Srikanth Kurapati MD MBA CPHQ
Q University of Alabama Birmingham, USA
Title: Understanding The Scar—The Most Human of Pathologies
Biography
Biography: Srikanth Kurapati MD MBA CPHQ
Abstract
Statement of the Problem: Scar formation is a requisite conclusion to every insult, trauma, or deviation from homeostatic physiology. Amazingly, the spectrum of wound healing is especially unique in humans. As such, the management of scarring runs the gamut of scientific rigor. We present a critical review of literature looking at the fundamental understanding of scar healing, appraise its future directions and controversies, as well as introduce our institution’s approach to managing complex scars. Methodology & Theoretical Orientation: This study was performed as a critical literature review using Pubmed™, searching for relevants works regarding scar management. Inclusion and exclusion criteria was necessarily unrestrictive to include all pathologies, genders and ages, but with focus on clinical impact. While this study cannot be an exhaustive representation, it is a critical analysis of the most impactful literature that supports our institution’s understanding of scar management. Findings: While there are emerging animal models approaching human physiology, scar hypertrophy and keloid formation remains uniquely human. Newer techniques and technologies in scar management including lasers, radiation, immunomodulators, and tension management are emerging; while other foundational techniques like silicone dressings and steroid therapy will continue to play a strong role in clinical management. We present our experience in a variety of pathologies and treatments to illustrate that scar hypertrophy and keloid formation is necessarily an entity that requires a practioner to be fascile in a multimodal approach. Conclusion and Significance: In order to offer your patient the most effective scar managment, it is necessary to understand when, why, and how to use the gamut of treatment modalities available. This review offers a critical apprasial of current techniques, and presents a university Plastic Surgery group’s evidence-based approach to treating scar hypertrophy and keloid formation.