Certified Wound Ostomy Nurse (CWON) Practice Test

Which of the following is a method to manage hypertrophic or keloid scars?

1. Cold compress therapy

2. Surgical excision and steroid injections

3. Laser therapy only

4. Topical antibacterial creams

The correct answer is: Surgical excision and steroid injections

Surgical excision and steroid injections are widely recognized methods for managing hypertrophic and keloid scars. Hypertrophic scars are raised and often red or purple, and they can mature over time; however, keloids go beyond the original injury site and can continue to grow. The combination of surgical excision allows for the removal of excess scar tissue, while steroid injections are effective in reducing inflammation and suppressing fibroblast proliferation, which contributes to scar formation. This approach helps to flatten the scars and decrease their appearance. The other options do not provide comprehensive management of hypertrophic or keloid scars. Cold compress therapy may help with swelling and discomfort, but it does not address the scar tissue itself. Laser therapy can be effective but is usually not a standalone treatment; it often works best in conjunction with other therapies. Topical antibacterial creams are primarily for preventing or treating infections and do not have a direct effect on scar modification.