THE EFFECTIVENESS OF THE USAGE OF COMPRESSION CLOTHING AND SILICONE PLATES FOR PREVENTION AND TREATMENT OF PATHOLOGICAL SCARS OF PATIENTS AFTER INJURIES AND OPERATIONS
DOI:
https://doi.org/10.11603/1811-2471.2019.v.i4.10792Keywords:
silicon plates, compression clothes, keloid scar, hypertrophic scarAbstract
Rehabilitation of burn injury, traumas and after operations has always been on the table and it still is because even restricted damage of skin which doesn’t cause any problems for a surgeon concerning its healing or surgical treatment can cause development of scar masses with deformities, contractures, alopecia and trophic ulcers. Despite the fact that there are a lot of methods of prevention and treatment of scars, their results aren’t always reassuring.
The aim is to study the effectiveness of prevention and treatment of postburn hypertrophic and keloid scars on the basis of the studying of clinic and morphological peculiarities of their formation by using of silicon plates and compression clothing.
Material and Methods. There have been made a comparison of the effectiveness of prevention and treatment of 65 patients with burn injury which occurred after superficial and deep burns spacing from 5 to 20 % of the body surface. There were 30 (46.2 %) men among those who were examined having scars and 35 (53.8 %) of them were women at the age of 9–64. Patients were divided into 3 groups. Group 1 included 30 patients in whom 3–5 days after the complete epithelization of burn wounds, silicone plates and compression clothing were used on the sites where scar formation had begun. Group 2 – 19 patients who used silicone plates and compression clothing 20–30 days after the complete epithelization of burn wounds. Group 3 consisted of 16 patients with old (1–3 years after burns) scars who underwent cryodestruction, xenoplasty with applications of silicone plates after complete epithelization of postoperative wounds.
Results. Hypertrophic scars were formed only in two patients (6.7 %) in group 1 of patients, which led to minor cosmetic defects of the skin, in 9 (30 %) patients color of the scars was bright pink during the first two months, other 19 (63.3 %) patients had no pathological scarring. The total score after treatment decreased by 2.6 times, which indicates the significant effectiveness of this method of treatment in group 2 of 19 patients. Electron microscopy examination of scars showed reducing the number of fibroblasts that could intensively form collagen. During the healing of severe burn wounds epithelialization was faster, the inflammatory process disappeared, and the number of dermatogenic complications decreased significantly.
Conclusions. Clinically and morphologically, the usage of compression clothing and silicone plates, cryodestruction with xenoplasty for prevention and treatment of pathological scars has proven high efficiency.
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