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

Which of the following is NOT a management option for hypertrophic or keloid scars?

1. Intralesional steroid injections

2. Surgical excision and steroids

3. Vitamin E application

4. Silicone sheeting

The correct answer is: Vitamin E application

The management of hypertrophic or keloid scars often includes various established treatment options that aim to reduce scar appearance and improve patient outcomes. Among these, surgical excision combined with steroids, intralesional steroid injections, and silicone sheeting are well-supported by clinical evidence for their effectiveness in reducing scar formation and improving the texture and appearance of these scars. In contrast, the application of Vitamin E has not demonstrated significant benefits in the treatment of hypertrophic or keloid scars. While Vitamin E is often popularized as a natural remedy for skin healing, studies have shown that it does not reliably reduce scar formation or improve the appearance of existing scars. Moreover, some individuals may experience contact dermatitis from topical Vitamin E, which can further complicate the management of scars. Thus, while various management strategies are effective for hypertrophic or keloid scars, the application of Vitamin E is not considered a validated or effective treatment option in this context.