دورية أكاديمية
أعرض في EDS

Presentation, Management, and Outcomes of Pathologic Scars Within a Pediatric Otolaryngology Practice.

التفاصيل البيبلوغرافية
العنوان: Presentation, Management, and Outcomes of Pathologic Scars Within a Pediatric Otolaryngology Practice.
المؤلفون: Zaccardelli A; Department of Otolaryngology-Head and Neck, Tufts University School of Medicine, Boston, Massachusetts, U.S.A., Harb JL; Division of Pediatric Otolaryngology and Facial Plastic and Reconstructive Surgery, Boston, Massachusetts, U.S.A.; Department of Otolaryngology-Head and Neck Surgery, Tufts Medical Center, Boston, Massachusetts, U.S.A., Papathanasiou E; Department of Periodontology, Tufts University School of Dental Medicine, Boston, Massachusetts, U.S.A., Scott AR; Department of Otolaryngology-Head and Neck, Tufts University School of Medicine, Boston, Massachusetts, U.S.A.; Division of Pediatric Otolaryngology and Facial Plastic and Reconstructive Surgery, Boston, Massachusetts, U.S.A.; Department of Otolaryngology-Head and Neck Surgery, Tufts Medical Center, Boston, Massachusetts, U.S.A.
المصدر: The Laryngoscope [Laryngoscope] 2024 Jul; Vol. 134 (7), pp. 3127-3135. Date of Electronic Publication: 2024 Feb 03.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 8607378 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-4995 (Electronic) Linking ISSN: 0023852X NLM ISO Abbreviation: Laryngoscope Subsets: MEDLINE
أسماء مطبوعة: Publication: <2009- >: Philadelphia, PA : Wiley-Blackwell
Original Publication: St. Louis, Mo. : [s.n., 1896-
مواضيع طبية MeSH: Keloid*/therapy , Tonsillectomy*/statistics & numerical data, Humans ; Male ; Female ; Retrospective Studies ; Child ; Child, Preschool ; Otolaryngology/statistics & numerical data ; Cicatrix, Hypertrophic/therapy ; Cicatrix, Hypertrophic/etiology ; Cicatrix, Hypertrophic/pathology ; Adolescent ; Treatment Outcome ; Cicatrix/pathology ; Cicatrix/etiology ; Infant
مستخلص: Objectives: This study aims to review the spectrum of scarring that may present to an urban, pediatric otolaryngology practice and determine if associations exist between race, scar location, treatment modality, and outcomes following interventions for scarring.
Methods: Retrospective cohort study among 115 pediatric patients with 138 unique keloids or hypertrophic scars (HTS), and 141 children presenting for tonsillectomy at Tufts Medical Center. Age at presentation and sex assigned at birth were collected for both populations. For those presenting for pathologic scars, income quintile, self-identified race/ethnicity, anatomical location, treatment number and type, and clinical outcome were also analyzed. Multivariate analyses calculated adjusted odds ratios (aORs) and 95% confidence intervals to assess associations between scar subsite, intervention type, and persistence after treatment.
Results: Compared to individuals presenting for tonsillectomy, a disproportionate percentage of patients presenting for scarring identified as Black (26.6% vs. 13.5%) or Asian (17.4% vs. 7.1%, p = 0.016) or were male (61.7% vs. 49.7%, p = 0.053). Individuals identifying as Black or Asian were more likely to present with ear lobe and neck scars, respectively (50.0% vs. 45.5%, p = <0.001). Ear scars were significantly more likely to receive excision at initial treatment (aOR = 5.86 [1.43-23.96]) compared to other subsites, and were more likely to require >1 treatment (aOR = 5.91 [1.53-22.75]).
Conclusion: Among pediatric patients presenting with keloids or HTS, children who identified as Black or Asian were more likely to present with ear and neck scars, respectively. Ear scars were frequently treated with excision and appear more likely to require adjuvant treatments and multiple interventions.
Level of Evidence: 3 Laryngoscope, 134:3127-3135, 2024.
(© 2024 The American Laryngological, Rhinological and Otological Society, Inc.)
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معلومات مُعتمدة: K08 DE027119 United States DE NIDCR NIH HHS
فهرسة مساهمة: Keywords: pediatric facial plastic; scar revision
تواريخ الأحداث: Date Created: 20240203 Date Completed: 20240617 Latest Revision: 20240702
رمز التحديث: 20240702
مُعرف محوري في PubMed: PMC11182727
DOI: 10.1002/lary.31320
PMID: 38308543
قاعدة البيانات: MEDLINE
الوصف
تدمد:1531-4995
DOI:10.1002/lary.31320