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Paediatric hypertrophic scars represent a distinctive manifestation of abnormal wound healing in children, characterized by an excessive and raised proliferation of collagen fibers at the site of a previous injury. These scars, often resulting from burns, surgical incisions, or traumatic wounds, exhibit unique clinical and histological features that differentiate them from typical scars in the Paediatric population. Typically, hypertrophic scars in children are red, raised, and may extend beyond the boundaries of the original wound, posing both cosmetic and functional concerns. The underlying pathophysiology involves an imbalance in the synthesis and degradation of collagen, leading to an overproduction of extracellular matrix components. This dysregulated healing process may result in functional impairment, restricted joint mobility, and psychological distress for the affected child. Moreover, Paediatric hypertrophic scars can undergo cycles of growth and regression, complicating their management. Various treatment modalities are employed, ranging from conservative measures such as silicone gel sheets and pressure garments to more invasive interventions like laser therapy and surgical excision. The choice of treatment depends on factors such as scar location, size, and the child's age. Importantly, a multidisciplinary approach involving Paediatricians, dermatologists, and plastic surgeons is often crucial to address the complex nature of these scars and ensure optimal outcomes. As our understanding of Paediatric hypertrophic scars continues to evolve, ongoing research aims to uncover novel therapeutic strategies that can effectively mitigate their impact on the physical and emotional well-being of affected children. Ultimately, comprehensive care and early intervention are essential to minimize the long-term consequences associated with Paediatric hypertrophic scars and enhance the quality of life for these young patients.
