Granulation tissue is new connective tissue and microscopic blood vessels that form on the surfaces of a wound during the healing process.[1] Granulation tissue typically grows from the base of a wound and is able to fill wounds of almost any size. Examples of granulation tissue can be seen in pyogenic granulomas and pulp polyps. Its histological appearance is characterized by proliferation of fibroblasts and thin-walled, delicate capillaries (angiogenesis), and infiltrated inflammatory cells in a loose extracellular matrix.
During the migratory phase of wound healing, granulation tissue is:
Granulation tissue is composed of tissue matrix supporting a variety of cell types, most of which can be associated with one of the following functions:[citation needed]
An excess of granulation tissue (caro luxurians) is informally referred to as "proud flesh".[3]
The extracellular matrix of granulation tissue is created and modified by fibroblasts. Initially, it consists of a network of type-III collagen, a weaker form of the structural protein that can be produced rapidly. This is later replaced by the stronger, long-stranded type-I collagen, as evidenced in scar tissue.
The main immune cells active in the tissue are macrophages and neutrophils, although other leukocytes are also present. These work to phagocytize old or damaged tissue, and protect the healing tissue from pathogenic infection. This is necessary both to aid the healing process and to protect against invading pathogens, as the wound often does not have an effective skin barrier to act as a first line of defense.
It is necessary for a network of blood vessels to be established as soon as possible to provide the growing tissue with nutrients, to take away cellular wastes, and transport new leukocytes to the area. Fibroblasts, the main cells that deposit granulation tissue, depend on oxygen to proliferate and lay down the new extracellular matrix.
In vascularisation, also called angiogenesis, endothelial cells quickly grow into the tissue from older, intact blood vessels. These branch out in a systematic way, forming anastomoses with other vessels.
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This article does not cite any sources. Please help improve this article by adding citations to reliable sources. Unsourced material may be challenged and removed.Find sources: Kato Arodes – news · newspapers · books · scholar · JSTOR (September 2018) (Learn how and when to remove this template message) Place in Paphos District, CyprusArodesCountryCyprusDistrictPaphos DistrictPopulation (2011) • Total39Time zoneUTC+2 (EET) • S…
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American escape artist For the beauty queen, see Kristen Johnson (Miss Kentucky USA). For the American actress, see Kristen Johnston. This article has multiple issues. Please help improve it or discuss these issues on the talk page. (Learn how and when to remove these template messages) This article contains content that is written like an advertisement. Please help improve it by removing promotional content and inappropriate external links, and by adding encyclopedic content written from a neut…
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