What does “hypertrophic” indicate regarding the patient’s scarring?

Read and answer the questions associated with the following case studyPlastic Surgery ConsultationPatient Name: Michael TurnerID No. 016-0001Date of Exam: 1-31-2013Reason for Consultation: Hypertrophic scarring and keloid formation (pg 130, 4-13), left upper extremity and neckHPI: 34-year old white male who suffered 25% TBSA full- and partial-thickness flame burns to bilateral upper extremities and neck after tripping and falling into a campfire 4 months ago. Patient was treated with Silvadene dressing changes and allograft with split-thickness grafts to the bilateral upper extremities and neck. The right and left thighs were used as donor sites and were treated with a single layer of petrolatum gauze. The donor sites have healed well. Right upper extremity graft site has healed without sepsis or excessive scarring. Left upper extremity and neck show hypertrophic scarring and keloid formation despite his wearing elastic pressure bandage.PMH: Unremarkable except for onychomycosis of the toesFH: Mother, age 68, with melanoma. Father, age 70, with HTN and seborrheic dermatitisAllergies: NKDAMedications: Neomycin ointmentImpression: Keloid formation, left upper extremity and neckPlan: Surgery to correct keloid formation, left upper extremity and neckAnswer the following questions:Term for the skin graft procedure that the patient was treated with:Abnormal condition of fungus of a nail:Inflammation of the skin related to sebum:(Malignant) tumor composed of black (appears as black under microscopic examination):What does “hypertrophic” indicate regarding the patient’s scarring?

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