Ambulatory of Keloids and Hypertrophic scars treatment, Mario Penna/Luxemburgo Hospitals-, Belo Horizonte, MG, Brazil.
Gold Skin Care Center, Tennessee Clinical Research Center, Nashville, TN, USA.
J Cosmet Dermatol. 2020 Dec;19(12):3344-3348. doi: 10.1111/jocd.13792. Epub 2020 Oct 26.
Since we first described the rationale for the use of hydrocolloid dressings to treat keloids and hypertrophic scars, this technique has been used as an occlusive therapy alternative to the use of silicone sheets in our outpatient clinic. In this paper, we describe the use of these dressings on two patients with challenging scars: a large postburn hypertrophic scar on a young patient's hand and arm, with a growing keloid on the wrist, and a progressive scar on the lower eyelid, developing after a complication of a cosmetic blepharoplasty procedure, leading to ectropium. The methods on the proper use of these dressings are reviewed here in detail. Larger clinical trials are needed to further evaluate this technique in the treatment of hypertrophic scars and keloids.
自从我们首次描述了使用水胶体敷料治疗瘢痕疙瘩和增生性瘢痕的基本原理以来，这种技术已在我们的门诊中作为硅酮片的替代闭塞疗法使用。在本文中，我们描述了在两名具有挑战性的瘢痕患者中使用这些敷料的情况：一名年轻患者手部和手臂上有一个大的烧伤后增生性瘢痕，手腕上有一个不断生长的瘢痕疙瘩，以及在下眼睑有一个进行性瘢痕，这是美容眼睑成形术手术后的并发症导致的外翻。在这里详细回顾了正确使用这些敷料的方法。需要更大规模的临床试验来进一步评估该技术在治疗增生性瘢痕和瘢痕疙瘩中的效果。
