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Advanced Technical IVT

Cicatricial Contraction

Pronunciation: sik-uh-TRISH-ul

The pathologic tightening and shortening of scar tissue that may limit function or appearance.

Full Definition

Cicatricial contraction refers to the excessive tightening and shortening of scar tissue during the wound healing process, which can result in functional impairment or aesthetic deformity. This process occurs when myofibroblasts within the healing tissue contract beyond normal physiologic levels, causing surrounding tissues to be pulled toward the scar. In dermatologic surgery, cicatricial contraction is particularly problematic when it occurs across joints, around facial features, or in areas where tissue mobility is important. Prevention strategies include proper wound care, scar massage, compression therapy, and in severe cases, surgical revision may be necessary.

Usage

Usage note: Use 'cicatricial' rather than 'cicatrical' - the 'i' is often mistakenly omitted.

In Context

  • "Cicatricial contraction of the neck scar limited the patient's range of motion." — Follow-up examination note
  • "Early mobilization and scar massage were recommended to prevent cicatricial contraction." — Postoperative care instructions

Also known as

scar contracture cicatricial contracture

Contrasted with

normal healing elastic scar

Don't confuse with

hypertrophic scar keloid formation

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