Currently known risk factors for hypertrophic skin scarring: A review. Issue 2 (February 2016)

• Record Type: Journal Article
• Authors: Butzelaar, L.; Ulrich, M.M.W.; Mink van der Molen, A.B.; Niessen, F.B.; Beelen, R.H.J.
• Is Part Of: Journal of plastic, reconstructive & aesthetic surgery. Volume 69:Issue 2(2016:Feb.)
• Page Start: 163
• Page End: 169
• Publication Date: 2016-02
• Subjects: Excessive scarring -- Hypertrophic scar -- Wound healing -- Skin -- Risk factors; Surgery, Plastic -- Great Britain -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; Surgery, Plastic -- Great Britain -- Periodicals; 617.9505
• DOI: 10.1016/j.bjps.2015.11.015
• Languages: English
• ISSNs: 1748-6815

Abstract

Summary: Objective: The study aims to provide an overview of risk factors for hypertrophic scarring. Background: Hypertrophic skin scarring remains a major concern in medicine and causes considerable morbidity. Despite extensive research on this topic, the precise mechanism of excessive scarring is still unknown. In addition, the current literature lacks an overview of the possible risk factors in the development of hypertrophic scars. Methods: PubMed searches were performed on risk factors for hypertrophic scar (HTS) formation. Results: Eleven studies suggesting nine factors associated with HTS formation were found. Studies concerning chemotherapy, age, stretch, infection, and smoking have a moderate to high strength of evidence, but some other factors have not been studied in a convincing manner or are still disputed. Conclusions: Risk factors for HTS formation are young age, bacterial colonization, and skin subjected to stretch. Chemotherapy, statins, and smoking seem to play a protective role in HTS formation.