Oral Diagnosis and Treatment Center, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi City, China.
Int Wound J. 2024 Apr;21(4):e14851. doi: 10.1111/iwj.14851.
Scarring following oral and maxillofacial trauma can have significant aesthetic and functional repercussions. Recombinant human epidermal growth factor (rhEGF) has emerged as a potential therapeutic agent to enhance wound healing and minimise scar formation. This retrospective study analysed data from March 2020 to June 2023 at a single institution. A total of 105 patients were divided into a control group (n = 70) receiving standard treatment and an observation group (n = 35) receiving standard treatment plus rhEGF. The primary outcomes were the incidence of scar hyperplasia and infection rates, with the secondary outcome being scar aesthetics measured by the visual analogue scale (VAS). No significant differences were found in baseline characteristics between the two groups. The observation group showed a significant reduction in scar hyperplasia (14.3% vs. 57.1%, χ = 20.98, p < 0.01) and infection rates (5.7% vs. 21.4%, χ = 4.246, p < 0.05) compared to the control group. VAS scores indicated a superior aesthetic outcome in the observation group at all post-treatment timepoints (p < 0.01). rhEGF treatment in oral and maxillofacial trauma patients resulted in favourable healing outcomes and reduced scar formation, improving aesthetic results. These findings highlight the therapeutic potential of rhEGF and underscore the need for larger-scale trials to further investigate its benefits.
口腔颌面部创伤后瘢痕形成可导致明显的美观和功能影响。重组人表皮生长因子(rhEGF)作为一种促进伤口愈合和减少瘢痕形成的潜在治疗药物已经出现。本回顾性研究分析了 2020 年 3 月至 2023 年 6 月在一家机构的数据。共有 105 例患者分为对照组(n=70)接受标准治疗和观察组(n=35)接受标准治疗加 rhEGF。主要结局是瘢痕增生和感染率的发生率,次要结局是通过视觉模拟评分(VAS)测量的瘢痕美观程度。两组患者的基线特征无显著差异。观察组瘢痕增生发生率(14.3% vs. 57.1%,χ²=20.98,p<0.01)和感染率(5.7% vs. 21.4%,χ²=4.246,p<0.05)明显低于对照组。VAS 评分表明观察组在所有治疗后时间点的美学效果均较好(p<0.01)。rhEGF 治疗口腔颌面部创伤患者可获得良好的愈合效果,减少瘢痕形成,改善美观效果。这些发现突出了 rhEGF 的治疗潜力,并强调需要进行更大规模的试验来进一步研究其益处。