Five years ago, Mr. Liu had a subcutaneous tumor resection on his back because of a powder tumor. Postoperative scar recovery is not ideal, and scar hyperplasia gradually forms. Besides the unsightly wound, I often feel pain and itching, and then I ask the doctor for help. After evaluation, it was found that it was a symptom caused by postoperative scar hyperplasia, "crab foot swelling".
In order to get rid of Mr. Liu's "crab's foot swelling", Dr. You Dong, a plastic surgeon in Yadong Hospital, cooperated with Dr. Xie Chenxi, a multidisciplinary and radiation oncology department, and successively performed local steroid injection, surgical resection and reconstruction, and postoperative low-dose radiotherapy.
At present, after a year and a half of follow-up, Mr. Liu has no scar hyperplasia, no pain or itching symptoms, and successfully achieved the purpose of treatment.
"Crab foot swelling" is a pain in many people's hearts. After "growing and cutting, cutting and growing", scars keep growing like deformed monsters, which not only causes psychological burden, but also causes itching, pain, tension, limited joint activity and other symptoms, which brings troubles to daily life.
The plastic surgeon of Yadong Hospital said that the annual incidence rate of crab-foot swelling in Taiwan Province Province is about 15, with an average of 10000 people suffering from the disease, and the incidence rate of male and female is equal. The incidence of colored people is higher than that of white people, and there is a family genetic tendency, which is related to genes and immunity.
It often occurs in the chest, abdomen, shoulders, upper back, head and neck, ears and so on. If you have swollen crab feet, acne, ear piercing, mosquito bites, and even vaccination, scar tissue hyperplasia may occur.
You Chenyan further explained that the scar hyperplasia of the wound will not grow immediately in people with swollen crab feet, and sometimes it will appear after weeks, months or even years.
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Is it "swollen crab feet"? Doctors teach you to do other kinds of scars!
Whether it is because of acne scars, trauma, surgery, etc. The tissue formed after body wound healing is scar tissue. Generally speaking, the types of scars are divided into mature scars, hypertrophic scars, or swollen crab feet. Clinically, many patients think it is "crab's foot swelling" when they see that the wound is not closed and there are ugly protrusions.
In fact, scar tissue will still have a "scar maturity" of six months to one year after wound healing. A mature scar should be soft, close to skin color or slightly lighter than skin color, with no special protrusions and no obvious itching or pain.
If the scar is swollen, red, itchy and painful, it may be "hypertrophic scar" or "swollen crab's foot". The difference between the two is that:
■ "Hypertrophic scar" refers to the scar hyperplasia within the original wound, which does not infringe the adjacent normal skin.
■ "Crab foot swelling" is scar tissue hyperplasia, which invades the normal skin tissue next to it and expands, just like a crab's foot sticking out.
Surgical repair+local low dose radiotherapy to improve the success rate
You Chen Yan pointed out that there are many ways to treat scars:
1. Including the period when the wound has just healed and the scar is mature, you can care for the scar by using beauty tape, silicone patch and silicone gel to help reduce skin tension and reduce the chance of scar enlargement, and use pressure on the scar to reduce the chance of scar hyperplasia and bulge.
2. Early inflammation and redness or late pigmentation of scar can be improved by laser.
3. If the scar is slightly concave and convex, it can be treated by flying shuttle laser or laser dermabrasion.
3. However, if it is hypertrophic scar or swelling of crab feet, local scar can be re-bandaged by steroid injection or surgery due to serious hyperplasia.
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Especially compared with hypertrophic scars, the recurrence rate of swollen crab feet after surgical repair is very high, you said. If only surgical resection, the control rate is about 50%; Surgery plus local low-dose radiotherapy can greatly reduce the recurrence rate, and the control rate has been successfully improved to 82%.
Surgical repair combined with local low-dose radiotherapy is another choice for patients with swollen crab feet. In particular, if there is a problem of swelling of crab feet, it is advisable to discuss the treatment strategy with the relevant attending doctors in order to obtain the best treatment effect.
KingNet State Grid Medical Authorized Reprint Original Source Ugly Scar Strange "Crab Foot Swelling" Don't stick "Scar"!