Ward R S, Reddy R, Lundy C H, Brockway C, Saffle J R, Schnebly W A
Intermountain Burn Center, University of Utah Health Sciences Center, Salt Lake City.
J Burn Care Rehabil. 1991 May-Jun;12(3):263-7. doi: 10.1097/00004630-199105000-00012.
Various methods are available for applying pressure to the central portion of the face to reduce hypertrophic scarring after burn injury. Our center uses an elastomer insert with a thermoplastic backing, which is formed over a plaster mold of the patient's face. The insert is worn under a traditional anti-burn scar face mask. We reviewed the records of 26 patients with hypertrophic scarring to the central portion of the face to assess the effectiveness of the insert. Seventeen (65%) of these patients wore the insert until scar maturation. Three of these 17 patients later required reconstructive surgery of the central face. Our findings suggest that pressure to this part of the face may be effective in decreasing hypertrophic scar formation. The insert described in this article is inexpensive and relatively easy to fabricate.
有多种方法可用于对面部中央施加压力，以减少烧伤后的增生性瘢痕。我们中心使用一种带有热塑性背衬的弹性体插入物，它是在患者面部的石膏模型上形成的。该插入物佩戴在传统的抗烧伤瘢痕面罩之下。我们回顾了26例面部中央有增生性瘢痕患者的记录，以评估该插入物的有效性。其中17例（65%）患者佩戴该插入物直至瘢痕成熟。这17例患者中有3例后来需要进行面部中央的重建手术。我们的研究结果表明，对面部这一部位施加压力可能有效减少增生性瘢痕的形成。本文所述的插入物价格低廉且相对易于制作。
