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Wound Healing: An Overview

Broughton, George II M.D., Ph.D., COL., M.C., U.S.A.; Janis, Jeffrey E. M.D.; Attinger, Christopher E. M.D.

Plastic & Reconstructive Surgery: June 2006 - Volume 117 - Issue 7S - pp 1e-S-32e-S
doi: 10.1097/01.prs.0000222562.60260.f9
CME

Learning Objectives: After studying this article, the participant should be able to: 1. Describe the actions of inflammatory mediators, growth factors, and nitric oxide involved in wound healing. 2. Describe the different cellular elements and their function in wound healing. 3. Discuss the three phases of wound healing and the relationships between mediators and cells for each. 4. Discuss the similarities and differences between keloids and hypertrophic scar and the treatment options for each. 5. Discuss the systemic and external factors involved in wound healing. 6. Discuss future wound-healing opportunities.

Summary: Understanding wound healing today involves much more than simply stating that there are three phases: inflammation, proliferation, and maturation. Wound healing is a complex series of reactions and interactions among cells and “mediators.” Each year, new mediators are discovered and our understanding of inflammatory mediators and cellular interactions grows. This article will attempt to provide a concise overview on wound healing and wound management.

Dallas, Texas; and Washington, D.C.

From the Department of Plastic Surgery, Nancy L & Perry Bass Advanced Wound Healing Laboratory, University of Texas Southwestern Medical Center; and the Georgetown Limb Center, Georgetown University Medical Center.

Received for publication February 1, 2006; revised March 18, 2006.

The opinions or assertions contained herein are the private views of the author (G.B.) and are not to be construed as official or as reflecting the views of the Department of the Army or the Department of Defense.

George Broughton, II, M.D., Ph.D., Department of Plastic Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, Texas 75390-9132, george.broughton@us.army.mil

©2006American Society of Plastic Surgeons