Neuromodulazione nel trattamento delle cicatrici della mano

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Published: Mar 1, 2012
Keywords:
Lidocaine, Neuromodulation, Scar

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Anna Maria Spagnoli
Department of Dermatology and Plastic, Reconstructive and Aesthetic Surgery, (Director: Prof. Nicolò Scuderi) University of Rome “La Sapienza”, Policlinico Umberto I, Rome - Italy
Pasquale Fino
Department of Dermatology and Plastic, Reconstructive and Aesthetic Surgery, (Director: Prof. Nicolò Scuderi) University of Rome “La Sapienza”, Policlinico Umberto I, Rome - Italy
Paolo Fioramonti
Department of Dermatology and Plastic, Reconstructive and Aesthetic Surgery, (Director: Prof. Nicolò Scuderi) University of Rome “La Sapienza”, Policlinico Umberto I, Rome - Italy
Federico Corrias
Department of Dermatology and Plastic, Reconstructive and Aesthetic Surgery, (Director: Prof. Nicolò Scuderi) University of Rome “La Sapienza”, Policlinico Umberto I, Rome - Italy
Federico Lo Torto
Department of Dermatology and Plastic, Reconstructive and Aesthetic Surgery, (Director: Prof. Nicolò Scuderi) University of Rome “La Sapienza”, Policlinico Umberto I, Rome - Italy
Nicolò Scuderi
Department of Dermatology and Plastic, Reconstructive and Aesthetic Surgery, (Director: Prof. Nicolò Scuderi) University of Rome “La Sapienza”, Policlinico Umberto I, Rome - Italy

Abstract

AIM: In the present study, we investigated effects of a local anesthetic, in the treatment of pathologic scars.


materials and methods: this retrospective report describes our experience with 97 patients who underwent lidocaine 2% injections in surgical scars of the hand. The results were evaluated using 4 parameters:cutaneous structure, pain, thikness and colour of the scar.


RESULTS: The mean outcome was the pain control. 2 out of 97 showed a 100% improvement in all the parameters.


In 95 of 97 patients the improvement was between 60-100%.


DISCUSSION: Lidocaine controls different pathways of inflammation. Flogosis is the first phase of cicatrization and so lidocaine could be used in the treatment of pathologic scars. A previous study confirms the role of lidocaine, injected to control the pillar pain in the carpal tunnel’s surgery, in the improvement of scars.


CONCLUSION: Lidocaine, as neuromodulation treatment, acts on inflammation, temperature, perfusion and partial pressure of oxygen

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How to Cite
Anna Maria Spagnoli, et al. “Neuromodulazione Nel Trattamento Delle Cicatrici Della Mano”. Annali Italiani Di Chirurgia, vol. 83, no. 2, Mar. 2012, pp. 103-8, https://annaliitalianidichirurgia.it/index.php/aic/article/view/2476.
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Vol. 83 No. 2 (2012)
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Article