Huang Chong, Liu Ou-Gen
Department of Dermatology, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi Province, China.
J Craniofac Surg. 2024 Aug 22. doi: 10.1097/SCS.0000000000010531.
This study aims to investigate the safety and effectiveness of using a zipper device to minimize scarring after facial nevi excision in pediatric patients.
A total of 48 patients were included, with 23 in the control group and 25 in the zipper group. The zipper device was used immediately to equalize skin tension after facial nevi excision. The primary outcome was the scar width measured at 1, 3, 6, and 12 months postoperatively. The Vancouver Scar Scale (VSS) was used to assess patients' scars at postoperative 12 months as a secondary outcome.
Two patients in the zipper group withdrew from the trial due to skin irritation. The symptom disappeared within a week after the zipper device was removed. The scar width in the zipper group was smaller than that in the control group at postoperative 1, 3, 6, and 12 months. In addition, the VSS scores for scarring also showed that patients in the zipper group had significantly better scar scores than those in the control group. At postoperative 6 months, scar morphology was essentially similar to that at post 12 months in both groups, and there was a significant positive correlation between scar morphology at the 2 time points.
It is safe and effective to use this zipper device to minimize scarring after excision of facial nevi in pediatric patients, and we think it be a complementary therapeutic measure in pediatric patients after facial nevus excision.
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本研究旨在探讨使用拉链装置将小儿面部痣切除术后瘢痕形成降至最低的安全性和有效性。
共纳入48例患者，其中对照组23例，拉链组25例。面部痣切除术后立即使用拉链装置平衡皮肤张力。主要结局指标为术后1、3、6和12个月测量的瘢痕宽度。使用温哥华瘢痕量表（VSS）在术后12个月评估患者的瘢痕情况作为次要结局指标。
拉链组有2例患者因皮肤刺激退出试验。在移除拉链装置后一周内症状消失。拉链组术后1、3、6和12个月的瘢痕宽度均小于对照组。此外，瘢痕的VSS评分也显示拉链组患者的瘢痕评分显著优于对照组。术后6个月时，两组瘢痕形态与术后12个月时基本相似，且两个时间点的瘢痕形态之间存在显著正相关。
在小儿患者面部痣切除术后使用这种拉链装置将瘢痕形成降至最低是安全有效的，我们认为它是小儿患者面部痣切除术后的一种辅助治疗措施。
II级。
