From the Division of Plastic Surgery, Department of Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
Ann Plast Surg. 2023 Apr 1;90(1 Suppl 1):S103-S110. doi: 10.1097/SAP.0000000000003393.
As we all know, the numbers of aesthetic surgery are increasing around the world. After the surgery, the scar would be a problematic issue for both the surgeons and the patients. Silicone has proven to be effective for keloids, hypertrophic scars, and prevention of scar formation in many literatures for a long time. In terms of scar prevention, silicone has been used in the form of silicone sheets in early times, which is later improved to be the form of silicone gel with the advantage of easier usage. Although silicone gel has improved greatly in the aspect of appearance and convenience of the silicone sheets, there are still some disadvantages of the gel form. Therefore, the LeniScar silicone stick (AnsCare) is invented.
This article aimed to compare the results of scar treatment and prevention of the AnsCare LeniScar Silicone Stick versus the traditional silicone gel (Dermatix Ultra).
This study was a prospective, nonblinded, randomized clinical study. There were a total of 68 patients from September 2018 to January 2020. Patients were divided into 2 groups with AnsCare (n = 43) and Dermatix (n = 25), who both were required to schedule regular outpatient clinic follow-up, and photographs were taken before use, 1, 2, and 3 months later after the usage for the record. The physician assessed the scar condition by the Vancouver Scar Scale (VSS). The scores of the VSS were further analyzed and compared.
The overall P value of total score of VSS was 0.635, which indicates that there is no significant difference in using AnsCare LeniScar Silicone Stick versus Dermatix Ultra silicone gel in terms of scar prevention and treatment. Individual items of VSS such as pliability, height, vascularity, and pigmentation all show no significant statistical difference in the 2 treatment products, with P = 0.980, 0.778, 0.528, and 0.366, respectively.
Traditional Dermatix Ultra silicone gel has been effective in the treatment of scar formation. AnsCare LeniScar Silicone Stick is statistically not different from the Dermatix Ultra silicone gel when comparing the treatment results of scar prevention. Furthermore, the AnsCare LeniScar Silicone Stick has the advantages of being time-saving with no need to wait for it to dry and application of precise amount to precise location, preventing waste or overuse.
众所周知,全世界的美容手术数量正在增加。手术后,疤痕会成为医生和患者共同面临的问题。硅酮在许多文献中已被证明对瘢痕疙瘩、增生性瘢痕和预防瘢痕形成有效。在预防瘢痕方面,硅酮早期以硅酮片的形式使用,后来改进为硅酮凝胶形式,使用更为方便。尽管硅酮凝胶在外观和硅酮片的使用便利性方面有了很大的改进,但凝胶形式仍存在一些缺点。因此,发明了 LeniScar 硅酮棒(AnsCare)。
本文旨在比较 AnsCare LeniScar 硅酮棒与传统硅酮凝胶(Dermatix Ultra)治疗和预防瘢痕的效果。
这是一项前瞻性、非盲、随机的临床研究。共有 2018 年 9 月至 2020 年 1 月间的 68 例患者入组。患者分为 AnsCare 组(n=43)和 Dermatix 组(n=25),两组均需定期门诊随访,并在使用前、使用后 1、2 和 3 个月拍摄照片记录。医生使用温哥华瘢痕量表(VSS)评估瘢痕情况。进一步分析和比较 VSS 评分。
VSS 总分的总体 P 值为 0.635,表明在预防和治疗瘢痕方面,使用 AnsCare LeniScar 硅酮棒与 Dermatix Ultra 硅酮凝胶无显著差异。VSS 的个别项目,如柔韧性、高度、血管性和色素沉着,在两种治疗产品中均无显著统计学差异,P 值分别为 0.980、0.778、0.528 和 0.366。
传统的 Dermatix Ultra 硅酮凝胶在治疗瘢痕形成方面已被证实有效。AnsCare LeniScar 硅酮棒在预防瘢痕治疗效果方面与 Dermatix Ultra 硅酮凝胶无统计学差异。此外,AnsCare LeniScar 硅酮棒具有节省时间的优点,无需等待其干燥,且可以精确涂抹到精确位置,防止浪费或过度使用。