Evaluation of scar quality after treatment of superficial burns of the hands and face with Dressilk or Biobrane—An intra-individual comparison

Schiefer, Jennifer Lynn; Rath, Rebekka; Ahrens, Elena; Grigutsch, Daniel; Gräff, Ingo; Stromps, Jan-Philipp; Fuchs, Paul Christian; Schulz, Alexandra

doi:10.1016/j.burns.2017.07.024

Cited by 13 publications

(16 citation statements)

References 38 publications

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“…The POSAS Patient Scale as a validated tool 3,15,42,43 showed no significant differences between Suprathel and Dressilk regarding pain, itchiness, skin colour, elasticity, scar thickness, surface structure, and overall evaluation for the patients after 12 months. Moreover, in our previous study, we were not able to detect significant differences between silk and the compared wound dressings 44 . As far as burn rehabilitation starts from the day of the injury, 45 both wound dressings seem to have subjectively equal efficacy for the patient according to our results.…”

Section: Scar Assessmentcontrasting

confidence: 41%

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A clinical comparison of pure knitted silk and a complex synthetic skin substitute for the treatment of partial thickness burns

Schiefer

Andreae

Bagheri

et al. 2021

International Wound Journal

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Currently, many dressings are commercially available for the treatment of burn wounds. Some of these wound dressings remain on the wound, prevent painful dressing changes, and reduce tissue scarring. Nevertheless, still a wound dressing that is cost‐effective, produces good wound healing properties, and has a high patient satisfaction is needed. Standard care of superficial burn wounds differs between burn centres. This study aimed to determine a dressing with easy appliance, accurate pain control, favourable outcome, and cost‐effectiveness. Therefore, we compared the widely used but expensive Suprathel with the rather new but much cheaper Dressilk in the clinical setting. In a prospective clinical study, the healing of partial thickness burn wounds after simultaneous treatment with Suprathel and Dressilk was examined in 20 patients intra‐individually. During wound healing, pain, infection, exudation, and bleeding were evaluated. A subjective scar evaluation was performed using the Patient and Observer Scar Scale. Both dressings were easy to apply, remained on the wound in place, and were gradually cut back as reepithelisation proceeded and showed similar times to wound closure. Dressing changes were not necessary, and neither infections nor bleeding was detected. Overall exudation and pain were highest in the beginning but declined during the wound‐healing phase without significant differences. In the follow‐up scar evaluation after 12 months, patients reported overall high satisfaction. Overall, the modern dressings Suprathel and Dressilk (solely made out of pure silk) led to safe wound healing without infection and rapidly reduced pain. There was no need for dressing changes, and they had similar clinical outcomes in scar evaluation. Therefore, both dressings seem to be ideal for the treatment of superficial burns. Because acquisition costs remain one of the main factors in the treatment of burns, Dressilk, which is ~20 times cheaper than Suprathel, remains a good option for the treatment of partial thickness burns.

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Section: Scar Assessmentcontrasting

confidence: 41%

“…Moreover, in our previous study, we were not able to detect significant differences between silk and the compared wound dressings. 44 As far as burn rehabilitation starts from the day of the injury, 45 both wound dressings seem to have subjectively equal efficacy for the patient according to our results.…”

Section: Subjective Scar Assessmentmentioning

confidence: 52%

A clinical comparison of pure knitted silk and a complex synthetic skin substitute for the treatment of partial thickness burns

Schiefer

Andreae

Bagheri

et al. 2021

International Wound Journal

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“…Additionally, consistent with our previous studies [ 6 , 7 , 34 ], we evaluated the scars by using objective scar-assessment tools. As outlined in the literature, these tools are especially necessary to minimize inter-examiner variability and maximize the reliability of the results [ 35 ].…”

Section: Discussionmentioning

confidence: 87%

“…External evaluation in previous studies has also been shown to be reliable in comparison with subjective scar-assessment tools such as the VSS [ 42 , 43 , 44 ]. Superficial partial-thickness burns are known to lead to alterations of skin pigmentation [ 34 , 45 , 46 ]. Inter-individual influences in factors such as sun or UV protection may also influence objective assessments.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Scar Quality after Treatment of Superficial Burns with Dressilk® and Suprathel®—In an Intraindividual Clinical Setting

Schiefer

Andreae

Fuchs

et al. 2022

JCM

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Background: Various synthetic and biological wound dressings are available for the treatment of superficial burns, and standard care differs among hospitals. Nevertheless, the search for an ideal wound dressing offering a safe healing environment as well as optimal scar quality while being economically attractive is a continuing process. In recent years, Dressilk®, which consists of pure silk, has become the standard of care for the treatment of superficial burns in our hospital. However, no long-term scar-evaluation studies have been performed to compare Dressilk® with the often-used and more expensive Suprathel® in the treatment of superficial burns. Methods: Subjective and objective scar evaluations were performed three, six, and twelve months after treatment in patients who received simultaneous treatment of 20 superficial burn wounds with both Suprathel® and Dressilk®. The evaluations were performed using the Vancouver Scar Scale, the Cutometer®, Mexameter®, Tewameter®, and the O2C®. Results: Both dressings showed mostly equivalent results in subjective scar evaluations. In the objective scar evaluations, the wounds treated with Dressilk® showed a faster return to the qualities of non-injured skin. Wound areas treated with the two dressings showed no significant differences in elasticity and transepidermal water loss after 12 months. Only oxygen saturation was significantly lower in wound areas treated with Suprathel® (p = 0.008). Subjectively, wound areas treated with Dressilk® showed significantly higher pigmentation after six months, which was not apparent after 12 months. Conclusion: Both wound dressings led to esthetically satisfying scar recovery without significant differences from normal uninjured skin after 12 months. Therefore, Dressilk® remains an economically and clinically interesting alternative to Suprathel® for the treatment of superficial burns.

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“…Indeed, excision and grafting of deep partial-thickness and full-thickness burns has been shown to improve outcomes compared with nonoperative burn wound management. 7 The timing of hand graft application is also controversial. For burn patients, the first goal of skin grafting is survival, the second is function and the third is cosmesis.…”

Section: Discussionmentioning

confidence: 99%

Early excision and grafting versus delayed grafting in deep burns of the hand

et al. 2019

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Background: Deep burns of the hand are considered severe, because even a small wound may cause profound functional disability, ugly scar and psychosocial problems. The aim of the study is to compare early excision and grafting versus delayed grafting in deep burns of the hand.Methods: This study was conducted on 30 patients with deep burns of the hand. Patients were randomly divided in to two equal groups. Group I included 15 patients who were subjected to early excision and grafting within the first week after injury while group II included 15 patients who were subjected to delayed excision and grafting two weeks after injury. The study was conducted on patients presented to Plastic and Reconstructive Surgery Department of Abou Qir General Hospital in the period from December 2016 to December 2017.Results: The results of early excision and grafting were better than delayed grafting regarding the intake, infection and post-burn contraction (mean 91.33±7.67 in group I and 83.67±10.08 in group II with p value=0.026).Conclusions: Early excision and grafting of the hand is a better alternative than delayed excision and grafting as regards better graft intake, less wound infection, less contractures, less risk of regrafting, less hospital stay, less 5D-itching scale and Vancouver score and more cost effectiveness.

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Evaluation of scar quality after treatment of superficial burns of the hands and face with Dressilk or Biobrane—An intra-individual comparison

Cited by 13 publications

References 38 publications

A clinical comparison of pure knitted silk and a complex synthetic skin substitute for the treatment of partial thickness burns

A clinical comparison of pure knitted silk and a complex synthetic skin substitute for the treatment of partial thickness burns

Evaluation of Scar Quality after Treatment of Superficial Burns with Dressilk® and Suprathel®—In an Intraindividual Clinical Setting

Early excision and grafting versus delayed grafting in deep burns of the hand

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