Summary
In a prospective study we compared the subjective scar assessment by the Vancouver Scar Scale with an objective viscoelastic measurement. Donor sites from the thigh primarily dressed with vaseline gauze (F), biobrane or occlusive dressing(O) were evaluated 0.5 years postoperatively by VSS and with the Cutometer (Courage and Khazaka). VSS of donor sites was 2.74 ± 0.91 (F), 4.25 ± 0.77 (B) and 2.57 ± 0.72(O) (mean ± sem). All ratings were significant compared to normal mirror-sided skin. Viscoelastic measurements by the Cutometer were near normal compared to uninjured skin. No correlation was found between subscale VSS pliabilty rating and Cutometer readings.
Zusammenfassung
Ziel der prospektiven Arbeit war es das Ausmaß der Narbenbildung in Spalthautentnahmestellen mittels Vancouver Scar Scale (VSS) einer objektiven viscoelasti-schen Messung gegenüberzustellen.
Spalthautentnahmestellen am Oberschenkel, die primär mittels Fettgaze (F), Biobrane (B)oder okklusiver Folie (O) behandelt wurden, wurden mindestens 0,5 Jahre nach der Hautentnahme gegenüber der gesunden kontralateralen Haut evaluiert. Die Narbenbildung wurde mittels VSS und einem Cutometer (Courage und Khazaka, Köln), das die viscoelastischen Eigenschaften der Haut misst, bestimmt. Der VSS der Spalthautentnahmestellen hatte einen Mittelwert (±SEM) von 2,74 d= 0,91 (F), 4,25 d= 0,77 (B) and 2,57 ± 0,72(0) (alle signifikant gegenüber gesunder Haut). Für die Viscoelastizität fanden sich keine wesentlichen Unterschiede zu gesunder Haut. Eine signifikante Korrelation zwischen VSS-Einzelparameter Dehnbarkeit und Cutometerergebnissen bestand nicht.
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Rennekampff, HO., Rabbels, J., Pfau, M., Schaller, H.E. (2002). Die Beurteilung der Narbenbildung mit objektivierbarer computerunterstützer viscoelastischer Messung. In: Digitale Revolution in der Chirurgie. Deutsche Gesellschaft für Chirurgie, vol 2002. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55715-6_527
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DOI: https://doi.org/10.1007/978-3-642-55715-6_527
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