Which factor will delay healing in complete wall cracks?

• A. Excessive granulation
• B. Proper drainage
• C. Clean environment
• D. Topical steroids

Answer: (A)

Excessive granulation tissue forms a raised, fleshy bed over the wound that physically prevents the edges from meeting and epithelial cells from migrating across the surface. This “proud flesh” fills the crack and keeps the wound open longer, directly delaying closure and healing in complete wall cracks. In comparison, proper drainage helps remove fluid and bacteria, and a clean environment reduces contamination, both of which support healing. Topical steroids can slow healing in some contexts by reducing inflammation and fibroblast activity, but the predominant barrier in this scenario is the excessive granulation tissue that blocks wound closure.