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Grain is the tissue that is formed when wounds heal. However, not all wounds heal through granulation. Most often, granulation tissue appears in piercing wounds, e.g. in the ear, navel or nose. It can also be seen in the socket after tooth extraction. Where else can granulation occur? Does the occurrence of granulation tissue require any treatment? Find out how granulation tissue is made.

Granulation tissue(granulation tissue) is formed during wound healing in thegranulation mechanism . The consequence of skin disruption - whether the wound is burned, traumatized or infected - is the healing process. Most often, human wounds heal through rapid growth, where the edges of the wound come closer together and a linear scar eventually becomes the visible remnant of the wound. Sometimes, however, healing through rapid growth is not possible - then healing may take place in a completely different mechanism, which isgranulation . It is definitely less beneficial than rapid growth and takes more time to heal. In most cases, the human body tends to "avoid" restoring the skin through granulation.Granulation occurs when - for some reason - the edges of the wound are very far apart .

What is granulation tissue?

Granitin was first mentioned in the second half of the 19th century. Back then, an Austrian surgeon, Theodor Billroth, referred to a specific type of wound healing asgranulation . The very name of granulation grain comes from the fact that it resembles a collection of small grains.

Granulin is actually a connective tissue in which there are cellular elements, blood vessels and the extracellular matrix. The cells of which many can be found within the granulation tissue arefibroblasts .

They correspond, inter alia, to for the production of hyaluronic acid, elastin and collagen. In addition to fibroblasts, granulation tissue is rich incollagen fibersand contains numerouscapillaries .

Where does granulation occur most often?

Basically, the function of granulation tissue is to fill a tissue defect that has arisen as a result of an injury. It appears primarily in the tissues they havelittle or no regeneration capacity.

Grain after tooth extraction

TypicallyGranulation healing occurs in the oral cavity . The granulation can be observed, for example, after tooth extraction.

Grain after piercing

Quite frequent granulation tissue appears in the area of ​​the ears. Inside them, granulation may occur as a result of chronic inflammation. Additionally, granulation tissue can also be observed in the auricle, where it typically develops as a result ofpiercing .

It is worth mentioning here that often granulation occurs in those places where the patient decided to have an earring (such as the above-mentioned ear, but also the navel, eyebrows or nose).

Granules around the perineum

Another common location of granulation tissue isaround the perineum . Healing by granulation can take place in this case after the incision of the perineum during labor, as well as after various other gynecological surgeries.

How to treat granulation tissue?

In factgranulation tissue itself does not require any treatment . This is, as already mentioned, a less favorable type of healing, however, the granulation tissue poses no risk to the he alth of the patient. Healing by granulation, however, leads to the need to take special care of the patient's wound.

Grain is a delicate tissue that, in addition, can simply bleed. In addition, during granulation healing,secondary infectionsexisting in wound patients are relatively common.

Due to the above aspects, it is necessary to frequentlychange the dressings . In the initial period of granulation, even twice a day. Hydrogel dressings are recommended for granulation tissue, but it is also possible to dress it with sterile, moist gauze.

Granulation wounds can become infected easily, so it is important to try to prevent this problem. For this purpose, disinfectants are used. In addition, sometimes - especially in the case of very extensive wounds - antibiotic therapy (usually in the form of local treatment) may also be used.

Are there any scars after the granulation tissue?

Just as granulation tissue is not dangerous, unfortunately granulation healing has consequences negatively assessed by many patients.

Well, very often - due to the long healing time - large, unsightly scars remain after wounds that heal with the formation of granulation tissue.

Unfortunately, when the wound heals through granulation, it is difficult to reduce the risk of their development. Usually, the only option available is to try to remove the scar after the wound has healed.

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