scholarly journals Successful eradication of helical rim keloids with surgical excision followed by pressure therapy using a combination of magnets and silicone gel sheeting

2015 ◽  
Vol 14 (2) ◽  
pp. 302-306 ◽  
Author(s):  
Tae Hwan Park ◽  
Dong Kyun Rah
Keyword(s):  
Surgical Excision ◽  
Pressure Therapy ◽  
Silicone Gel ◽  
Silicone Gel Sheeting

scholarly journals 162 An Examination of Scar Modelling and Assessment Methods for the Evaluation of Scar Treatments

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
R Mistry
Keyword(s):  
Assessment Tools ◽  
Randomised Control Trial ◽  
Silicone Gel ◽  
Scar Assessment ◽  
Significant Difference ◽  
Gel Treatment ◽  
Current Assessment ◽  
Set Up ◽  
Silicone Gel Sheeting

Abstract Introduction Scarring is the final common pathway for healing within the skin. Scars can be itchy, painful, tight, and disfiguring. Despite advances in surgery there is currently no reliably effective treatment for reducing or preventing scarring. The primary aim of this research is to assess the currently available models for scarring and evaluate/further develop the utility of current assessment tools, in an effort to design a pilot randomised control trial (RCT) for silicone gel treatment of scars. Method A systematic review of scar models in humans and animals. Examination of currently used subjective and objective scar assessment tools in a plastic surgery scar clinic. A retrospective cohort study assessing long-term scar outcomes in paediatric burn patients. Results Limitations and drawbacks of many existing methods to assess scar treatments were found. No statistically significant difference in long-term scarring outcomes was found between paediatric burns patients treated surgically versus conservatively. A RCT for silicone gel sheeting in the treatment of scars was set up and successful in recruitment. Conclusions Here, we have demonstrated difficulties in establishing a scientific scar treatment model; and created a pilot study that will help to provide high-quality evidence for the efficacy of silicone gel sheeting as a treatment for scars.

Intralesional Cryosurgery Combined With Topical Silicone Gel Sheeting for the Treatment of Refractory Keloids

2014 ◽  
Vol 40 (9) ◽  
pp. 996-1003 ◽  
Author(s):  
Jan-Philipp Stromps ◽  
Sebastian Dunda ◽  
Ron-Julius Eppstein ◽  
Denis Babic ◽  
Yaron Har-Shai ◽  
...  
Keyword(s):  
Silicone Gel ◽  
Silicone Gel Sheeting ◽  
Topical Silicone Gel

71 Treatment for Chronic-Burn Induced Neuropathy: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S49-S50
Author(s):  
Faraah N Bekheet ◽  
Leen El Eter ◽  
Kevin M Klifto ◽  
Elisabeth B Abeles ◽  
Taylor R Church ◽  
...  
Keyword(s):  
Co2 Laser ◽  
Standard Care ◽  
Burn Injury ◽  
Meta Analysis ◽  
Massage Therapy ◽  
Standards Of Care ◽  
Cochrane Library ◽  
Pressure Therapy ◽  
Silicone Gel ◽  
Patient Reported

Abstract Introduction Effective management of chronic burn-induced neuropathy manifesting as pain and/or pruritus presents an ongoing challenge for clinicians. Standards of care are based on limited evidence and vary widely, especially for non-surgical neuropathies that are not associated with a specific nerve distribution. This study aims to quantify and qualify evidence for non-surgical treatments of chronic burn-induced neuropathy to define their efficacy. Methods PRISMA and Cochrane guidelines were implemented for review structure. PubMed, Science Direct, Embase, Cochrane Library, and Web of Science databases were searched for relevant studies. Inclusion criteria were patients age 18 years and older, with neuropathy lasting >6 months following burn injury. Studies for inclusion were comparative intervention studies for treatments of chronic burn-induced neuropathies. Mean differences (MD) between interventions eligible for meta-analysis were analyzed for neuropathy outcomes. Results Seventeen randomized controlled trials (RCTs) were identified for inclusion with a mean post-burn follow-up of 20.8±39.3 months. Nine studies reported pain and sixteen reported pruritus using patient reported visual analogue scales for 601 and 975 patients, respectively. Pain interventions included transcranial direct current stimulation (tDCS), extracorporeal shockwave therapy (EWST), massage therapy, carbon dioxide (CO2) laser, silicone gel, and pressure therapy. Pruritus interventions included tDCS, ESWT, massage, herbal cream, doxepin cream, enzymatic moisturizer, CO2 laser, silicone gel, and pressure therapy. CO2 laser showed no improvement over standard care for the treatment of pain or pruritus associated with hypertrophic scarring (pain: MD 0.26, 95%CI -0.04, 0.57; p=0.09; pruritus: MD -0.07, 95%CI -0.44, 0.30; p=0.72). ESWT showed no statistically significant improvement over standard care for the treatment of pruritus (MD -2.69, 95%CI -5.42, 0.04; p=0.05). Massage therapy was associated with significantly greater improvements in pruritus than standard care (MD -1.64, 95%CI -2.10, -1.09; p< 0.00001). Doxepin cream was not associated with greater improvements in pruritus than placebo or antihistamines (MD -0.84, 95%CI -3.61, 1.94; p=0.56). Conclusions Creative efforts have revealed massage therapy as a potential non-surgical intervention for treating chronic burn-induced neuropathy. Additional RCTs with innovative non-surgical interventions will provide further insights for this challenging condition.

Silicone gel sheeting for continuous positive airway pressure irritation in adults

2020 ◽  
Vol 82 (3) ◽  
pp. e71
Author(s):  
Spyros M. Siscos ◽  
Malia Downing ◽  
Anand Rajpara ◽  
Deede Liu ◽  
Ting Wang ◽  
...  
Keyword(s):  
Continuous Positive Airway Pressure ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Silicone Gel ◽  
Silicone Gel Sheeting

TINEA CORPORIS WITH SECONDARY IMPETIGO ASSOCIATED WITH SILICONE GEL SHEETING

1999 ◽  
Vol 103 (1) ◽  
pp. 340 ◽  
Author(s):  
Ruth W. Wilson ◽  
Jean Kois ◽  
Vincent N. Zubowicz
Keyword(s):  
Tinea Corporis ◽  
Silicone Gel ◽  
Silicone Gel Sheeting

R400 – Effects of Silicone Gel Sheeting on Scar Formation

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P177-P177
Author(s):  
Shervin Aminpour ◽  
Travis T Tollefson
Keyword(s):  
Histological Analysis ◽  
Normal Skin ◽  
Rabbit Model ◽  
Study Groups ◽  
Scar Formation ◽  
Hypertrophic Scarring ◽  
Silicone Gel ◽  
Facial Plastic ◽  
Silicone Gel Sheeting ◽  
Scar Hypertrophy

Problem The treatment of keloids and hypertrophic scars has long been a concern for facial plastic surgeons. There are a wide variety of over-the-counter products that claim to improve hypertrophic scarring. Post-surgical patients often inquire as to which of these products will give the best cosmetic result. Silicone gel sheeting is reported to provide positive outcomes with respect to a reduction in scar hypertrophy and an improvement in color differences. The exact mechanism is unknown. Micropore (3M) tape, a cheaper and more readily available product, has also been reported to reduce scar hypertrophy. This study will evaluate the differences and effectiveness of silicone gel sheeting and micropore tape in the reduction of scar hypertrophy in an animal model of scarring. Methods Hypertrophic scar formation was induced in an established rabbit model that parallels human skin. Treatment of the animals' scars was divided into 3 study groups: silicone gel sheeting, micropore tape, or no treatment. 80 total scars were treated for 30 days after the complete reepithelialization of the created scars. Both photometric and histologic analysis was performed on the scars. Scar hypertrophy was analyzed with blinded observers using a visual analog scale. Histological analysis was performed using the Scar Elevation Index, a ratio of the scar height over normal skin. Results Both photographic and histological analysis showed there was a statistically significant improvement (p<0.05) in scar hypertrophy after use of either silicone gel sheeting and micropore tape when compared with controls. Conclusion Silicone Gel Sheeting and Micropore Tape are equally effective in the reduction of hypertrophic scarring. Significance Facial plastic surgeons should consider covering facial incisions with micropore tape for 30 days after surgery to minimize the risk of hypertrophic scarring.

The Tensile Reduction Effects of Silicone Gel Sheeting

2010 ◽  
Vol 126 (2) ◽  
pp. 109e-111e ◽  
Author(s):  
Satoshi Akaishi ◽  
Masataka Akimoto ◽  
Hiko Hyakusoku ◽  
Rei Ogawa
Keyword(s):  
Silicone Gel ◽  
Silicone Gel Sheeting
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