Comparison of the effect of silicone gel sheets by thickness on excisional scars in pediatric and adolescent patients
Background Selecting effective products among the various types of silicone gel sheets can be challenging for surgeons. Therefore, we assessed the effect of silicone gel sheet thickness on surgical scars in pediatric and adolescent patients. Methods From December 2017 to May 2018, we identified pati...
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| Format: | Article |
| Language: | English |
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Korean Society for Aesthetic Plastic Surgery
2022-01-01
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| Series: | Archives of Aesthetic Plastic Surgery |
| Subjects: | |
| Online Access: | http://e-aaps.org/upload/pdf/aaps-2021-00339.pdf |
| _version_ | 1818013720797773824 |
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| author | Min Ji Kim Woo Beom Lee Dong Ha Park |
| author_facet | Min Ji Kim Woo Beom Lee Dong Ha Park |
| author_sort | Min Ji Kim |
| collection | DOAJ |
| description | Background Selecting effective products among the various types of silicone gel sheets can be challenging for surgeons. Therefore, we assessed the effect of silicone gel sheet thickness on surgical scars in pediatric and adolescent patients. Methods From December 2017 to May 2018, we identified patients aged 1–19 years who underwent excision. Among these patients, those who were prescribed 0.3-mm or 1.0-mm-thick silicone sheets were selected. Scars were subjectively evaluated using a questionnaire consisting of seven items. Objective evaluation was performed by two plastic surgeons using the Vancouver Scar Scale (VSS). Results The mean age of the 49 selected patients was 9.78 years. The patients were divided into two groups according to the thickness of the silicone gel sheet used (0.3 mm vs. 1.0 mm). Objective evaluation of the patients’ scars revealed more favorable results in the 0.3 mm group than in the 1.0 mm group (P=0.010). Multivariate analysis of VSS scores indicated that the resulting scars in cases involving the trunk were of poorer quality than those involving facial areas (P=0.015). Additionally, favorable (i.e., below-average) VSS scores were significantly less likely in patients with longer scars (odds ratio, 0.896; 95% confidence interval, 0.834–0.963; P=0.003) or thicker silicone sheets (odds ratio, 0.085; 95% confidence interval, 0.011–0.699; P=0.019). Conclusions The use of thinner silicone gel sheets in children and adolescents resulted in better scars according to subjective evaluations, underscoring the importance of compliance in pediatric patients. The type of operation and surgical lesion should also be considered when planning the management of surgical scars. |
| first_indexed | 2024-04-14T06:36:47Z |
| format | Article |
| id | doaj.art-d8ccae9964ce4fa1bb4727e976b0f61c |
| institution | Directory Open Access Journal |
| issn | 2234-0831 2288-9337 |
| language | English |
| last_indexed | 2024-04-14T06:36:47Z |
| publishDate | 2022-01-01 |
| publisher | Korean Society for Aesthetic Plastic Surgery |
| record_format | Article |
| series | Archives of Aesthetic Plastic Surgery |
| spelling | doaj.art-d8ccae9964ce4fa1bb4727e976b0f61c2022-12-22T02:07:27ZengKorean Society for Aesthetic Plastic SurgeryArchives of Aesthetic Plastic Surgery2234-08312288-93372022-01-01281172310.14730/aaps.2021.00339754Comparison of the effect of silicone gel sheets by thickness on excisional scars in pediatric and adolescent patientsMin Ji Kim0Woo Beom Lee1Dong Ha Park2 Department of Plastic and Reconstructive Surgery, Ajou University Medical Center, Suwon, Korea Department of Plastic and Reconstructive Surgery, Ajou University Medical Center, Suwon, Korea Department of Plastic and Reconstructive Surgery, Ajou University Medical Center, Suwon, KoreaBackground Selecting effective products among the various types of silicone gel sheets can be challenging for surgeons. Therefore, we assessed the effect of silicone gel sheet thickness on surgical scars in pediatric and adolescent patients. Methods From December 2017 to May 2018, we identified patients aged 1–19 years who underwent excision. Among these patients, those who were prescribed 0.3-mm or 1.0-mm-thick silicone sheets were selected. Scars were subjectively evaluated using a questionnaire consisting of seven items. Objective evaluation was performed by two plastic surgeons using the Vancouver Scar Scale (VSS). Results The mean age of the 49 selected patients was 9.78 years. The patients were divided into two groups according to the thickness of the silicone gel sheet used (0.3 mm vs. 1.0 mm). Objective evaluation of the patients’ scars revealed more favorable results in the 0.3 mm group than in the 1.0 mm group (P=0.010). Multivariate analysis of VSS scores indicated that the resulting scars in cases involving the trunk were of poorer quality than those involving facial areas (P=0.015). Additionally, favorable (i.e., below-average) VSS scores were significantly less likely in patients with longer scars (odds ratio, 0.896; 95% confidence interval, 0.834–0.963; P=0.003) or thicker silicone sheets (odds ratio, 0.085; 95% confidence interval, 0.011–0.699; P=0.019). Conclusions The use of thinner silicone gel sheets in children and adolescents resulted in better scars according to subjective evaluations, underscoring the importance of compliance in pediatric patients. The type of operation and surgical lesion should also be considered when planning the management of surgical scars.http://e-aaps.org/upload/pdf/aaps-2021-00339.pdfcicatrixsilicone gelhypertrophicpediatrics |
| spellingShingle | Min Ji Kim Woo Beom Lee Dong Ha Park Comparison of the effect of silicone gel sheets by thickness on excisional scars in pediatric and adolescent patients Archives of Aesthetic Plastic Surgery cicatrix silicone gel hypertrophic pediatrics |
| title | Comparison of the effect of silicone gel sheets by thickness on excisional scars in pediatric and adolescent patients |
| title_full | Comparison of the effect of silicone gel sheets by thickness on excisional scars in pediatric and adolescent patients |
| title_fullStr | Comparison of the effect of silicone gel sheets by thickness on excisional scars in pediatric and adolescent patients |
| title_full_unstemmed | Comparison of the effect of silicone gel sheets by thickness on excisional scars in pediatric and adolescent patients |
| title_short | Comparison of the effect of silicone gel sheets by thickness on excisional scars in pediatric and adolescent patients |
| title_sort | comparison of the effect of silicone gel sheets by thickness on excisional scars in pediatric and adolescent patients |
| topic | cicatrix silicone gel hypertrophic pediatrics |
| url | http://e-aaps.org/upload/pdf/aaps-2021-00339.pdf |
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