Bianchi Francesca A, Roccia Fabio, Fiorini Paola, Berrone Sid
Division of Maxillofacial Surgery, Head & Neck Department, San Giovanni Battista Hospital, Turin, Italy.
J Craniofac Surg. 2010 May;21(3):719-23. doi: 10.1097/SCS.0b013e3181d841af.
In this prospective study, we used the Patient and Observer Scar Assessment Scale (POSAS) to evaluate the outcome of the healing process of posttraumatic and surgical facial scars that were treated with self-drying silicone gel, by both the patient and the observer. In our division, the application of base cream and massage represents the standard management of facial scars after suture removal. In the current study, 15 patients (7 men and 8 women) with facial scars were treated with self-drying silicone gel that was applied without massage, and 15 patients (8 men and 7 women) were treated with base cream and massage. Both groups underwent a clinical evaluation of facial scars by POSAS at the time of suture removal (T0) and after 2 months of treatment (T1). The patient rated scar pain, itch, color, stiffness, thickness, and surface (Patient Scale), and the observer rated scar vascularity, pigmentation, thickness, relief, pliability, and surface area (Observer Scale [OS]). The Patient Scale reported the greatest improvement in the items color, stiffness, and thickness. Itch was the only item that worsened in the group self-drying silicone gel. The OS primarily reported an improvement in the items vascularization, pigmentation, and pliability. The only item in the OS that underwent no change from T0 to T1 was surface area. The POSAS revealed satisfactory healing of posttraumatic and surgical facial scars that were treated with self-drying silicone gel.
在这项前瞻性研究中，我们使用患者和观察者瘢痕评估量表（POSAS），由患者和观察者评估使用自干硅胶凝胶治疗的创伤后和手术面部瘢痕的愈合过程结果。在我们科室，涂抹基础霜并进行按摩是拆线后面部瘢痕的标准处理方法。在本研究中，15例面部瘢痕患者（7例男性和8例女性）接受了不进行按摩的自干硅胶凝胶治疗，15例患者（8例男性和7例女性）接受了基础霜和按摩治疗。两组均在拆线时（T0）和治疗2个月后（T1）通过POSAS对面部瘢痕进行临床评估。患者对瘢痕的疼痛、瘙痒、颜色、硬度、厚度和表面情况进行评分（患者量表），观察者对瘢痕的血管分布、色素沉着、厚度、平整度、柔韧性和表面积进行评分（观察者量表[OS]）。患者量表显示，颜色、硬度和厚度项目改善最为明显。瘙痒是自干硅胶凝胶组中唯一恶化的项目。观察者量表主要显示血管化、色素沉着和柔韧性项目有所改善。观察者量表中从T0到T1没有变化的唯一项目是表面积。POSAS显示，使用自干硅胶凝胶治疗的创伤后和手术面部瘢痕愈合情况令人满意。
