Question

Complications of Wound Healing

Choose 2 complications of wound healing that have been described in your textbook. Describe each complication and the pathophysiology behind why the complication occurred. What would be the clinical manifestations (signs & symptoms) of the complication? What would be treatment options to correct the complication? Explain your thoughts and ideas fully.

Answer 1

1.) Hypertrophic scars

It occurs when the remodelling stage goes for a long time and they are more cellular and vascular than the mature ones.

Signs and symptoms: They are red in color, raised in texture, itchy. They will eventually mature and become pale and flat. Delayed wound healing results in such scars.

Example: If infection occurs at a place where skin tension is high such as at the tip of the shoulder, they remain within the confines of the wound area itself.
Treatment: Surgical excision, Combined cryotherapy and intralesional corticosteroid injection

2.) Keloid scars:

They are more frequently associated with such as Afro-Carribeans. They mostly occur in the chest region, back shoulders.

Sign and symptoms: These are regions of extreme overgrowth beyond the confines of the original wound area.

Treatment: riple keloid therapy, pulsed dye laser