Rating the Resolving Hypertrophic Scar

Nedelec, Bernadette; Shankowsky, Heather A.; Tredget, E. E.

doi:10.1097/00004630-200021030-00005

Cited by 194 publications

(24 citation statements)

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“…Digital colour photographs were taken of each burn site at the time of initial assessment and at each dressing change until the wound had healed. An experienced burns therapist assessed scarring using the modified Vancouver Scar Scale (mVSS) [7, 8]. For the purposes of this study, a hypertrophic scar was defined as one which was raised by at least 2 mm and had a total mVSS of 5 points or more.…”

Section: Methodsmentioning

confidence: 99%

A prospective study of time to healing and hypertrophic scarring in paediatric burns: every day counts

et al. 2017

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BackgroundIt is commonly accepted that burns taking longer than 3 weeks to heal have a much higher rate of hypertrophic scarring than those which heal more quickly. However, some of our patients develop hypertrophic scars despite healing within this 3-week period.MethodsWe performed a prospective study of 383 paediatric burns treated non-operatively at a regional burns centre over a 2-year period from May 2011 to April 2013. Scar assessment was performed by a senior burns therapist using the Vancouver Scar Scale.ResultsOverall rates of hypertrophic scarring were 17.2%. Time to healing was the strongest predictor of developing hypertrophic scarring, and the earliest hypertrophic scar developed in a patient who was healed after 8 days. The risk of hypertrophic scarring was multiplied by 1.138 for every additional day taken for the burn wound to heal. There was a trend towards higher rates of hypertrophic scarring in non-white skin types but this did not reach statistical significance.ConclusionsThe risk of hypertrophic scarring increases with every day and, therefore, every effort should be made to get the wound healed as quickly as possible, even within the traditional 3-week period usually allowed for healing. We believe that the traditional dogma of aiming for healing within 3 weeks is overly simplistic and should be abandoned: in paediatric burns, every day counts.Trial registrationNot applicable.

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Section: Methodsmentioning

confidence: 99%

A prospective study of time to healing and hypertrophic scarring in paediatric burns: every day counts

et al. 2017

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“…The pain and itch scores were assessed using numerical rating scales ranging 0–10. The VSS is a clinical scoring scale assessing the severity of scars using the parameters of height, pliability, vascularity and pigmentation [20, 21]. Throughout this study, the VSS was evaluated by a single investigator to avoid inter-individual variability in scoring.…”

Section: Methodsmentioning

confidence: 99%

Dissolving Triamcinolone-Embedded Microneedles for the Treatment of Keloids: A Single-Blinded Intra-Individual Controlled Clinical Trial

Tan

Srivastava

et al. 2019

Dermatol Ther (Heidelb)

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Introduction Keloids are a prevalent chronic skin disorder with significant psychosocial morbidity. Intralesional corticosteroid injections are the first-line treatment but are painful and require repeated injections by medical professionals. Dissolving microneedles are a novel method of cutaneous drug delivery that induces minimal/no pain and can be self-administered. The objective of the study was to evaluate the efficacy and safety of triamcinolone-embedded dissolving microneedles in treatment of keloids. Methods This was a single-blind, intra-individual controlled two-phase clinical trial of 8-week duration each. Two keloids per subject were selected for (1) once-daily 2-min application with microneedles for 4 weeks, followed by no treatment for the next 4 weeks, or (2) non-intervention as control. Primary outcome was change in keloid volume as assessed by a high-resolution 3D scanner. Results There was significant reduction in keloid volume compared with controls after 4 weeks of treatment. This reduction was greater with a higher dosage of triamcinolone used. Conclusions Once-daily application of dissolving triamcinolone-embedded microneedles significantly reduced the volume of keloids. The treatment was safe, can be self-administered and can serve as an alternative for patients unsuitable for conventional treatments. Trial Registration Trial Registry: Health Science Authority (Singapore) Clinical Trials Register Registration number: 2015/00440.

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“…Those identified by researchers were The Vancouver Scar Scale, Patient and Observer Scar Assessment Scale, and The Stony Brook Scar Evaluation Scale. [8][9][10] The Stony Brook Scar Evaluation Scale was deemed to be most appropriate to the photographic data; other systems required a closer examination of the scar tissue, and this was not available to researchers. The criteria of the Stony Brook Scar Evaluation Scale can be found in Table 2.…”

Section: Grading Systemmentioning

confidence: 99%

Some Scars Do Not Run Deep: The Qualitative and Quantitative Nature of Neonatal Seldinger Pigtail Chest Drain Scars

Gundle

Dowek

Heer

et al. 2019

Clin Med Insights Pediatr

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Pneumothorax is a complication of respiratory distress syndrome, of which many preterm babies suffer. If significant, these pneumothoraces can be treated by the insertion of a chest drain. There are a number of different types of chest drain, and techniques of insertion. This study aims to establish both the quantitative nature, and emotional significance of neonatal pigtail chest drain scarring, as inserted via the Seldinger technique. Parents were interviewed by telephone and asked to send photographs of their child’s scar to be graded. Researchers found that, on the whole, the scar size and severity was not significant, and that those interviewed generally agreed that while the scar served as a reminder of a traumatic time, its size was unimportant. These results may inform future practice on a basis of chest drain comparison; results imply that chest drains with the greatest efficacy should be used.

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Rating the Resolving Hypertrophic Scar

Cited by 194 publications

References 0 publications

A prospective study of time to healing and hypertrophic scarring in paediatric burns: every day counts

A prospective study of time to healing and hypertrophic scarring in paediatric burns: every day counts

Dissolving Triamcinolone-Embedded Microneedles for the Treatment of Keloids: A Single-Blinded Intra-Individual Controlled Clinical Trial

Some Scars Do Not Run Deep: The Qualitative and Quantitative Nature of Neonatal Seldinger Pigtail Chest Drain Scars

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