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Evaluation of a silicone occlusive dressing after laser skin resurfacing.

AbstractBACKGROUND:
Closed dressings are thought to promote postoperative wound healing after laser skin resurfacing; however, quantitative data are lacking.
OBJECTIVE:
To compare postoperative healing after combination carbon dioxide and erbium:YAG full-face laser skin resurfacing in patients who were treated with a silicone occlusive dressing (Silon-TSR; Bio Med Sciences, Inc, Bethlehem, Pa) vs open-wound care consisting of soaks and ointment application.
DESIGN:
Thirty-five patients with closed dressings compared retrospectively with 35 control subjects with open-wound care. In a prospective evaluation, 27 patients with closed dressings were then compared with 27 historical controls matched by age, sex, skin type, and treatment technique. Erythema, crusting, swelling, pain, pruritus, purpura, long-term complications, and dressing comfort were evaluated.
SETTING:
Referral-based academic practice.
RESULTS:
Prospectively, closed-dressing and open-wound care groups differed significantly in maximum erythema severity (1.8 vs 2.0 on a scale of 0-3; P =.03), noticeable erythema duration (15.4 vs 31.1 days; P =.04), and time until complete erythema resolution (41.8 vs 96.1 days; P =.02). Swelling resolution was more rapid in the dressing group (12.1 vs 29.5 days; P =.02). Crusting was limited to uncovered areas in the dressing group, and crusting duration was shorter (5.0 vs 9.1 days; P<.001). Pain was more likely to be reported prospectively, but severity was mild, in the closed-dressing group. Other short- and long-term complications did not differ significantly. Subjective patient attitudes toward the dressing were positive.
CONCLUSIONS:
Occlusive silicone dressing application decreases immediate postoperative morbidity with significantly reduced severity and duration of erythema and decreased duration of swelling and crusting. Long-term results and complication rates remain unchanged.
AuthorsR S Batra, R J Ort, C Jacob, L Hobbs, K A Arndt, J S Dover
JournalArchives of dermatology (Arch Dermatol) Vol. 137 Issue 10 Pg. 1317-21 (Oct 2001) ISSN: 0003-987X [Print] United States
PMID11594855 (Publication Type: Comparative Study, Evaluation Study, Journal Article)
Chemical References
  • Silicones
Topics
  • Erythema (etiology, prevention & control)
  • Female
  • Humans
  • Laser Therapy (adverse effects)
  • Male
  • Middle Aged
  • Occlusive Dressings
  • Patient Satisfaction
  • Postoperative Period
  • Prospective Studies
  • Retrospective Studies
  • Severity of Illness Index
  • Silicones (therapeutic use)
  • Skin Diseases (surgery)
  • Wound Healing

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