The excessive pathological scars are subdivided into hypertrophic, keloid and contracted.
They have a complex pathophysiology, not entirely known that only exists in humans. Although
the frequency of presentation is not high, excessive pathological scars can affect several
areas of human functioning, in the first level of functions and body structures and in the second
level of activities of daily life and participation. The evaluation of patients must be complete,
including the scar, and any other affected body system, together with psychological, functional
and socioeconomic factors. In the treatment of excessive scars there are multiple options
that must be combined for a better result. The non-surgical treatments of the most used
scars are the pressotherapy, silicone plates, intralesional injections and laser. There are other
rehabilitation treatments that although without solid evidence could have a role in patients. The
referral to the rehabilitation service is recommended for patients with excessive pathological
scars located in areas of folds or special areas and / or, which are accompanied by pain,
alterations in the function of the body segment or limitations in activities of daily life, for
comprehensive assessment and multidisciplinary management.
Cerda A., L. ., Villanueva C., V. ., Román Q., A. ., & Contreras A., J. . (2018). Manejo de cicatrices patológicas excesivas en el Servicio de Rehabilitación. Revista Hospital Clínico Universidad De Chile, 29(1), pp. 34–47. https://doi.org/10.5354/2735-7996.2018.70382
