What can be done if granulation tissue is excessive?

• A. Cauterized with silver nitrate sticks or other cauterizing devices
• B. Apply occlusive dressing
• C. Keep the area dry
• D. Increase feeding rate

Answer: (A)

When granulation tissue grows excessively, the goal is to reduce that overgrowth to expose a healthy wound bed that can progress to epithelialization. Cauterization with silver nitrate sticks or other cauterizing devices directly targets the exuberant tissue, chemically cauterizing and shrinking the excess tissue. This creates a more stable surface and helps the wound move toward proper healing without removing surrounding healthy tissue. It’s a focused intervention for the specific problem of overgrowth, performed with careful technique and appropriate pain control and monitoring for signs of bleeding or infection.

Occlusive dressings, keeping the area dry, or increasing the feeding rate don’t specifically address excess granulation tissue. Occlusion and moisture balance influence healing more broadly, while nutrition supports healing overall but won’t directly reduce overgrown tissue.