Hypertrophic scars and keloids are a common problem, particularly in people with dark skin. Nurse practitioners frequently need to know how to effectively treat this type of scarring. The objective of this literature review is to compare treatment options based on available literature to determine the best treatment. Multiple databases were used to research treatment options for hypertrophic scars and keloids. Statistics for each type of treatment were reviewed. Treatment options for hypertrophic scars and keloids included in this review are, intralesional injection, laser treatment, radiofrequency, silicone and excision in combination with intralesional steroid injection. The only treatment found to treat and prevent recurrence of keloids is excision combined with intralesional steroid injection. Other treatment options researched help to minimize symptoms, but do not entirely eliminate the scar. The best treatment option to eliminate keloids and prevent recurrence is excision and intralesional steroid injection. For reduction of pruritis (itching) and erythema (redness) alone with no chance of complete elimination the other treatment modalities researched can be recommended.
Metrics
6 File views/ downloads
45 Record Views
Details
Title
Treatment of Hypertrophic Scars and Keloids and the Role of the Nurse Practitioner
Creators
Tiffany Zimmer
Contributors
Lorna Schumann (Advisor)
Awarding Institution
Washington State University
Academic Unit
Research Projects, College of Nursing
Theses and Dissertations
Master of Nursing (MN), Washington State University
Publisher
Washington State University; Spokane, Washington
Identifiers
99900590723001842
Copyright
http://creativecommons.org/licenses/by-nc-sa/3.0/us; Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States (CC BY-NC-SA 3.0 US)