Silicone gel em cicatrizes de cirurgia plástica: estudo clínico prospectivo

Serial Excision Technique to Reduce Cicatricial Alopecia

“…Regarding other therapeutic options, the utilization of expanders is a widely recognized approach for CA, particularly related to post-traumatic or burn injuries [4]. However, the authors opted against this technique due to limited access to suitable materials, its lengthy and arduous process, and the strict patient compliance required, given the risk of functional deformity.…”

“…Surgery has emerged as an option for correcting CA patches once the disease has stabilized. It has been used to treat secondary CA resulting from burns and trauma through hair restoration or tissue expansion [4]. This article aimed to demonstrate the serial excision technique (SET) as a viable option for stable cases of inflammatory CA.…”

Current management for the prevention of postoperative scar hypertrophy

“…In 2010, Radwanski et al 13 published a prospective, noncontrolled study of 128 patients with recent scars in the remodeling phase (between the removal of sutures and the third month after surgery) in whom silicone gel was applied (Kelocote ® ) over the entire length of the scar twice a day for 3 to 6 months. Of the total patients, only 6 completed the 3 steps of evaluation and the 6 months of the study.…”

“…A few years later, the first noncontrolled studies were published documenting successful use of silicone strips in hypertrophic scar treatment and keloids [44][45][46] . Since 1991, several other studies have been published providing evidence that silicone is effective in both the prevention [7][8][9][10][12][13][14][15][16] and treatment of postoperative hypertrophic or traumatic scars 47,48 . Nevertheless, a majority of these studies have limitations: small sample size [7][8][9][13][14][15][16][48][49][50] , lack of objectivity in the evaluation criteria [10][11][12][13][14][15][16][48][49][50] , lack of control group 13,15,16 , and lack of standardization in the selection of patients 7,8 .…”

Recursos fisioterapêuticos na cicatrização de feridas

“…Hoje em dia faz-se uso de algumas técnicas que visam promover uma cicatriz mais estética, entre elas existem algumas técnicas médicas como a dermoabrasão [6] e silicone gel [7] e escleroterapia de safena [8]. Já entre as técnicas fisioterapêuticas estão o ultrassom, no qual as ondas ultrassônicas são absorvidas pelo tecido gerando aquecimento, auxiliando o processo de cicatrização [9], a laserterapia, que também promove calor além de aumentar a produção de colágeno por meio da fotoestimulação [10] a massagem, que também promove o aquecimento da região e melhora a elasticidade do tecido [11], a terapia compressiva que aumenta o retorno venoso [12], a microcorrente que regula a bioeletrecidade do tecido aumenta a síntese de colágeno e proliferação de fibroblastos [13] e a ledterapia, que atua contra micróbios e substâncias inflamatórias e melhorado a síntese de ATP, colágeno e elastina [14].…”