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November 1987
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12 Reads
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36 Citations
Burns
A range of materials is now available for use in a burn scar management programme. The use of these materials is detailed and suggestions are made based upon the experience gained from close clinical observation of children treated over a 7-year period at the Adelaide Children's Hospital Burn Clinic. Lightweight pressure garments are still needed to keep these various media in contact but are not included in the discussion.
February 1983
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509 Reads
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309 Citations
Burns
A new method of treatment for burn scar management is outlined using silicone gel sheets (Spenco Corporation MD-3071). The method has been applied to 42 patients with burns of varying degree and maturity. The results have been successful in all cases. The mode of action of the gel is unknown, but it does not rely on pressure. The method can easily be tailored to the individual needs of the scar and the patient. Individual initiative and a flexible approach to its use are advocated.
... Evidence on the efficacy of pressure garments is not indisputable, with multiple studies falling on either side of the debate. The use of pressure to modulate scar healing was first mentioned in the medical literature in the late 1800s and was popularized in the 1970s; the supporters of garment use cite studies showing that application of pressure to a raised scar reduced its thickness and helped in its maturation [168][169][170][171][172][173][174]. The detractors argue that the garments do not apply adequate pressure, need to be worn for 23 h a day which is difficult to comply with; and that they cause discomfort, skin breakdown, and limitation of motion [175][176][177][178]. ...
Reference:
Contemporary Aspects of Burn Care
November 1987
Burns
... Silicone-based products are widely used for the treatment of hypertrophic scars (HS) [1][2][3][4]. Even if the mechanism of silicone-based products has not yet been fully revealed, they are known to be effective in flattening and softening HS, as well as reducing symptoms such as redness, stiffness, pain, and pruritus [4][5][6][7][8][9][10][11]. Topical silicone gel (TSG) and silicone gel sheet (SGS) are the most representative forms among various silicone products. ...
February 1983
Burns
