What Is the Difference Between Adhesions and Scar Tissue?

A burn scar is a normal, inevitable physiological reaction in the natural healing process of a wound or wound in the absence of a purulent infection, even if it is a slight injury (such as a mosquito bite injury) to the human body from external injuries. An inevitable consequence of the wound healing process.

Burn scar

A burn scar is a normal, inevitable physiological reaction in the natural healing process of a wound or wound in the absence of a purulent infection, even if it is a slight injury (such as a mosquito bite injury) to the human body from external injuries. An inevitable consequence of the wound healing process.

Chinese name

Burn scar

Foreign name

Burn scars

Burn scars are caused by heat, chemicals, electricity, or strong

Some burn scars can develop into proliferative burn scars or keloids, which are both itchy and painful, and can locally enlarge and spread like tumors. Burn scar rehabilitation is an important part of modern burn treatment. Prompt and correct scar rehabilitation can significantly improve the quality of burn healing and reduce the disability rate. Pay attention to clean and hygienic skin. When the burn wound was just healed, there were still a small amount of secretions and medicinal fungus, and the bacteria were easy to multiply quickly. In addition, the epidermis was thin and tender, the structure and function were imperfect, and infection and rupture were easy to occur. During this period, you can use neutral detergents for cleaning, and after treatment, use anti-scar drugs. Avoid excessive friction and excessive activity. Due to the imperfect structure and function of the scar epidermis, the epidermis is more vulnerable to damage.

Hypertrophic scar

After the skin injury heals, the scar still continues to proliferate, protruding from the normal skin surface, irregular in shape, and not expanding to the surroundings. Mostly purple-red, texture is tough, with burning and itching.

Superficial scar

It is more common in superficial second-degree burns, superficial abrasions or superficial infections. The skin is flat and soft, only the appearance is rough, and sometimes pigmentation or loss of pigment is left;

Atrophic scar

Also known as flat scars, the surface is smooth and shiny with obvious hypopigmentation or calming. The stable base of the scar is relatively loose, and the boundary with normal skin is clear, which generally does not cause dysfunction;

Keloid

It is a scar that is characterized by strong proliferation ability and infiltrates into the skin around it. It is also called crabfoot. It is common in young adults. The lesions are purple-red than the skin. The texture is hard and itchy. The pathology is It consists of a large number of spirally arranged fiber bundles.

Contracture scar

Also known as webbed scars, the scars are like duck webs and are fold-like. They usually occur on the flexion side of the joint and are also found on the neck. Eye corners, mouth corners, nasolabial folds, vaginal opening, perineum, etc .; burn infections are the most common cause. Webbed scars at the joints can prevent joint contractures from straightening; webbed scars at the lumen openings can narrow the lumen openings, which can affect appearance and function in other locations.

Scar cancer

The development process is: first, ulcers due to injury appear in the burn scar, or small pimples, itching, ulcers, and long-term unhealed; then epidermal hyperplasia-pseudoepithelial tumor-like hyperplasia-cancer transformation process.

The severity of the burn depends on the extent and depth of the injured tissue. Burn depth can be divided into degree, degree, and degree.

First degree burns were the least. Burned skin is red, painful, tenderness, exudation or edema. When the injured area was lightly pressed, it turned white, but there was no blister.

The second degree burns were deep. Skin blisters. The bottom of the blister is red or white, filled with clear, viscous liquid. Tenderness is sensitive and turns white when pressed.

The third degree burn injury was the deepest. The burn surface can be whitish, soft, or black, charred. As the burned skin becomes pale, it is often mistaken for normal skin in white-skinned people, but it no longer changes color when pressed. The damaged red blood cells can make the burned skin appear bright red with occasional blisters. The hair in the burn area can be easily pulled out and feels less. Areas of third degree burns generally have no pain. Because the nerve endings of the skin are damaged.

It usually takes a few days after a burn to distinguish deep second-degree and third-degree burns.

Pigmentation care:

All scars that affect aesthetics and the normal functioning of the human body require treatment. For example, the aforementioned scars, such as linear, webbed, frivolous, bridging, concave, atrophic, proliferative, contracture, instability, pain, etc., can be selected under the guidance of a doctor and appropriate treatment. Improve the appearance and function of the scar.

There are many methods for scar treatment, and they are generally divided into non-surgical treatment and surgical treatment in medicine.

Non-surgical treatments include: laser, freezing,

Burn scar rehabilitation precautions

The treatment of burn patients is not only limited to saving lives, but also to restore their functions, restore their skin color to normal, and achieve self-care and return to society. Therefore, many people are most concerned about burn scar rehabilitation. Burn scar rehabilitation is an important part of modern burn treatment. Prompt and correct scar rehabilitation can significantly improve the quality of burn healing and reduce the disability rate. ^[8-10]

1. Care of scar skin:

a. Healed skin is often immersed in warm water (water temperature 38 ° C ~ 39 ° C), coated with a soft towel and neutral soap to gently wipe the scars to remove dandruff, but care must be taken not to damage the epidermis.

Use silicone stickers to help prevent and reduce scarring by using the physical effects of hydration, electrostatic field, and silicone oil.

b. Apply Scar Flat Ointment to keep the scar moist and inhibit the growth of the scar.

c. Soaking scar skin with Chinese medicine Wujiapi Decoction once a day can reduce edema and promote lymph vein reflux.

d. Bandage elastic bandages. Pay attention to avoid pulling and rubbing scars, so as not to cause blisters and ulceration.

2. Stress Therapy:

Under certain pressure, the capillaries in the scar tissue will become embolized, making the scar tissue hypoxic and the collagen rate slowed down. Wounds that heal more than 14 days after the burn may produce hypertrophic scars. Application of pressure therapy can prevent hypertrophic scars.

3. Functional exercise: Scars on functional parts of burn patients, after applying pressure bands or elastic bandages, gymnastics and stretching exercises should be performed. Avoid excessive stretching during exercise to prevent scar ulceration and increase scar growth. When doing functional exercises, a long-term plan should be formulated and persisted in order to achieve the effect. ^[11-13]