Prevention of the formation of postoperative hypertrophic scars on the face

Аннотация

To date, the problem of rehabilitation of patients with cicatricial lesions of the facial skin has not lost its relevance. The article is devoted to the prevention of the formation of postoperative hypertrophic scars on the face and their treatment. KEY WORDS: maxillofacial area, scars, sodium succinate, operation, prevention RELEVANCE found among persons of intellectual labor, the ratio Until today, the problem of rehabilitation of of men and women is 33% and 67%. (Panova patients with cicatricial lesions of the facial skin has 0.2008). not lost its relevance. This is due to several factors: As you know, the process of scar formation - a high level of injuries and an increase in the after damage to the surface layer of tissues during number of surgical interventions for congenital injuries and operations is a biological law and is malformations, oncological and other diseases in the perceived as an "inevitable evil" by both surgeons maxillofacial region; and patients. One of the important features of the - the increased demands of patients and surgeons for process of tissue scarring is the fact that the final scar aesthetic results; improvement of existing diagnostic formation is completed several months (and and treatment methods; sometimes years) after the operation is performed, - influence on the psychoemotional sphere, social and within the same time frame is assessed by the status and social adaptation of patients. patient (1). Analysis of the distribution of rank values in We can conditionally distinguish three main the structure of the morbidity of situations in which the process of scar formation dermatocosmetological patients indicates that in the (and, therefore, their subsequent assessment) has general structure of treatment, cicatricial lesions of significant differences. So, with open injuries and the face and neck are 25.0%. The highest their surgical treatment, both the patient and the appealability for cosmetic defects falls on women surgeon are faced with damage that has already aged 31-40 and accounts for 21.5% of the total occurred by chance, which, on the one hand, actually number of patients. Among various social groups of relieves the surgeon of responsibility for the quality the population, the highest level of attendance was of future scars, and, on the other hand, is perceived 2020 EPRA SEEO | www.eprajournals.com | Journal DOI URL: https://doi.org/10.36713/epra0314 24 ------------------------------------------------------------------------------------------------------------------------------------------------------------------- EPRA International Journal of Socio-Economic and Environmental Outlook (SEEO) ISSN: 2348-4101 Volume: 7 | Issue: 5| December 2020 | SJIF Impact Factor (2020): 7.005 | Journal DOI: 10.36713/epra0314 | Peer-Reviewed Journal by the patient as the result of accidental days). Photo documentation was used daily as circumstances. In urgent and elective surgical control. operations, when the patient's tissue is dissected with a surgical scalpel, it is usually about saving the RESULTS AND DISCUSSION. patient's health, and often life. The results of the analysis of the treatment of Therefore, the surgeon is concerned, first of patients showed that in the patients of the control all, not with the quality of the future scar, but with group, the edema of the tissues around the wound how to more successfully solve the main problem of was stopped on the 4th day, which is longer than in treatment (for example, opening a phlegmon, the patients of the main group for 2 days. Cleansing resecting a tumor, etc.)(2). of the wound from pathological exudate in the main In both the first and second cases, after the group was observed on ... day 3, complete cleansing completion of the main stage of the intervention, the of the wound in the control group took place on day surgeon, applying sutures, is concerned not so much 5. with the quality of the future scar as with how to Epithelialization in the control group appeared ensure uncomplicated (primary) wound healing on the 7th day, while in the main group, In most situations, it is this circumstance that epithelialization began on the 5th day. creates the necessary conditions for solving the main Further observation shows that the scar problem of treatment, allows the patient to be formed after the use of a preparation based on discharged from the hospital in a short time, and sodium succinate (HYALUAL) in combination with therefore is one of the important criteria for the platelet-rich plasma has a lower tendency to effectiveness of surgical work. hypertrophy, which is explained by the fact that sodium succinate contained in the preparation PURPOSE OF THE STUDY performs a unique function of a regulator of Evaluation of the effectiveness of topical physiological and biochemical processes(6). application of a drug based on sodium succinate It has a direct effect on cellular metabolism (HYALUAL) in combination with platelet-rich and