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A useful method to overcome the difficulties of applying silicone gel sheet on irregular surfaces.

Abstract
To date, silicone gel and silicone occlusive plates are the most useful and effective treatment options for hypertrophic scars (surgical and traumatic). Use of silicone sheeting has also been demonstrated to be effective in the treatment of minor keloids in association with corticosteroid intralesional infiltration. In our practice, we encountered four problems: maceration, rashes, pruritus and infection. Not all patients are able to tolerate the cushion, especially children, and certain anatomical regions as the face and the upper chest are not easy to dress for obvious social, psychological and aesthetic reasons. In other anatomical regions, it is also difficult to obtain adequate compression and occlusion of the scar. To overcome such problems of applying silicone gel sheeting, we tested the use of liquid silicone gel (LSG) in the treatment of 18 linear hypertrophic scars (HS group) and 12 minor keloids (KS group) as an alternative to silicone gel sheeting or cushion. Objective parameters (volume, thickness and colour) and subjective symptoms such as pain and pruritus were examined. Evaluations were made when the therapy started and after 30, 90 and 180 days of follow-up. After 90 days of treatment with silicone gel alone (two applications daily), HS group showed a significant improvement in terms of volume decrease, reduced inflammation and redness and improved elasticity. In conclusion, on the basis of our clinical data, we find LSG to be a useful method to overcome the difficulties of applying silicone gel sheeting on irregular surface.
AuthorsRoberto Grella, Gianfranco Nicoletti, Antonio D'Ari, Vincenza Romanucci, Mariangela Santoro, Francesco D'Andrea
JournalInternational wound journal (Int Wound J) Vol. 12 Issue 2 Pg. 185-8 (Apr 2015) ISSN: 1742-481X [Electronic] England
PMID23581606 (Publication Type: Controlled Clinical Trial, Journal Article)
Copyright© 2013 The Authors. International Wound Journal © 2013 Medicalhelplines.com Inc and John Wiley & Sons Ltd.
Chemical References
  • Anti-Inflammatory Agents
  • Gels
  • Silicone Gels
  • Triamcinolone
Topics
  • Administration, Topical
  • Adult
  • Anti-Inflammatory Agents (administration & dosage)
  • Cicatrix, Hypertrophic (drug therapy, pathology)
  • Female
  • Gels
  • Humans
  • Keloid (drug therapy, pathology)
  • Male
  • Silicone Gels (administration & dosage)
  • Treatment Outcome
  • Triamcinolone (administration & dosage)

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