A Rigid Transparent Face Mask for Control of Scar Hypertrophy

Shons, Alan R.; Rivers, Elizabeth A.; Solem, Lynn D.

doi:10.1097/00000637-198103000-00014

Cited by 26 publications

(10 citation statements)

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“…Accordingly, studies have shown therapy adherence can be a serious problem, displayed by a compliance for head and neck pressure garments of 44% in a study by Johnson et al 16,17 Although clinical evidence is lacking, recommendations about facial mask therapy for hypertrophic burn scars suggest a pressure mask should be worn 18 to 24 hours a day, with a targeted continuous pressure of at least 20 mm Hg for 6 to 18 months. [18][19][20] In this study, patients were asked to wear the mask for a minimum of 8 to 12 hours a day, preferably during the night. 21 Primarily, this was decided for preventing social, emotional, and physical difficulties as much as possible.…”

Section: Discussionmentioning

confidence: 99%

Satisfaction with Facial Appearance and Quality of Life after Treatment of Face Scars with a Transparent Facial Pressure Mask

et al. 2018

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Treatment of facial hypertrophic scars and deformities has developed from the use of elastic fabric hoods to transparent facemasks. The clinical effects of these masks have been described. However, the psychological impact of wearing such a mask is not well documented. The aim of this study was to assess patients' satisfaction with their current facial appearance, to assess the end result of facemask therapy, and to assess the decision to have undergone facemask therapy by means of four different FACE-Q questionnaires. Out of the eligible 87 patients who completed the facemask therapy between January 2012 and November 2017, 42 filled out the questionnaires. These patients wore a custom-fabricated facemask because of facial hypertrophic scars and severe postsurgical facial irregularities. Patients who wore the mask 12 to 16 hours per day were significantly more satisfied with the end result compared with those who wore it 4 to 8 hours daily. Also, patients who wore the mask 8 to 12 and 12 to 16 hours each day were more satisfied to have undergone therapy compared with those who wore it 4 to 8 hours daily. Furthermore, patients who finished therapy 3 to 4 years and 4 to 5 years ago reported a significant higher satisfaction with facial appearance compared with those who completed therapy in a time period shorter than 1 year ago. Patients who finished therapy 3 to 4 years ago reported higher satisfaction with their facial appearance compared with those who finished therapy 2 to 3 years ago. Additionally, the Patient and Observer Scar Assessments Score (POSAS) showed a significant reduction between start and end of therapy. This study shows facemask therapy to result in long-lasting stable results. It also shows a longer daily wearing of the facemask to result in the highest satisfaction according to patients.

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Section: Discussionmentioning

confidence: 99%

Satisfaction with Facial Appearance and Quality of Life after Treatment of Face Scars with a Transparent Facial Pressure Mask

et al. 2018

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“…The result is a rigid and custom fitted translucent mask. Adequate pressure causes the underlying scar to blanch [9,17]. Compared to the existing treatment options, this device is durable, allows visual evaluation of underlying healing tissue and is well tolerated by patients.…”

Section: Discussionmentioning

confidence: 99%

“…This device allows precise application of pressure to critical areas while maintaining anatomical contours [17].…”

Section: Introductionmentioning

confidence: 99%

The treatment of nonburn hypertrophyic scars using a custom fitted facemask

Mosiello

Maggi

Smith

et al. 1998

European Journal of Plastic Surgery

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Facial hypertrophic scarring is certainly not an uncommon event and can lead to significant aesthetic and functional problems. Its etiologies can range from thermal burns, facial trauma, infectious diseases, congenital deformities or tumor ablation. Many have described the prevention and treatment of hypertrophic scars, all with varying degrees of success. Using a form of pressure therapy, the custom fitted transparent facemask allows for precise determination of critical pressure areas and is cosmetically acceptable to patients. We have utilized this non-invasive modality in plastic surgery for the treatment of nonburn hypertrophic scars and have met with uniform success and patient acceptability.

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“…Since then, this technique has been replaced in many cases by the rigid transparent plastic face mask. 1–4 Multiple types of masks, differing in material and fixation methods, are now used in daily practice. 5…”

Section: Introductionmentioning

confidence: 99%

Manual fabrication of a specialized transparent facial pressure mask

Colla

Kant

Kerckhove

et al. 2019

Prosthetics &Amp; Orthotics International

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Background and Aim: The objective of this study was to describe the manual fabrication of a transparent facial pressure mask for treating facial deformities. The mask combines the use of a silicone inner liner and mechanical pressure in the facial region. Technique: A negative mold is formed by covering the face with plaster. Manipulation of soft tissue is a crucial part in this process. After hardening and removal of the negative mold, the positive mold is formed and dried. Next a rolled silicone sheet is placed over the positive mold in a vacuum environment. Subsequently, the silicones are vulcanized. Then the rigid outside of the mask is created. The silicone inner liner and outside shell are then affixed. Discussion: This described technique results in accurate facemasks with precise fitting. During therapy, the mask is adjusted multiple times to keep excellent fit, as remodeling of scars and deformities takes place. Clinical relevance: Facemasks are a reputable therapeutic modality to reduce excessive facial scarring. They require excellent fitting to give pleasing results. To provide a better understanding of facemask therapy, this study describes the manual fabrication technique.

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A Rigid Transparent Face Mask for Control of Scar Hypertrophy

Cited by 26 publications

References 0 publications

Satisfaction with Facial Appearance and Quality of Life after Treatment of Face Scars with a Transparent Facial Pressure Mask

Satisfaction with Facial Appearance and Quality of Life after Treatment of Face Scars with a Transparent Facial Pressure Mask

The treatment of nonburn hypertrophyic scars using a custom fitted facemask

Manual fabrication of a specialized transparent facial pressure mask

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