Conservative treatment using compression suits for second and third degree burns in children

Klöti, J.; Pochon, J. P.

doi:10.1016/0305-4179(82)90085-7

Cited by 19 publications

(5 citation statements)

References 4 publications

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“…There are physical treatments for post-burn pruritus, such as pressure therapy and massage therapy. Studies have indicated that compression can be effective against burn pruritus accompanying active hypertrophic scars [80,81]. The pressure may control collagen synthesis by limiting the supply of oxygen and nutrients, thereby blocking the conversion of fibroblasts into myoblasts [82].…”

Section: Physical Treatmentmentioning

confidence: 99%

Post-Burn Pruritus

Chung

Kim

Jung

et al. 2020

IJMS

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Post-burn pruritus is the pruritus that occurs after burn during the rehabilitation and healing process of burn wounds. The post-burn pruritus is a common and serious complication of burn injury, which severely lowers the quality of life of the patient. Many potential treatments are available for pruritus but there is no consensus of the best single treatment yet. The precise mechanism of post-burn pruritus has not been elucidated, but it appears to have pruritogenic and neuropathic aspects. Clinically, post-burn pruritus tends to be intractable to conventional treatment but rather responds to neuroleptic agents, such as gabapentin and pregabalin. During wound healing, various neuropeptides secreted from the nerves of the skin control epidermal and vascular proliferation and connective tissue cells. When keratinocytes are activated by an itch-inducing substance, they secrete a variety of inflammatory substances that increase the susceptibility of the itch receptor. There are two mechanisms underlying post-burn neuropathic pruritus. The first one is peripheral sensitization. The second one is the intact nociceptor hypothesis. An effective treatment for post-burn pruritus will also be effective in other neuropathic and intractable itching. In this review, we summarized the interaction and mechanism of keratinocytes, immune cells, and nerve fibers related to post-burn pruritus.

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Section: Physical Treatmentmentioning

confidence: 99%

Post-Burn Pruritus

Chung

Kim

Jung

et al. 2020

IJMS

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“…It is widely believed that pressure exerted by compression garments limits blood, nutrient and oxygen supply to the scar tissue limiting collagen synthesis 6,10,13-15 . In the current study, no difference in scar perfusion or blood vessel density were observed between the PGT group and the controls (Figure 4).…”

Section: Discussionmentioning

confidence: 99%

“…The current standard of care for the prevention and treatment of scarring following a burn injury is the use of pressure garments. These garments exert static compression on skin 6-12 and this pressure is hypothesized to limit blood flow, nutrient and oxygen supply to the scar tissue, reducing collagen synthesis 10,13-17 .…”

Section: Introductionmentioning

confidence: 99%

Burn Scar Biomechanics after Pressure Garment Therapy

Kim

Willard

Supp

et al. 2015

Plastic and Reconstructive Surgery

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Background The current standard of care for the prevention and treatment of scarring following burn injury is pressure garment therapy (PGT). Although this therapy has been used clinically for many years, controversy remains regarding its efficacy. The purpose of this study was to evaluate the efficacy of PGT in a female Red Duroc pig (fRDP) burn model where wound depth could be tightly controlled. Methods Full-thickness burn wounds were generated on fRDPs. At day 28 post-burn, PGT was applied to half of the wounds (10 mmHg), with control wounds covered with garments exerting no compression. Scar area, perfusion, hardness, and elasticity were quantified at days 0, 28, 42, 56, and 72 using computerized planimetry, Laser Doppler and torsional ballistometry. Scar morphology was assessed at days 28, 56 and 76 using histology, immunohistochemistry and transmission electron microscopy. Results Pressure garment therapy significantly hindered scar contraction with control scars contracting to 64.6 + 13.9% original area at day 72 while PGT scars contracted to 82.7 + 17.9% original area. PGT significantly reduced skin hardness and increased skin strength by 1.3X. No difference in perfusion or blood vessel density was observed. Average collagen fiber diameter was greater in control burns than PGT. Conclusions PGT was effective at reducing scar contraction and improving biomechanics compared to control scars. These results confirm the efficacy of pressure garments and highlight the need to further investigate the role of pressure magnitude and time of therapy application to enhance their efficacy for optimal biomechanics and patient mobility.

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“…A number of studies conclude that exerting a continuous pressure of about 25 mmHg can inhibit the growth of HSs and encourage their maturation[ 16 , 18 - 21 ]. This is because exerted pressure may reduce the blood flow to the hypertrophic scarred tissues so as to limit nutrients and oxygen supply to the tissues, thereby effectively reducing the production of collagen[ 22 , 23 ]. Therefore, pressure garments should always be worn for optimal treatment results except when the patient is bathing or the garment needs to be washed[ 24 ].…”

Section: Introductionmentioning

confidence: 99%

A Novel Bespoke Hypertrophic Scar Treatment: Actualizing Hybrid Pressure and Silicone Therapies with 3D Printing and Scanning

Chow¹,

Yick²,

Sun³

et al. 2024

IJB

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The treatment of hypertrophic scars (HSs) is considered to be the most challenging task in wound rehabilitation. Conventional silicone sheet therapy has a positive effect on the healing process of HSs. However, the dimensions of the silicone sheet are typically larger than those of the HS itself which may negatively impact the healthy skin that surrounds the HS. Furthermore, the debonding and displacement of the silicone sheet from the skin are critical problems that affect treatment compliance. Herein, we propose a bespoke HS treatment design that integrates pressure sleeve with a silicone sheet and use of silicone gel using a workflow of three-dimensional (3D) printing, 3D scanning and computer-aided design, and manufacturing software. A finite element analysis (FEA) is used to optimize the control of the pressure distribution and investigate the effects of the silicone elastomer. The result shows that the silicone elastomer increases the amount of exerted pressure on the HS and minimizes unnecessary pressure to other parts of the wrist. Based on this treatment design, a silicone elastomer that perfectly conforms to an HS is printed and attached onto a customized pressure sleeve. Most importantly, unlimited scar treating gel can be applied as the means to optimize treatment of HSs while the silicone sheet is firmly affixed and secured by the pressure sleeve.

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Conservative treatment using compression suits for second and third degree burns in children

Cited by 19 publications

References 4 publications

Post-Burn Pruritus

Post-Burn Pruritus

Burn Scar Biomechanics after Pressure Garment Therapy

A Novel Bespoke Hypertrophic Scar Treatment: Actualizing Hybrid Pressure and Silicone Therapies with 3D Printing and Scanning

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