The influence of different occlusive plates on the erythema of hypertrophic burn scars
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- Van den Kerckhove, E., Stappaerts, K., Boeckx, W. et al. Eur J Plast Surg (2001) 24: 182. doi:10.1007/s002380100279
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The purpose of this study was to determine the efficacy of compressing a burn-related hypertrophic scar using different types of occlusive plates (silicone gel, silicone elastomer and plastic). The study was a prospective trial in which 16 burn scars were divided into four areas; each area was then randomly assigned to a different occlusive medium. The dependent variable was erythema as measured by the Minolta chromameter CR-300. Measurements were taken at 0, 7, 30, 60 and 90 days of treatment. Significant beneficial results were obtained for both silicone plate treatments compared to a control site or plastic plate treatment. The degree of change was most evident after 7 days. After 1 month of treatment, there was no further significant improvement over time and between the different treatments. These data suggest that when erythema is considered, compressing a burn scar with a silicone contact medium is more efficient than compression with a plastic medium.