The effects of conservative treatments on burn scars: A systematic review

Anthonissen, Mieke; Daly, Daniel; Janssens, Thaïs; Kerckhove, Eric Van den

doi:10.1016/j.burns.2015.12.006

Cited by 119 publications

(101 citation statements)

References 38 publications

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“…Pressure therapy also improves the hardness of hypertrophic scar and increases pliability, but data on this topic are quite limited [13,24]. And finally, pressure therapy (only high pressure) causes a significant improvement in pigmentation of scar tissue [6].…”

Section: Hot Topics In Burn Injuriesmentioning

confidence: 99%

“…The most important problems with the use of pressure therapy are the long duration of treatment and need to wear pressure garment during 14-23 h/day, which reduce the patient's compliance with treatment [24].…”

Section: Hot Topics In Burn Injuriesmentioning

confidence: 99%

“…In studies, different types of silicone were used, such as silicone sheets (not specified), cicacare silicone gel sheets, silastic gel sheets, Sil-K silicone, and Epiderm silicone sheets or Dermatix topical silicone gel in diverse patient populations. Therefore, it is not easy to assess which kind of silicone gels is more effective and optimal [24].…”

Section: Silicone Gelmentioning

confidence: 99%

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The Therapeutic Effects of Conservative Treatments on Burn Scars

Ünal¹

2018

Hot Topics in Burn Injuries

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Hypertrophic scar, which can be seen even after minor burn injuries, is a common complication and generally develops within 6-8 weeks following reepithelization. Hypertrophic scar/keloid is often seen when the injury affects the reticular dermis and, in particular, after a deep dermal or full thickness burn. There are various options used in the treatment of burn scar. The purpose of this chapter is to provide the reader a brief information on the conservative treatment methods used in burn scar treatment.

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Section: Hot Topics In Burn Injuriesmentioning

confidence: 99%

Section: Hot Topics In Burn Injuriesmentioning

confidence: 99%

Section: Silicone Gelmentioning

confidence: 99%

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The Therapeutic Effects of Conservative Treatments on Burn Scars

Ünal¹

2018

Hot Topics in Burn Injuries

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“…Complex hypertrophic scar is a condition caused by trauma or burn injuries that may cause multiple joint contractures and deformities (Butzelaar et al, 2015;Anthonissen et al, 2016;Seo and Jung, 2016). The treatment of complex hypertrophic scars can dramatically improve a patient's quality of life.…”

Section: Introductionmentioning

confidence: 99%

Application of 3D Printed Models of Complex Hypertrophic Scars for Preoperative Evaluation and Surgical Planning

Liu

Huang

et al. 2020

Front. Bioeng. Biotechnol.

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Background: Complex hypertrophic scar is a condition that causes multiple joint contractures and deformities after trauma or burn injuries. Three-dimensional (3D) printing technology provides a new evaluation method for this condition. The objective of this study was to print individualized 3D models of complex hypertrophic scars and to assess the accuracy of these models.Methods: Twelve patients with complex hypertrophic scars were included in this study. Before surgery, each patient underwent a computed tomography (CT) scan to obtain cross-sectional information for 3D printing. Mimics software was used to process the CT data and create 3D printed models. The length, width, height, and volume measurements of the physical scars and 3D printed models were compared. Experienced surgeons used the 3D models to plan the operation and simulate the surgical procedure. The hypertrophic scar was completely removed for each patient and covered with skin autografts. The surgical time, bleeding, complications, and skin autograft take rate were recorded. All patients were followed up at 12 months. The surgeons, young doctors, medical students, and patients involved in the study completed questionnaires to assess the use of the 3D printed models.Results: The 3D models of the hypertrophic scars were printed successfully. The length, width, height, and volume measurements were significantly smaller for the 3D printed models than for the physical hypertrophic scars. Based on preoperative simulations with the 3D printed models, the surgeries were performed successfully and each hypertrophic scar was completely removed. The surgery time was shortened and the bleeding was decreased. On postoperative day 7, there were two cases of subcutaneous hemorrhage, one case of infection and one case of necrosis. On postoperative day 12, the average take rate of the skin autografts was 97.75%. At the 12-month follow-up, all patients were satisfied with the appearance and function.Conclusion: Accurate 3D printed models can help surgeons plan and perform successful operations, help young doctors and medical students learn surgical methods, and enhance patient comprehension and confidence in their surgeons.

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“…Asian skin is characterised by increased proliferation of fibroblast and more vigorous collagen formation, which results in prolonged erythema compared with Caucasian skin. Consequently, scars in most Asian patients require longer maturing [2,3]. Generally, wounds that do not heal within 2-3 weeks are considered most at risk for excessive scar formation [1,[4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Fitted Pressure Garment of Assessment of Scar Thickness on Third-Degree Burns through Ultrasonic Measurement

Huang¹,

Lu²,

Liu³

2017

J Cytol Histol

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The aim of this study was to assess the thickness of the scars on the left arm of a female third-degree burn patient through ultrasonic examination in order to investigate the use of 25-mm Hg pressure garments, which are a key treatment for burns. The patient was injured with third-degree burns more than 10 years ago. Sixteen scars were examined. The resulting Pearson correlation of the forearm and upper arm was 0.138 (weak correlation; R 2 =0.0191). Therefore, in this case, all data points fell on a straight line with a positive (upward) slope. This result indicated different thicknesses for the upper arm and forearm third-degree burn scars; this result displays different thickness for the upper arms and forearm the third degree burn scars; the scars did not spread evenly due to the loading capacity of different parts of body instead of the pressure by pressure garment.This paper provides accurate information to manufacturers, therapists, and tailors regarding measurements for pressure garments. The results suggest that burn scars should be subject to appropriate pressure on the basis of medium scar height to avoid increasing scars and to stabilise burns, validating the hypothesis that 25 mmHg is not the optimal pressure for female patients with third-degree burns on the left arm and that the optimal pressure should be based on the patient's burns and wound area. To our knowledge, this is the first study to correlate the thickness of third-degree burns through ultrasound scan.

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The effects of conservative treatments on burn scars: A systematic review

Cited by 119 publications

References 38 publications

The Therapeutic Effects of Conservative Treatments on Burn Scars

The Therapeutic Effects of Conservative Treatments on Burn Scars

Application of 3D Printed Models of Complex Hypertrophic Scars for Preoperative Evaluation and Surgical Planning

Fitted Pressure Garment of Assessment of Scar Thickness on Third-Degree Burns through Ultrasonic Measurement

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