Department of Plastic and Reconstructive Surgery, Ningbo First Hospital, Ningbo, China.
J Craniofac Surg. 2023 Jun 1;34(4):e376-e380. doi: 10.1097/SCS.0000000000009298. Epub 2023 Mar 22.
Although early debridement and refining plastic surgery techniques have been shown to be effective in the treatment of facial scars after trauma, their postoperative outcomes have not been quantitatively evaluated by the relevant Scar Cosmesis Assessment and Rating (SCAR) Scale. This study was designed to provide a fair assessment of the appearance and local symptoms of scars after treatment by refining plastic surgery techniques and to share the operational skills of surgical repairs.
Patients who received refining plastic surgery techniques were followed up, and facial scars were taken as high-definition photos, which were presented to 6 professional observers, 6 lay observers, and patients themselves to score the facial scars, including: scar spread, erythema, dyspigmentation, track marks or suture marks, hypertrophy/atrophy, itch and pain according to the SCAR.
There were 56 patients who met the inclusion criteria and 25 agreed to participate in the study. No hypertrophic scar was found, and all patients were satisfied with the scar control effect. The scores showed that the treatment was achieved good results in scar spread (pro group: 0.85±0.55, lay group: 0.96±0.68, patients: 0.92±0.64), erythema (pro group: 0.34±0.26, lay group: 0.45±0.37, patients: 0.32±0.48), hypertrophy/atrophy (pro group: 0.21±0.27, lay group: 0.21±0.31, patients: 0.32±0.48), and there was no significant difference in the scores of the 3 observation groups ( P >0.05). However, it is difficult to eliminate dyspigmentation (pro group: 0.29±0.26, lay group: 0.30±0.30, patients: 0.40±0.50), track marks or suture marks (pro group: 0.45±0.33, lay group: 0.59±0.30, patients: 0.36±0.49). Two (8%) patients complained of itch and 1 (4%) patient complained of both itch and pain in the past 24 hours.
The appearance of facial scars is satisfactory, the local symptoms are mild, and the evaluation among different aesthetics is affirmative after receiving refining plastic surgery techniques, which is just in line with the purpose of seeking beauty for the patients, and meanwhile can provide a good foundation for the comprehensive treatment of late scars, so that the treatment plan should be promoted.
虽然早期清创和精细整形手术技术已被证明在创伤后面部瘢痕的治疗中是有效的，但它们的术后效果尚未通过相关的瘢痕美容评估和评分（SCAR）量表进行定量评估。本研究旨在通过精细整形手术技术对瘢痕治疗后的外观和局部症状进行公平评估，并分享手术修复的操作技巧。
对接受精细整形手术技术治疗的患者进行随访，并对面部瘢痕进行高清拍照，将照片提供给 6 名专业观察者、6 名非专业观察者和患者本人，让他们根据 SCAR 对瘢痕的扩散、红斑、色素沉着、痕迹或缝线痕迹、增生/萎缩、瘙痒和疼痛进行评分。
共有 56 名符合纳入标准的患者，其中 25 名同意参与研究。未发现增生性瘢痕，所有患者均对瘢痕控制效果满意。评分显示，瘢痕扩散（治疗组：0.85±0.55，非专业组：0.96±0.68，患者：0.92±0.64）、红斑（治疗组：0.34±0.26，非专业组：0.45±0.37，患者：0.32±0.48）、增生/萎缩（治疗组：0.21±0.27，非专业组：0.21±0.31，患者：0.32±0.48）等治疗效果均取得良好效果，3 组观察者的评分无显著差异（P>0.05）。然而，难以消除色素沉着（治疗组：0.29±0.26，非专业组：0.30±0.30，患者：0.40±0.50）和痕迹或缝线痕迹（治疗组：0.45±0.33，非专业组：0.59±0.30，患者：0.36±0.49）。有 2 名（8%）患者在过去 24 小时内抱怨瘙痒，1 名（4%）患者同时抱怨瘙痒和疼痛。
接受精细整形手术技术治疗后面部瘢痕外观满意，局部症状轻微，不同美学评价肯定，符合患者求美目的，同时可为晚期瘢痕的综合治疗提供良好基础，因此应推广该治疗方案。
