Use of botulinum toxin for the treatment of keloid scars: scoping review

Introduction: Visible scars can cause problems, whether aesthetic, psychological, functional, or social, mainly of great extension and volume, such as keloids. The discovery of new treatments for keloids is not easy, given the presence of some methodological and ethical obstacles, and it is an area...

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Main Authors: Eduardo Lafayette Monteiro, Karine Lorena Sousa Queiroz, Thiago Alexandre Macedo de Azevedo
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2024-04-01
Series:Revista Brasileira de Cirurgia Plástica
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Online Access:http://www.rbcp.org.br/export-pdf/3416/1983-5175-rbcp-39-01-e0841-en.pdf
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author Eduardo Lafayette Monteiro
Karine Lorena Sousa Queiroz
Thiago Alexandre Macedo de Azevedo
author_facet Eduardo Lafayette Monteiro
Karine Lorena Sousa Queiroz
Thiago Alexandre Macedo de Azevedo
author_sort Eduardo Lafayette Monteiro
collection DOAJ
description Introduction: Visible scars can cause problems, whether aesthetic, psychological, functional, or social, mainly of great extension and volume, such as keloids. The discovery of new treatments for keloids is not easy, given the presence of some methodological and ethical obstacles, and it is an area that is little explored. Botulinum toxin has been presented as a therapeutic alternative in national and international studies, requiring a compilation and highlighting of the main studies that can support clinical practice. Thus, the objective was to present a scoping review on the therapeutic use of botulinum toxin for the treatment of keloid scars. Method: The review was carried out using the PICO strategy and using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. It was carried out in the PubMed/Medline, Virtual Health Library, and SciELO databases, considering studies from 2016 to September 2021. Results: Overall, 34 articles related to the topic were found. After filtering and selection, the review was constructed with the support of 5 articles. The studies varied between cohorts, case reports, randomized clinical trials, and case-control. It was possible to observe as main results of the short-term action of botulinum toxin in reducing keloids, greater effectiveness in reducing symptoms, and possibilities of clinical use for different populations and clinical manifestations. Conclusion: The mechanism of action of botulinum toxin can facilitate the treatment of keloids and reduce symptoms, requiring more robust studies to define effective scar management protocols.
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spelling doaj-art-7a1fea1027194df796c651940b6612692025-08-20T03:57:03ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352024-04-0139110.5935/2177-1235.2024RBCP0841-ENUse of botulinum toxin for the treatment of keloid scars: scoping reviewEduardo Lafayette Monteiro0Karine Lorena Sousa Queiroz1Thiago Alexandre Macedo de Azevedo2Universidade Estadual do Ceará, Fortaleza, Ceará, BrazilUniversidade Estadual do Ceará, Fortaleza, Ceará, BrazilSanta Casa de Santos, Santos, São Paulo, BrazilIntroduction: Visible scars can cause problems, whether aesthetic, psychological, functional, or social, mainly of great extension and volume, such as keloids. The discovery of new treatments for keloids is not easy, given the presence of some methodological and ethical obstacles, and it is an area that is little explored. Botulinum toxin has been presented as a therapeutic alternative in national and international studies, requiring a compilation and highlighting of the main studies that can support clinical practice. Thus, the objective was to present a scoping review on the therapeutic use of botulinum toxin for the treatment of keloid scars. Method: The review was carried out using the PICO strategy and using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. It was carried out in the PubMed/Medline, Virtual Health Library, and SciELO databases, considering studies from 2016 to September 2021. Results: Overall, 34 articles related to the topic were found. After filtering and selection, the review was constructed with the support of 5 articles. The studies varied between cohorts, case reports, randomized clinical trials, and case-control. It was possible to observe as main results of the short-term action of botulinum toxin in reducing keloids, greater effectiveness in reducing symptoms, and possibilities of clinical use for different populations and clinical manifestations. Conclusion: The mechanism of action of botulinum toxin can facilitate the treatment of keloids and reduce symptoms, requiring more robust studies to define effective scar management protocols.http://www.rbcp.org.br/export-pdf/3416/1983-5175-rbcp-39-01-e0841-en.pdfkeloidtherapeutic human experimentationbotulinum toxinstype areconstructive surgical proceduresevidence-based practice
spellingShingle Eduardo Lafayette Monteiro
Karine Lorena Sousa Queiroz
Thiago Alexandre Macedo de Azevedo
Use of botulinum toxin for the treatment of keloid scars: scoping review
Revista Brasileira de Cirurgia Plástica
keloid
therapeutic human experimentation
botulinum toxins
type a
reconstructive surgical procedures
evidence-based practice
title Use of botulinum toxin for the treatment of keloid scars: scoping review
title_full Use of botulinum toxin for the treatment of keloid scars: scoping review
title_fullStr Use of botulinum toxin for the treatment of keloid scars: scoping review
title_full_unstemmed Use of botulinum toxin for the treatment of keloid scars: scoping review
title_short Use of botulinum toxin for the treatment of keloid scars: scoping review
title_sort use of botulinum toxin for the treatment of keloid scars scoping review
topic keloid
therapeutic human experimentation
botulinum toxins
type a
reconstructive surgical procedures
evidence-based practice
url http://www.rbcp.org.br/export-pdf/3416/1983-5175-rbcp-39-01-e0841-en.pdf
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