 |
 |
Papers of The 3rd Japan Scar Workshop |
|
3. Classification and evaluation of hypertrophic scars and keloids - proposal of a new scoring method
Yasuyoshi TOSA, Yoshiaki HOSAKA, Kiyoaki TSUTSUMI
Toshiya YOKOYAMA, Kaneshige SATOH
Department of Plastic and Reconstructive Surgery, Showa University
School of Medicine, Tokyo 142-8666, Japan
|
Hypertrophic scars and keloids develop as a result of wounds such as
traumas, burns and surgical operations, and they are raised lesions
accompanied by long-term pruritus and pain. We usually classify and
evaluate hypertrophic scars and keloids using a scoring method based on
signs (color, projection and hardness of the scar), symptoms (the
intensities of itchiness, tenderness and pain), and the presence of
adverse reactions.
We considered that it may be useful to score the patient’s “keloidal
character” when determining the level of resistance to treatments. In
this study, we attempted to score the factors that are related to
keloidal character. We chose seven factors: presence of keloids in the
family, the condition of the BCG vaccination site on the patient, the
condition of old wounds on the patient, site of the scar that is to be
treated, the wound healing process, presence of an adverse reaction to a
conservative treatment (adverse event following oral administration of
tranilast and/or dermatitis due to silicone materials), and racial
background. An initial score of 1 was assigned, and a score of 0.5, 0.25
or 0 was assigned for each factor. We believe it is possible to estimate
the progress of a patient following surgery to a certain extent if we
accumulate data and determine the threshold score for resistance to
treatments. We expect the keloidal character scoring method proposed in
this report to provide useful information for estimating the likelihood
of redevelopment of a lesion following surgery, and for determining the
dose in postoperative electron-beam irradiation therapy. |
|
<< BACK |
PAGE TOP |
|
