Scar Management in the Pediatric and Adolescent Populations

For most children and adolescents who have developed symptomatic scars, cosmetic concerns are only a portion of the motivation that drives them and their caregivers to obtain treatment. In addition to the potential for cosmetic disfigurement, scars may be associated with a number of physical comorbi...

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Bibliographic Details
Published in:Pediatrics (Evanston) 2016-02, Vol.137 (2), p.e20142065-e20142065
Main Authors: Krakowski, Andrew C, Totri, Christine R, Donelan, Matthias B, Shumaker, Peter R
Format: Article
Language:English
Subjects:
Adolescent
Adrenal Cortex Hormones - therapeutic use
Anti-Inflammatory Agents - therapeutic use
Antimetabolites - therapeutic use
Care and treatment
Caregivers
Child
Children
Children & youth
Cicatrices
Cicatrix - complications
Cicatrix - diagnosis
Cicatrix - psychology
Cicatrix - therapy
Combined Modality Therapy
Dermatologic Surgical Procedures
Fluorouracil - therapeutic use
Health aspects
Humans
Hypertrichosis
Influence
Injections, Intralesional
Lasers, Dye - therapeutic use
Lasers, Gas - therapeutic use
Medical treatment
Motivation
Pediatrics
Practice
Scars
Subcutaneous Fat - transplantation
Transplantation, Autologous
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Summary:For most children and adolescents who have developed symptomatic scars, cosmetic concerns are only a portion of the motivation that drives them and their caregivers to obtain treatment. In addition to the potential for cosmetic disfigurement, scars may be associated with a number of physical comorbidities including hypertrichosis, dyshidrosis, tenderness/pain, pruritus, dysesthesias, and functional impairments such as contractures, all of which may be compounded by psychosocial factors. Although a plethora of options for treating scars exists, specific management guidelines for the pediatric and adolescent populations do not, and evidence must be extrapolated from adult studies. New modalities such as the scar team approach, autologous fat transfer, and ablative fractional laser resurfacing suggest a promising future for children who suffer symptomatically from their scars. In this state-of-the-art review, we summarize cutting-edge scar treatment strategies as they relate to the pediatric and adolescent populations.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.2014-2065