Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

How long can the maturation/remodeling phase of scar tissue formation last?

1. 1-3 months

2. 3-6 months

3. Up to 1 year or more

4. Permanent

The correct answer is: Up to 1 year or more

The maturation or remodeling phase of scar tissue formation is indeed an extended process that can last for up to a year or longer. This phase follows the inflammatory and proliferative phases of wound healing and is characterized by the organization and strengthening of scar tissue. During this time, collagen fibers are continuously remodeled; they become more organized, cross-linked, and align in response to stress and tension in the surrounding tissue. As the remodeling progresses, the scar tissue gradually becomes softer, thinner, and more flexible than its initial form. Although the scar may continue to gain strength and improve in appearance for up to a year, in some cases, especially with larger or more complex wounds, this process can last even longer. The dynamic nature of this phase allows for adaptability to changes and stresses placed on the tissue, which contributes to the scar's overall functionality and integration with surrounding areas. The other options suggest shorter durations, which don't encompass the full timeline that can be associated with scar maturation. While some scars may see significant improvements in the first few months, the full maturation process extends well beyond that initial timeframe, thereby making the answer that recognizes the potential for long-term remodeling the most accurate.