Update on scar management: Guidelines for preventing and treating Iranian patients (A systematic review)

Background: Following injury, Iranian has a tendency towards hyperpigmentation and scar formation and therefore the prevention and treatment of scarring is particularly important in Iranian patients. Scar formation is a consequence of the wound healing process that occurs when body tissues are damaged by physical injury. Hypertrophic scars and keloids are pathological scars resulting from abnormal responses to trauma and can be itchy and painful causing serious functional and cosmetic disability. Keloids are scars unique to humans that grow beyond the boundaries of cutaneous injury, inflammation, burn or surgical incision.Hypertrophic scars (HTSs) are defined as visible and elevated scars that do not spread into surrounding tissues and that often regress spontaneously. Advances in understanding scar formation have also led to the introduction of new treatments as well as a better understanding of established therapeutic options. A wide variety of treatments have been advocated for scars. Among these treatments are surgical excision, laser therapy, Corticosteroid injections, hydrogel dressing and traditional medicine.Method: A literature search for abstracts, clinical trials and meta analyses evaluating scar prevention and treatment in Iranian patients was performed using science direct, Google scholar, NCBI, SID, the text book of wound care essentials. Based on this data a panel of experts formulated preventing and treating recommendation for Iranian patients.Results: Post injury scar prevention should be planed in all Iranian patients due to the high risk of scars. There is strong evidences for the efficacy of hydrogel dressing and due to their ease of use, they can be considered first-line therapy. For patients who fail to respond to first-line therapy, corticosteroid injections, traditional medicine have achieved widespread acceptance. Laser treatments have been increasingly used. Surgical approaches have increased in sophistication with recognition of the impact that tension has on scar formation. There are lots of other methods like pressure therapy, silicone gel sheeting and radiation therapy and as well as a multitude of extracts and topical agents, that should be studied on Iranian patients scars.Conclusion: Updating scar Existing prophylactic and therapeutic strategies will benefit wound specialists making decisions regarding optimal, evidence-based preventing and treating strategies for their patients.

کلیدواژه ها:

Scar ، Treatment ، Iranian ، Prevention