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WOUND HEALING
(CUTANEOUS)
DEFINITION
•
• HOMEOSTASIS
•
SEMANTICS OF WOUND HEALING
•
•
• 3-4
• 4-6
PHASES OF WOUND HEALING
•
•
•
INFLAMMATORY PHASE
•
•
•
Fibrillar collagen and
Tissue factor
Platelet aggregation Provisional matrix
Neutrophils (48 hrs)
Monocytes/
Macrophages (48-72
hrs)
Lymphocytes (5-7
days)
Coagulation
cascade
Scaffold for
cell
recruitment
Remove dead tissue.
Prevent infection.
PROLIFERATIVE PHASE (DAY 4-21)
•
•
•
RE-EPITHELIALIZATION
•
•
•
•
GRANULATION TISSUE
•
• ECM FORMATION AND ANGIOGENESIS
•
•
COLLAGEN DEPOSITION
•
•
• COLLAGEN III
PROLIFERATION – SWITCH
OFF
REMODELLING – SWITCH
ON
REMODELING
•
•
FIBROBLASTS
WOUND CONTRACTION
•
•
• MYOFIBROBLASTS
•
COLLAGEN REMODELING
ECM
COLLAGEN
III
COLLAGEN
TYPE I
COLLAGEN REMODELING
• MMPS
•
•
•
RECOVERY OF STRENGTH
•
• COLLAGEN DEGRADATION VS SYNTHESIS
• CROSS LINKING
•
•
•
FACTORS AFFECTING WOUND HEALING
SYSTEMIC FACTORS LOCAL FACTORS
Age
Obesity
Smoking
Nutrition
Anemia
Diabetes
Malignancy
Immunosupressive diseases
Circulatory status
Steroids/cytotoxic drugs
Infections
Mechanical factors
Foreign bodies
Venous or lymph stasis
Hematoma
Location of wound
Size of wound
Recurrent trauma
Underlying disease like
osteomyelitis/malignancy
PATHOLOGICAL ASPECTS OF REPAIR
1.
2.
3.
DEFICIENT SCAR FORMATION
•
•
EXCESSIVE FORMATION OF REPAIR PROCESS
•
•
•
CONTRACTURES
•
• BURNS
Wound healing (cutaneous)

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Wound healing (cutaneous)