Difference between revisions of "Cicatrix"

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A '''cicatrix''' is a scar resulting from "the healing of a wound, such as one caused by injury, illness, smallpox vaccination, or surgery."  Scar tissue is formed by dense masses of granulation tissue.<ref>{{REFweb
 
A '''cicatrix''' is a scar resulting from "the healing of a wound, such as one caused by injury, illness, smallpox vaccination, or surgery."  Scar tissue is formed by dense masses of granulation tissue.<ref>{{REFweb
 
  |url=https://medical-dictionary.thefreedictionary.com/cicatrix
 
  |url=https://medical-dictionary.thefreedictionary.com/cicatrix
|archived=
 
 
  |title=Cicatrix
 
  |title=Cicatrix
|trans-title=
 
|language=
 
|last=
 
|first=
 
|author-link=
 
 
  |publisher=The Free Dictionary
 
  |publisher=The Free Dictionary
|website=
 
 
  |date=2012
 
  |date=2012
 
  |accessdate=2022-01-16
 
  |accessdate=2022-01-16
|format=
 
|quote=
 
 
}}</ref>
 
}}</ref>
  
All circumcision operations leave a scar. The [[circumcision scar]] is noted for the unique way in which dissimilar tissue is mated at the scar. There usually is a unnatural visible texture and color change because [[skin]] on the proximal side is fused with [[mucosa]] on the distal side of the cicatrix.
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All circumcision [[amputation| amputations]] leave a scar. The [[circumcision scar]] is noted for the unique way in which dissimilar tissue is mated at the scar. There usually is a unnatural visible texture and color change because [[skin]] on the proximal side is fused with [[mucosa]] on the distal side of the cicatrix.
  
 
==Problem cicatrices==
 
==Problem cicatrices==
  
A circumcision scar may contract and trap the glans penis inside a tight scar, thus creating [[iatrogenic]] [[phimosis]]. Alpert et al. (2018) presented their successful experience that combines cicatrix stretching with a hemostat using local anesthesia in the office followed by several weeks of topical steroids with a minority of patients needing any additional therapy.<ref name="alpert2018">{{REFjournal
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A circumcision scar may contract and trap the [[glans penis]] inside a tight scar, thus creating [[iatrogenic]] [[phimosis]]. Alpert et al. (2018) presented their successful experience that combines cicatrix [[stretching]] with a hemostat using local anesthesia in the office followed by several weeks of topical steroids with a minority of patients needing any additional therapy.<ref name="alpert2018">{{REFjournal
 
  |last=Alpert
 
  |last=Alpert
 
  |first=Seth A.
 
  |first=Seth A.
  |init=
+
  |init=SA
 
  |author-link=
 
  |author-link=
 
  |last2=Ching
 
  |last2=Ching
 
  |first2=Christina B.
 
  |first2=Christina B.
  |init2=
+
  |init2=CB
 
  |author2-link=
 
  |author2-link=
 
  |last3=DaJusta
 
  |last3=DaJusta
 
  |first3=Daniel G.
 
  |first3=Daniel G.
  |init3=
+
  |init3=DG
 
  |author3-link=
 
  |author3-link=
 
  |etal=yes
 
  |etal=yes
 
  |title=Combination treatment for cicatrix after neonatal circumcision: An office-based solution to a challenging problem
 
  |title=Combination treatment for cicatrix after neonatal circumcision: An office-based solution to a challenging problem
|trans-title=
 
|language=
 
 
  |journal=Journal of Pediatric Urology
 
  |journal=Journal of Pediatric Urology
 
  |location=
 
  |location=
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}}</ref>
 
}}</ref>
  
Fekete et al. (2011) reported 48 revisions to adult circumcisions. The revisions were deemed necessary due to such issues as hypertrophic scar (n = 21, 44%), scar wrinkling (n = 13, 27%), incomplete circumcision (redundant foreskin) (n = 11, 23%) and paraphimosis (n = 3, 6%). Two patients required a second revision.<ref name="fekete2011">{{REFjournal
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Fekete et al. (2011) reported 48 revisions to [[Adolescent and adult circumcision| adult circumcisions]]. The revisions were deemed necessary due to such issues as hypertrophic scar (n = 21, 44%), scar wrinkling (n = 13, 27%), incomplete circumcision (redundant foreskin) (n = 11, 23%) and paraphimosis (n = 3, 6%). Two patients required a second revision.<ref name="fekete2011">{{REFjournal
 
  |last=Fekete
 
  |last=Fekete
 
  |first=Ferenc
 
  |first=Ferenc
  |init=
+
  |init=F
 
  |author-link=
 
  |author-link=
  |last2=Török,
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  |last2=Török
 
  |first2=Alexander
 
  |first2=Alexander
  |init2=
+
  |init2=A
 
  |author2-link=
 
  |author2-link=
 
  |last3=Nyirády
 
  |last3=Nyirády
 
  |first3=Peter
 
  |first3=Peter
  |init3=
+
  |init3=P
 
  |author3-link=
 
  |author3-link=
 
  |etal=no
 
  |etal=no
 
  |title=Revisions after unsatisfactory adult circumcisions
 
  |title=Revisions after unsatisfactory adult circumcisions
|trans-title=
 
|language=
 
 
  |journal=Int Urol Nephrol
 
  |journal=Int Urol Nephrol
 
  |location=
 
  |location=
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  |accessdate=2022-01-17
 
  |accessdate=2022-01-17
 
}}</ref>
 
}}</ref>
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{{SEEALSO}}
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* [[Circumcision scar]]
 +
 
{{REF}}
 
{{REF}}
  
[[Category:Term]]
 
 
[[Category:Circumcision_complication]]
 
[[Category:Circumcision_complication]]
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[[Category:Medical term]]
 +
 +
[[de:Narbe]]

Latest revision as of 08:00, 18 August 2023

A cicatrix is a scar resulting from "the healing of a wound, such as one caused by injury, illness, smallpox vaccination, or surgery." Scar tissue is formed by dense masses of granulation tissue.[1]

All circumcision amputations leave a scar. The circumcision scar is noted for the unique way in which dissimilar tissue is mated at the scar. There usually is a unnatural visible texture and color change because skin on the proximal side is fused with mucosa on the distal side of the cicatrix.

Problem cicatrices

A circumcision scar may contract and trap the glans penis inside a tight scar, thus creating iatrogenic phimosis. Alpert et al. (2018) presented their successful experience that combines cicatrix stretching with a hemostat using local anesthesia in the office followed by several weeks of topical steroids with a minority of patients needing any additional therapy.[2]

Fekete et al. (2011) reported 48 revisions to adult circumcisions. The revisions were deemed necessary due to such issues as hypertrophic scar (n = 21, 44%), scar wrinkling (n = 13, 27%), incomplete circumcision (redundant foreskin) (n = 11, 23%) and paraphimosis (n = 3, 6%). Two patients required a second revision.[3]

See also

References

  1.   (2012). Cicatrix, The Free Dictionary. Retrieved 16 January 2022.
  2.   Alpert SA, Ching CB, DaJusta DG, et al. Combination treatment for cicatrix after neonatal circumcision: An office-based solution to a challenging problem. Journal of Pediatric Urology. 27 June 2018; 14(5): P471-5. PMID. DOI. Retrieved 17 January 2022.
  3.   Fekete F, Török A, Nyirády P. Revisions after unsatisfactory adult circumcisions. Int Urol Nephrol. June 2011; 43(2): 431-5. PMID. DOI. Retrieved 17 January 2022.