Adhesive Tape Anhidrosis

Gordon, Bernard I.

doi:10.1001/archderm.1969.01610280047006

Cited by 10 publications

(5 citation statements)

References 4 publications

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“…Willis (1973), too, found that even empty cups sealed to the skin caused appreciable sweat suppression. Gordon & Maibach's (1969) observation that an occlusive tape with a Zn-oxide backing (Hy-tape) caused the most pronounced anhidrosis is in conflict with our findings. In our hands, a similar tape suppressed bacterial growth; the lack of anhidrosis is, therefore, consistent with the hypothesis that bacteria play a decisive aetiological role.…”

Section: Commentcontrasting

confidence: 99%

“…Our findings generally agree with the results of Gordon & Maibach (1969) and Orentreich et al (1966). Willis (1973), too, found that even empty cups sealed to the skin caused appreciable sweat suppression.…”

Section: Commentsupporting

confidence: 94%

“…Orentreich et al (1966) and Gordon & Maibach (1969) found that the degree of hypohidrosis induced by tapes was related directly to their occlusiveness. Permeable tapes were ineffective.…”

Section: Experiments 5; Effects Of Various Occlusive Systemsmentioning

confidence: 99%

“…Meanwhile others were finding that occlusion for a few days would regularly induce anhidrosis. In an examination of tapes of differing occlusivity both Orentreich, Berger & Auerbach (1966) and Gordon & Maibach (1969) found that only those tapes which were completely impervious to water could induce a complete anhidrosis. The most striking finding in these studies was the long duration of reduced sweating.…”

Section: Historical Reviewmentioning

confidence: 99%

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The pathogenesis of miliaria rubra.

Hölzle

Kligman

1978

Br J Dermatol

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Anhidrosis was induced in volunteers by covering the skin with an impermeable plastic film. The degree of sweat suppression and miliaria after a thermal stimulus was directly proportional to the increase in the density of resident aerobic bacteria, notably cocci. No anhidrosis resulted when antibacterial substances were used to prevent the expansion of the microflora. Histological study showed a PAS-positive diastase resistant amorphous mass deep within the acrosyringium after 2 days of occlusion, accompanied by a periductal dermal infiltration of leukocytes. After another 2 days the duct became clogged by an amalgam of degenerating leukocytes. This impaction sloughed after about 3 weeks as a result of epidermal renewal. Colonies of bacteria were never found within the ducts. It is postulated that cocci secrete a toxin which injures luminal cells and precipitates a cast within the lumen. Infiltration by leukocytes creates an impaction which completely obstructs the passage of sweat for several weeks.

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Section: Commentcontrasting

confidence: 99%

Section: Commentsupporting

confidence: 94%

“…Orentreich et al (1966) and Gordon & Maibach (1969) found that the degree of hypohidrosis induced by tapes was related directly to their occlusiveness. Permeable tapes were ineffective.…”

Section: Experiments 5; Effects Of Various Occlusive Systemsmentioning

confidence: 99%

Section: Historical Reviewmentioning

confidence: 99%

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The pathogenesis of miliaria rubra.

Hölzle

Kligman

1978

Br J Dermatol

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“…In contrast to microporous tapes, the silicone sheet produces anhidrosis within 6 days of occlusion, which requires 3 weeks for reversal. The anhidrosis may be due to occlusion of the eccrine duct or secretory coil of the sweat gland [15]. The benefits of microporous taping that have been described in the literature include minimized hypertrophic scars in surgically closed linear wounds [16] and improved scar appearance and scar perception by patients [17].…”

Section: Discussionmentioning

confidence: 99%

Patients’ satisfaction with the effects of microporous tape on surgical scars: a randomized controlled study

Ilori

Olaitan

Ilori

et al. 2022

Arch Aesthetic Plast Surg

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Background Following surgery or other types of trauma, scar formation occurs with wound healing because of the replacement of normal skin with fibrous tissue. The conversion of a normal scar to an abnormal scar usually occurs 6 to 8 weeks after surgery. Abnormal scars can be a source of patient dissatisfaction, especially following cosmetic surgical procedures. Therefore, supporting scars with tape after surgery is critical for reducing scar tension. The aim of this study was to determine the extent of patients’ satisfaction with their scar outcomes following microporous taping and to identify the determinants of scar satisfaction.Methods A prospective randomized controlled study was conducted to compare the scar satisfaction of postsurgical patients who underwent scar taping with microporous tape to those who did not. The scars were assessed at 6 weeks, 3 months, and 6 months after surgery using the Patient Scar Assessment Scale (PSAS). The test group had microporous tape applied to their scars and the tape was worn 24 hours a day for a period of 6 months. The data were analyzed using SPSS version 22.0. Categorical variables and mean PSAS scores were compared using the chi-square test and repeated-measures analysis of variance, respectively.Results At 6 weeks, 3 months, and 6 months the taped group had significantly lower PSAS scores and higher satisfaction scores than the control group. Scar thickness and pruritus were statistically significant determinants of patient satisfaction.Conclusions Microporous tape is an effective modality for improving scar satisfaction in postsurgical patients.

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New Innovations in Scar Management

Widgerow¹,

Chait²,

Stals³

et al. 2000

Aesthetic Plastic Surgery

119

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As current aesthetic surgical techniques become more standardized and results more predictable, a fine scar may be the demarcating line between acceptable and unacceptable aesthetic results. With this in mind, a scar management program has been adopted based on the modalities of wound support, hydration, and hastened maturity, all factors gleaned from scientific evidence published over the past 25 years. Tension on a scar in one axis will result in a stretched scar, probably initiated by neutrophils and their neutral proteases [18,26]. Tension on a scar from many directions or intermittently will result in a hypertrophic scar, possibly initiated by lymphocytes but definitely related to a prolongation of the inflammatory process, with increased fibroblast activity and overabundant extracellular matrix secretion [24,26]. The common initiating factor is the tension on the scar, and the critical element needed to counteract this tension is scar support. Clinical experience has shown us that the most reliable way to support a scar is by using microporous tape. Hydration is a second beneficial influence on scar control and is the basis of the use of silicone sheeting and gel [7,29,36]. Alpha Centella cream has two main components. The first is an extract from the plant Bulbine frutescens. This increases hydration under the tape by leaving a layer of fatty vesicles of glycoprotein on the skin surface. This also has antibacterial properties. The second component is the principal terpenoids extracted from the Centella asiatica plant. These include asiatic acid, madecassic acid, and asiaticoside. Centella asiatica has been documented to aid wound healing in a large number of scientific reports [5,12,21,22,33,34,40]. The most beneficial effect appears to be the stimulation of maturation of the scar by the production of type I collagen [4,19] and the resulting decrease in the inflammatory reaction and myofibroblast production. Thus these components have been incorporated into the formulation of a scar management program. This publication reviews much of the available literature relating to scar management and describes the formulation and use of a scar management program based on this information.

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Adhesive Tape Anhidrosis

Cited by 10 publications

References 4 publications

The pathogenesis of miliaria rubra.

The pathogenesis of miliaria rubra.

Patients’ satisfaction with the effects of microporous tape on surgical scars: a randomized controlled study

New Innovations in Scar Management

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