injections of dexamethasone

Sigler MA, Leyva PN, Martínez ME
Full text How to cite this article

Language: Spanish
References: 6
Page: 136-140
PDF size: 299.99 Kb.


Key words:

Cleft lip, primary lip repair, hypertrophic scar, dexamethasone.

ABSTRACT

Quite often, the scars secondary to a cleft lip repair are not satisfactory and require surgical and medical treatment. The objective of this study is to demonstrate the efficacy of injecting dexamethasone into the hypertrophic scars secondary to a cleft lip repair. In a series of 210 patients who underwent primary cleft lip repair, there were 12 patients who developed hypertrophic scars which did not respond to scar massage. Dexamethasone was injected in all 12. The results of this treatment were documented after physical examination and photographed. The intralesional injection of long lasting dexamethasone helps correct hypertrophic scars secondary to a primary lip repair. Long lasting dexamethasone is an effective medication for the treatment of these scars.


REFERENCES

  1. Muir IF. On the nature of keloid and hypertrophic scars. Br J Plast Surg 1990; 43(1): 61-69.

  2. Lewis WH, Sun KK. Hypertrophic scar: a genetic hypothesis. Burns 1990; 16(3): 176-178.

  3. Zurada JM, Kriegel D, Davis IC. Topical treatments for hypertrophic scars. J Am Acad Dermatol 2006; 55(6): 1024-1031.

  4. Peacock EE Jr, Madden JW, Trier WC. Biologic basis for the treatment of keloids and hypertrophic scars. South Med J 1970; 63(7): 755-760.

  5. Millard DR. Refinements in rotation-advancement cleft lip repair technique. Plast Reconstr Surg 1964; 33: 26-38.

  6. Munro KJ. Treatment of hypertrophic and keloid scars. J Wound Care 1995; 4(5): 243-245.




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Cir Plast. 2015;25