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Extramarginal excision is preferable for hypertrophic scars

DC Field Value Language
dc.contributor.author김용욱-
dc.contributor.author신정우-
dc.contributor.author이광훈-
dc.contributor.author이원재-
dc.contributor.author이주희-
dc.date.accessioned2015-01-06T17:12:26Z-
dc.date.available2015-01-06T17:12:26Z-
dc.date.issued2014-
dc.identifier.issn0011-9059-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/99535-
dc.description.abstractBACKGROUND: Recently, higher proliferative activity and collagen production in the peripheral parts of keloids have been reported. Therefore, we hypothesized that insufficient removal of active proliferating and collagen-producing fibroblasts at the scar margin might cause a high recurrence rate of hypertrophic scars and keloids. To address this hypothesis, we evaluated the influence of surgical margins on the recurrence of hypertrophic scars and compared the recurrence rates between intramarginal excision and extramarginal excision. METHODS: A retrospective review was performed of patients with car tire injury-induced hypertrophic scars treated by surgical excision from 2004 to 2010. To evaluate the influence of surgical margins on the recurrence of hypertrophic scars, we divided these patients into two groups, the intramarginal excision group and the extramarginal excision group, and compared the recurrence rate. RESULTS: A total of 15 patients with car tire injury-induced hypertrophic scars were treated with surgical excision and skin grafting. The recurrence rate in those with intramarginal excision was significantly higher than in those with extramarginal excision. All patients treated with intramarginal excision experienced hypertrophic scar recurrence within six months. Three of nine patients exhibited recurrence when the hypertrophic scars were excised with a 3-5 mm margin. CONCLUSION: Extramarginal excision with complete removal of the abnormal collagen bundles followed by skin grafting is a viable alternative to reconstruction of the foot after hypertrophic scar excision, and this treatment can effectively decrease issues related to recurrence.-
dc.description.statementOfResponsibilityopen-
dc.format.extent1138~1144-
dc.relation.isPartOfINTERNATIONAL JOURNAL OF DERMATOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdolescent-
dc.subject.MESHAnkle Injuries/surgery-
dc.subject.MESHChild-
dc.subject.MESHChild, Preschool-
dc.subject.MESHCicatrix, Hypertrophic/surgery*-
dc.subject.MESHDermatologic Surgical Procedures/methods*-
dc.subject.MESHFemale-
dc.subject.MESHFoot Injuries/surgery-
dc.subject.MESHFree Tissue Flaps-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHRecurrence-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHSkin, Artificial-
dc.titleExtramarginal excision is preferable for hypertrophic scars-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Plastic Surgery & Reconstructive Surgery (성형외과학)-
dc.contributor.googleauthorJung U. Shin-
dc.contributor.googleauthorJihun Park-
dc.contributor.googleauthorJu Hee Lee-
dc.contributor.googleauthorKwnag Hoon Lee-
dc.contributor.googleauthorYong-Ook Kim-
dc.contributor.googleauthorhae-Ok Yun-
dc.contributor.googleauthorWon Jai Lee-
dc.identifier.doi10.1111/ijd.12481-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00749-
dc.contributor.localIdA02149-
dc.contributor.localIdA03005-
dc.contributor.localIdA03171-
dc.contributor.localIdA02674-
dc.relation.journalcodeJ01105-
dc.identifier.eissn1365-4632-
dc.identifier.pmid24898827-
dc.identifier.urlhttp://onlinelibrary.wiley.com/doi/10.1111/ijd.12481/abstract-
dc.contributor.alternativeNameKim, Yong Oock-
dc.contributor.alternativeNameShin, Jung U-
dc.contributor.alternativeNameLee, Kwang Hoon-
dc.contributor.alternativeNameLee, Won Jai-
dc.contributor.alternativeNameLee, Ju Hee-
dc.contributor.affiliatedAuthorKim, Yong Oock-
dc.contributor.affiliatedAuthorShin, Jung U-
dc.contributor.affiliatedAuthorLee, Won Jai-
dc.contributor.affiliatedAuthorLee, Ju Hee-
dc.contributor.affiliatedAuthorLee, Kwang Hoon-
dc.rights.accessRightsfree-
dc.citation.volume53-
dc.citation.number9-
dc.citation.startPage1138-
dc.citation.endPage1144-
dc.identifier.bibliographicCitationINTERNATIONAL JOURNAL OF DERMATOLOGY, Vol.53(9) : 1138-1144, 2014-
dc.identifier.rimsid39485-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Dermatology (피부과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers

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