scholarly journals Scar dermal transposition flap for depressed scars: A valuable technique for depressed scar management

2019 ◽  
Vol 25 (3) ◽  
pp. 103-107
Author(s):  
Dong Yeon Kim ◽  
Hyo Jeong Kwon ◽  
Suk-Ho Moon ◽  
Young Joon Jun ◽  
Jong Won Rhie ◽  
...  
Keyword(s):  
Transposition Flap ◽  
Depressed Scar ◽  
Scar Management

638 Auricular Splinting Following Severe Facial Burn Injury and Reconstruction

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S164-S164
Author(s):  
Lisa LePage
Keyword(s):  
Low Temperature ◽  
Burn Injury ◽  
Surgical Reconstruction ◽  
Transposition Flap ◽  
Thermoplastic Material ◽  
Contracture Release ◽  
Scar Management ◽  
The Many ◽  
User Friendly ◽  
Facial Burn

Abstract Introduction With a severe facial burn, injury often involves the ear(s) resulting in damage or loss which may require reconstruction. In consideration of the functional and psychological effect that loss of a defined ear lobe may entail, reconstruction is an important consideration for the burn survivor. Two cases described in detail with illustration will highlight an auricular contracture release; one with V-Y Advancement and the other with a transposition flap. Preservation of the auricular reconstruction is accomplished by implementing necessary splinting. The auricular splint fabricated was made from a combination of silicone and low-temperature thermoplastic material. A step-by-step process will illustrate the needed materials and techniques to fabricate a worthy splint in order to preserve what was surgically achieved. The splint maintains the space between the ear and head to properly position and prevent contracture through the healing and scar maturation process. It secured with a one-inch head band that is sublime enough to foster compliance with wear. The auricular splint material also serves as scar management with the many proven benefits of silicone. Methods Two case studies are reviewed with auricular contractures that required release and reconstruction. The auricular splints were fabricated to stabilize and preserve the reconstructed ear lobe. The wear schedule was intermittent during the day and overnight in combination with scar massage. The patients reported good compliance with wear and stability of splint position with overnight wear. Skin integrity was not compromised with overnight or intermittent wear. The splint fabrication process is reviewed and illustrated with a simplistic innovative end result that is user friendly. Results Surgical reconstruction was required following development of auricular contractures and partial loss. With post-operative bandage removal and wound closure, positioning was a necessary consideration to preserve post-surgical reconstruction. Conclusions In conclusion, the peri-auricular splint is fabricated with low temperature splinting material lined in silicone proved worthy for effective positioning and reported comfort with wear. Effective splinting is necessary for the preservation of surgical reconstruction and to prevent contracture from sabotaging surgical efforts. Applicability of Research to Practice Consideration of fabrication of silicone auricular splints to preserve the accomplishments of auricular surgical reconstruction.

scholarly journals Electrochemical treatment of ex vivo human abdominal skin and potential use in scar management: A pilot study

2021 ◽  
Vol 7 ◽  
pp. 205951312098853
Author(s):  
Dana M Hutchison ◽  
Amir A Hakimi ◽  
Avin Wijayaweera ◽  
Soohong Seo ◽  
Ellen M Hong ◽  
...  
Keyword(s):  
Color Change ◽  
Ex Vivo ◽  
Low Cost ◽  
Histological Evaluation ◽  
Ph Change ◽  
Level Of Evidence ◽  
Abdominal Skin ◽  
Electrochemical Therapy ◽  
Mean Width ◽  
Scar Management

Introduction: Scar treatments aim to address pathologic collagen deposition; however, they can be expensive or difficult to control. Electrochemical therapy (ECT) offers a simple alternative treatment. The purpose of this study is to examine the acid-base and histological changes in ex vivo human abdominal skin following ECT. Methods: Forty-two ex vivo human panniculus tissue sections collected from six individuals were tumesced with normal saline. ECT was performed by inserting two platinum needle electrodes connected to a DC power supply into each specimen. Voltage was varied (3–6 V) and applied for 5 minutes. Each specimen was sectioned across both electrode insertion sites and immediately stained with pH sensitive dye. The width of dye color change for each dosimetry pair was calculated. Hematoxylin and eosin staining was used to evaluate samples. Results and Discussion: ECT caused a spatially localised and dose-dependent increased area of acidic and basic pH around the anode and cathode, respectively. A significantly greater mean width of pH change was generated at the cathode compared to the anode in all treatment groups. Histological evaluation displayed broad condensation and hyalinisation of dermal collagen. Conclusion: ECT triggered dermal pH alterations and changed the underlying structural framework of the specimen. This technology may serve as a low-cost, minimally invasive local soft-tissue remodeling technique with potential application in scar management. Level of Evidence: 5 Lay Summary Electrochemical therapy is a novel treatment that causes spatially selective dermal injury in areas of interest. This study measures the effects of electrochemical therapy when applied to abdominal skin. Electrochemical therapy appears to have beneficial effects by causing a highly localised reduction in collagen content or local softening of tissue, which is consistent with other studies on scar therapies, including chemexfoliation, radiofrequency technologies, and lasers. However, electrochemical therapy can be performed at a fraction of the costs of these aforementioned modalities.

scholarly journals Use of tape for the management of hypertrophic scar development: A comprehensive review

2021 ◽  
Vol 7 ◽  
pp. 205951312110292 ◽  
Author(s):  
Sarah O’Reilly ◽  
Erin Crofton ◽  
Jason Brown ◽  
Jennifer Strong ◽  
Jenny Ziviani
Keyword(s):  
Hypertrophic Scar ◽  
Wound Closure ◽  
Positive Impact ◽  
Formal Analysis ◽  
Healing Process ◽  
Preliminary Evidence ◽  
Scar Formation ◽  
Comprehensive Review ◽  
Mesh Terms ◽  
Scar Management

Introduction: Tapes have been used to aid fresh wound closure. For hypertrophic scars, the use of tapes as a therapy to reduce the mechanical forces that stimulate excessive and long-term scarring is yet to be evaluated. The aim of this comprehensive review was to explore the current clinical application of tapes, as a minimally invasive option, as purposed specifically for the management of hypertrophic scarring, regardless of scar causation. Method: Databases were searched using MeSH terms including one identifier for hypertrophic scar and one for the intervention of taping. Studies included the following: patients who received tape for a minimum of 12 weeks as a method of wound closure specifically for the purpose of scar prevention; those who received tape as a method of scar management after scar formation; reported outcomes addressing subjective and/or objective scar appearance; and were available in English. Results: With respect to non-stretch tapes, their use for the prevention of linear surgical scarring is evident in reducing scar characteristics of height, colour and itch. Statistically significant results were found in median scar width, reduction in procedure times and overall scar rating. Tapes were predominately applied by participants themselves, and incidence of irritation was infrequently reported. After 12 months, significance with respect to scar pain, itch, thickness and overall scar elevation was reported in one study investigating paper tape. Two papers reported the use of high stretch tapes; however, subjective results limited formal analysis. Although the use of taping for abnormal hypertrophic scar management is in its infancy, emerging research indicates tapes with an element of stretch may have a positive impact. Conclusions: Non-stretch tapes, for the prevention of linear surgical scarring, are effective in reducing scar characteristics of height, colour and itch. Paper tapes have shown effectiveness when applied during wound remodelling or even on mature scarring, with reported subjective changes in scar colour, thickness and pliability. Preliminary evidence of the benefits of high-stretch, elasticised tapes for scar management in the remodelling phase of wound healing have also been reported. Lay Summary Patients are often concerned about unsightly scars that form on their bodies after trauma, especially burn injuries. These scars can be thick, red and raised on the skin, and can impact on the patient’s quality of life. For some scars, the process of skin thickening continues for up to two years after an injury. Unfortunately, scar formation is a part of the body’s healing process, whereby there is a constant pull or tension under and along the skin’s surface. The use of simple tapes, such as microporetm, to help with wound closure are sometimes used as a therapy to reduce the tension on the skin’s surface when a wound is healing to minimise scar formation. However, the effectiveness of taping has not been proven. This paper looks at the available evidence to support the use of taping to reduce scar features of height, thickness and colour. Initial evidence of mixed levels, suggests some benefits of tapes for scar management and show preliminary efficacy for reduction of scar height, thickness and colour. More research is required to determine the direct impact, comparison to other treatments available and patient viewpoint for this therapy.

Omental Transposition Flap for Salvage of Ventricular Assist Devices

2006 ◽  
Vol 118 (4) ◽  
pp. 919-926 ◽  
Author(s):  
Ali Sajjadian ◽  
Ian L. Valerio ◽  
Oguz Acurturk ◽  
Morad A. Askari ◽  
Justin Sacks ◽  
...  
Keyword(s):  
Ventricular Assist Devices ◽  
Transposition Flap ◽  
Ventricular Assist ◽  
Assist Devices ◽  
Omental Transposition

The pivot point in transposition flap planning: concept and surgical implications

2018 ◽  
Vol 42 (2) ◽  
pp. 211-212
Author(s):  
Klaas W. Marck ◽  
Jan J. van Wingerden
Keyword(s):  
Transposition Flap ◽  
Pivot Point ◽  
Planning Concept

Rotation-Transposition Correction of Nasal Deformity in Tessier Number 1 and 2 Clefts

2009 ◽  
Vol 46 (6) ◽  
pp. 674-680 ◽  
Author(s):  
Mamoon Rashid ◽  
Muhammad Zia ul Islam ◽  
Muhammad Sarmad Tamimy ◽  
Ehtesham ul Haq ◽  
Samina Aman ◽  
...  
Keyword(s):  
Lateral Nasal Wall ◽  
Nasal Deformity ◽  
Postoperative Results ◽  
Transposition Flap ◽  
Patients Âgés ◽  
Female Patients ◽  
Minimal Scarring ◽  
Flap Viability ◽  
Alar Rim

Objective: To formulate a standardized procedure for repair of the nasal component of Tessier number 1 and 2 clefts. Patients and Methods: The procedure was performed from 1998 to 2007 in 13 patients with congenital nasal clefts of different degrees of expression corresponding to Tessier 1 and 2. The patients’ ages ranged from 3 months to 28 years. There were 10 male and three female patients. In the absence of any standard published technique for these rare defects, we devised our own method, which we find uniformly applicable to all such cases. We use a composite muco-chondro-cutaneous lateral alar flap to recreate the alar rim. The resulting defect on the lateral nasal wall is then covered with a transposition flap from the dorsum. An alar rim z-plasty was added in cases where notching was evident. Results: In all cases, no problem of flap viability was encountered and all healed well with minimal scarring. The postoperative results were satisfactory and have remained stable over an average 6-month follow-up period. Conclusions: We recommend this technique to be used for the correction of nasal deformity associated with Tessier clefts number 1 and 2. We feel that this technique is relatively simple and easily reproducible.

Adhesive contact media — an update on graft fixation and burn scar management

Burns ◽  
1991 ◽  
Vol 17 (4) ◽  
pp. 313-319 ◽  
Author(s):  
R.B. Davey ◽  
K.A. Wallis ◽  
K. Bowering
Keyword(s):  
Adhesive Contact ◽  
Graft Fixation ◽  
Burn Scar ◽  
Scar Management

Subcutaneous pedicle chin flap combined with lateral transposition flap: A novel technique for reconstruction of wide lower-lip defects

2017 ◽  
Vol 77 (2) ◽  
pp. e45-e46
Author(s):  
Esperanza Manrique-Silva ◽  
Elena Godoy-Gijón ◽  
Tamara Kueder-Pajares
Keyword(s):  
Transposition Flap ◽  
Lower Lip ◽  
Novel Technique
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