Papers of The 8th Japan Scar Workshop

19. History of scar and wound healing research in the Department of Plastic Surgery at Showa University - Where are we going ? -

Yasuyoshi Tosa, Tomoaki Kuroki, Nobuhiro Sato, Shinya Yoshimoto
Department of Plastic and Reconstructive Surgery, Showa University School of Medicine, Tokyo, Japan

The department of plastic surgery at Showa University was opened in July 1968. At that time the heating devices in Japan were different from those of today, with kerosene stoves, sunken kotatsu and hot water bottles. As such, burn patients and cases of hypertrophic scaring after burns were common. With skin grafts and surgical resection in addition to conservative management as treatment for those patients, there was a mix of those who had relief and those with persistent red lesions. Treatment of these patients led to clinical research on hypertrophic scars and keloids. There were cases of severe hypertrophic scarring at the base of the columella on the white lip after cheilorhinoplasty for cleft lip, and with these investigations came research topics such as Dermopan combination therapy and local injections of Kenacort-A. Over the long-term observation of these patients, there have been cases where the course differed from that of the first few years. This has prompted the need for long-term follow-up of these patients. From our accumulation of clinical experience such as the degree of keloid diathesis in wound healing and differences in responsiveness depending on the site, we present a treatment policy which combines surgical treatment and conservative management.
We hereby describe "Where are we going" regarding history of scar and wound healing in our institution.
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