Papers of The 4th Japan Scar Workshop
12. Current status and future prospects for keloid and hypertrophic
Department of Plastic and Reconstructive Surgery, Showa University
School of Medicine, Tokyo, Japan
Keloid and hypertrophic scars are elevated lesions that can form
following trauma to the body surface, and they are a condition with
comparatively many opportunities for routine treatment.
The earliest record of keloids dates back to the age of the pyramids
when the Smith Papyrus was written at around 1600 B.C. That is to say,
keloid and hypertrophic scarring are troublesome conditions which have
continually burdened human beings from ancient times up to today. Many
aspects of the mechanism of keloid and hypertrophic scar formation,
their pathological condition and their resolution remain unknown, and
constitutional or genetic factors are strongly suggested to be involved.
Treatments that have been tried include surgical removal followed by
electron beam irradiation, tranilast medication, application of silicone
materials and compression therapy.
We describe the current status of keloid and hypertrophic scar
classification and treatment and their future prospects, including a new
classification which is now being conveyed through the Japanese Scar