Multimodality Scar Management Program
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This trial was undertaken to assess the efficacy of a multimodality management regime used for the prevention of hypertrophic scars. It follows previous research and experience (A.D. Widgerow et al, Aesthetic Plast Surg, 24(3):227–234, 2000) with a similar program but with the addition of active agents with specific effects against prolonged inflammation and enhanced hydrative capacity. The modalities specifically targeted are tension on the scar, hydration of the scar, collagen maturation, and controlled inflammation.
Tape was impregnated with a combination of agents providing an occlusive dressing aimed at combatting exaggerated scarring. Patients who had undergone surgery were stratified into four groups: Group 1, 60 patients/60 scars following simple skin excisions, 30 treated scars, 30 untreated scars; Group 2, 20 patients/40 scars, each patient with two excisions, one treated, one untreated; Group 3, 10 patients/20 scars following bilateral breast surgery, one side treated with tape alone, one side treated with tape and gel; Group 4, 30 patients with varying cosmetic procedures/50 scars, all treated and compared with historical outcomes for hypertrophic scarring. Thus, 170 scars were assessed in 120 patients.
Results were assessed at 1, 2, and 6 months using a combination of accepted scar assessment techniques. By amalgamating the Vancouver, Manchester, and morphologic table systems together with Patient and Observer Scar Assessment analyses, a comprehensive assessment of scar outcomes was undertaken and comparisons were made with control groups.
Treated groups showed improvement outcomes in all variations of assessment. Patient and observer assessments correlated well, and morphologic appearances of the scars following the final assessment at 6 months showed statistically significant positive scar outcomes in the treatment groups. The multimodality approach to scar control showed significant benefits in the patient groups tested in this series.
KeywordsScar Multimodality program Tape Gel Support Hydration Collagen maturation Inflammation
- 4.Atkinson JM, McKenna KT, Barnett AG, McGrath DJ, Rudd M (2005) A randomized, controlled trial to determine the efficacy of paper tape in preventing hypertrophic scar formation in surgical incisions that traverse Langer’s skin tension lines. Plast Reconstr Surg 116(6):1648–1656PubMedCrossRefGoogle Scholar
- 14.de la Puerta R, Martinez-Dominguez E, Ruiz-Gutiérrez V (2000) Effect of minor components of virgin olive oil on topical anti-inflammatory assays. Z Naturforsch [C] 55(9–10):814–819Google Scholar
- 22.Puig A, Anton GM, Mangues M (2007) A new decorin-like tetrapeptide for optimal organization of collagen fibres. IFSCC Mag 10(4):309Google Scholar
- 27.van Wyk BE, Van Oudtshoorn B, Gericke N (1997) Medicinal plants of South Africa. Briza Publications, Arcadia, South Africa, p 64Google Scholar
- 28.Mustoe TA, Cooter RD, Gold MH, Hobbs FD, Ramelet AA, Shakespeare PG, Stella M, Téot L, Wood FM, Ziegler UE (2002) International Advisory Panel on Scar Management. International clinical recommendations on scar management. Plast Reconstr Surg 110(2):560–571 (review)Google Scholar