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Chirurgia 2020 August;33(4):223-6

DOI: 10.23736/S0394-9508.19.05015-0


lingua: Inglese

Alternative, conservative treatment of postoperative scar on left facial half due to previous re-excision of temporal malignant skin melanoma with Тheresienöl

Strahil A. STRASHILOV 1 , Angel D. YORDANOV 2, Polina P. VASILEVA 3, Mariela B. VASILEVA 4

1 Department of Plastic and Reconstructive Surgery, Medical University of Pleven, Pleven, Bulgaria; 2 Department of Oncogynecology, Medical University of Pleven, Pleven, Bulgaria; 3 Department of Obstetrics and Gynecology, Medical University of Pleven, Pleven, Bulgaria; 4 Second General Surgical Clinic, Aleksandrovska Hospital, Sofia, Bulgaria

One of the basic stages in the treatment of skin malignant melanoma is performing re-excision of the affected site, which should be implemented within 4-6 weeks following the biopsy-based diagnosis. Normally the surgical incision is within the margins of 2 cm in all directions. An exception from this rule is allowed in thin lesions and such located on face area, where the margins are around 1-1.5 cm. Most of the cases after re-excision need closure of the skin defects using different various of plastic surgical recovery, which on its hand results in formation of cicatrices, varying is shape, size and location. Nowadays more and more attention is paid to local, conservative treatment of scars of different nature, the key alternatives for it being: silicon gels and dressings, pressure garments, transforming growth factor (TGF-β3) and UV-protection creams, factor >50. All of them influence upon different mechanisms in the formation of cicatrices with the sole objective the latter to be as tiny and invisible as possible. Herein we present a clinical case of alternative local treatment with Theresienöl of a scar on the left side of the face of an 82-years old woman, due to surgical treatment of nodular malignant skin melanoma, located temporally in the left.

KEY WORDS: Cicatrix; Conservative treatment; Postoperative period

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