Marini Leonardo, Odendaal Derek, Smirnyi Sergey
*Medical and Scientific Director, Skin Doctors' Center Trieste, Trieste, Italy; †Department of Dermatology, University of the Orange Free State, Bloemfontein, South Africa; ‡Department of Burn, State Hospital # 3, Nikolaev, Ukraine.
Dermatol Surg. 2017 Jan;43 Suppl 1:S85-S90. doi: 10.1097/DSS.0000000000001001.
The increased number of cosmetic surgical and nonsurgical procedures has led to a greater demand to achieve aesthetically acceptable scars. Silicone gel (SG) dressings were evaluated in these cases following the principles of wound care and also minimizing abnormal scar formation.
A newly developed solution in wound care in the form of a SG has proven to be a highly effective treatment for a series of 4 clinically challenging cases presented in this article: postprocedure healing after a laser treatment, nonhealing scalp wounds, chronic relapsing xerotic eczematous cheilitis, and the treatment of scars caused by third degree burns. A standard SG was applied to improve the scar outcome of severe burns of a young child.
Silicone gels offer excellent clinical results in these 4 cases. In terms of wound care and scar management, they provide a user friendly, convenient application form and increase patient comfort and compliance.
To pursue these results, further studies need to be conducted but as of now, there is strong suggestive evidence that SGs indicate beneficial properties for wound care management and scar prevention.
整形手术和非手术治疗数量的增加，使得人们对获得美学上可接受的瘢痕的需求更大。遵循伤口护理原则并尽量减少异常瘢痕形成，对硅胶凝胶（SG）敷料进行了评估。
一种新开发的呈SG形式的伤口护理溶液，已被证明对本文介绍的4例临床具有挑战性的病例是一种高效治疗方法：激光治疗后的术后愈合、头皮伤口不愈合、慢性复发性干性唇炎以及三度烧伤所致瘢痕的治疗。应用标准SG来改善一名幼儿严重烧伤后的瘢痕情况。
硅胶凝胶在这4例病例中取得了出色的临床效果。在伤口护理和瘢痕管理方面，它们提供了一种用户友好、方便的应用形式，并提高了患者的舒适度和依从性。
为了取得这些成果，需要进行进一步研究，但截至目前，有强有力的提示性证据表明SG对伤口护理管理和瘢痕预防具有有益特性。
