Some parents will accidentally find that their children have many red marks on their foreheads. They will definitely not pay attention to it at the beginning, but as the condition worsens, they must take their babies for a detailed physical examination. In this way, they can determine whether the situation is caused by pathological reasons, and then choose the most suitable treatment method for their baby based on the specific results of the examination. Nonsurgical treatment 1. Pressure therapy: Suitable for patients with large scar area who are not suitable for radiotherapy and local drug treatment. The daily downtime should not exceed 30 minutes. This method is not effective for active keloids, but it can reduce the dose of postoperative radiotherapy and injection. 2. Chemotherapy: Use long-acting steroid preparations and inject them directly into the scar to inhibit the excess collagen in the scar and achieve the effect of scar degeneration. The main side effects include skin atrophy, depigmentation, telangiectasia, necrosis, ulcers and Cushing's syndrome, most of which are reversible. Other chemical drugs such as cytotoxins, immunosuppressants and other drug treatments have been reported, but serious systemic side effects limit their application. 3. Radiotherapy: Early use of electron beam or X-ray irradiation (within 24 hours) after keloid removal can reduce the postoperative recurrence of keloid and improve the cure rate. 4. Laser treatment: Suitable for flat scars without obvious functional impairment, and scattered, uneven, depressed scars of varying sizes left after healing of smallpox, chickenpox, and acne. 5. Others: Such as cryotherapy, wax therapy, iontophoresis, ultrasound, etc., for the treatment of hypertrophic scars and keloids. The efficacy reports are inconsistent and there is a lack of large-scale case controls and follow-up. Surgery 1. Scar excision and fine suture after tension relief: It is a commonly used and increasingly improved surgical method for scar treatment, and is mostly used for scars of smaller area. During the operation, the tension of the incision is fully reduced, the operation is performed delicately, and secondary injuries are reduced to reduce the degree of postoperative scar hyperplasia, and the clinical effect is definitely obvious. 2. Dermabrasion: It is a surgical method that grinds the epidermis and superficial dermis of the skin to improve the irregular parts of the skin surface, making it smooth and flat and similar in color. It is suitable for superficial scars left over from acne, smallpox, chickenpox, shingles, eczema, trauma, burns or surgery. If necessary, it can be performed simultaneously with scar surgical excision, and the effect is better than simple grinding. 3. Scar release and local reshaping: For smaller, tense, cord-like or webbed scars, the scar can be removed and then a skin flap can be formed with the surrounding normal skin tissue to repair the skin defect at the scar site through cross-replacement. |
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