SKIN HEALING

Question 1

types of skin healing?

Answer 1

primary and secondary intention, 3rd is delayed primary closure (not really used)

Question 2

name this type of skin healing?

surgical incision
minimal tissue loss
approx w/ sutures
minimal inflammation
absence of granulation tissue***

Answer 2

primary intention

Question 3

name this type of skin healing?

open wound w/ tissue loss
wound remains open 
significant granulation tissue
*red beefy tissue from neovascularization
contracture of wound
epithelialization

Answer 3

secondary intention

Question 4

name this type of skin healing?

anytime an incision is left open and then closed at a later date

Answer 4

delayed primary closure

Question 5

where do we see delayed primary closure?

Answer 5

infection management

trauma

Question 6

complication of skin healing?

Answer 6

infection

adhesions

contractures, myofibrocytes

hypertrophic scars, raised, pigmented, fibrotic scars

keloids, aggressive scarring beyond site of original incision or insult

Question 7

main tx for hypertrophic scars?

Answer 7

pressure
silicon sheeting
corticosteroid inj like kenalog 40
cross friction massage

Question 8

main tx for keloid scars?

Answer 8

pressure
silicone sheeting
mederma skin gel