Scars: questions of prevention and treatment
- Authors: Zaslavsky D.V.1, Barinova A.N.2, Sidikov A.A.3, Tayts B.M.2, Plavinskij S.L.2, Kozlova D.V.1, Bulina O.V.1
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Affiliations:
- Saint Petersburg State Pediatric Medical University
- North-Western State Medical University named after I.I. Mechnikov
- Tashkent State Dental Institute
- Issue: Vol 97, No 1 (2021)
- Pages: 54-64
- Section: DRUG TREATMENT IN DERMATOVENEROLOGY
- URL: https://journals.rcsi.science/0042-4609/article/view/117548
- DOI: https://doi.org/10.25208/vdv1207
- ID: 117548
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Abstract
Each year in the developed countries of the world 100 million patients acquire scars; and there are 11 million keloid scars among them.
Aim of the study. Evaluate the effectiveness of treatment and dynamics of scar condition when using self-adhesive dressings (silicone sheet; silicone patch) with a layer of soft silicone.
Patients and methods. A clinical prospective observational study of the dynamics of scarring conditions using selfadhesive dressings with a layer of silicone sheet (soft silicone) was conducted in 27 patients.
Results. It was shown that by the third visit (42 days after inclusion in the study); the color changed towards lightening and disappearing red; in the largest group with dark red scars at the beginning of the study 43.7% completed the study with light pink scars; 43.7% with hyperpigmented and 5.26% with normopigmented (р < 0.0001). Also significant was the dynamics of changes in the position of the scar relative to the level of normal skin (р < 0.0001) with level alignment in case it was initially lower than the level of normal skin. The condition of the scar surface by the third visit normalized; in all patients the surface became even (p = 0.0044). There was a marked increase in the number of easily displaceable scars (from 11.1% to 37.0%; p = 0.0003). Also; by the third visit; itching disappeared in all patients (р < 0.0001).
Conclusion. Overall; the study showed marked improvement across all parameters studied. Silicone sheet; one of the most widely used forms of silicone-based dressings; to be an effective treatment scar management.
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##article.viewOnOriginalSite##About the authors
Denis V. Zaslavsky
Saint Petersburg State Pediatric Medical University
Author for correspondence.
Email: venerology@gmail.com
ORCID iD: 0000-0001-5936-6232
SPIN-code: 5832-9510
Scopus Author ID: 0000-0001-5936-6232
ResearcherId: T-2356-2019
MD; Dr. Sci. (Med.); Professor
Russian Federation, Litovskaya str., 2A, 194100, Saint PetersburgAnna N. Barinova
North-Western State Medical University named after I.I. Mechnikov
Email: Anna.Barinova@szgmu.ru
ORCID iD: 0000-0001-8215-086X
SPIN-code: 2010-4354
MD; Dr. Sci. (Med.); Professor
Russian Federation, Piskarevskij prospect, 47, 195067, Saint PetersburgAkmal A. Sidikov
Tashkent State Dental Institute
Email: medik-85@bk.ru
ORCID iD: 0000-0002-0909-7588
SPIN-code: 3812-8400
MD; Dr. Sci. (Med.)
Uzbekistan, Makhtumkuli str., 103, 100047, TashkentBoris M. Tayts
North-Western State Medical University named after I.I. Mechnikov
Email: boris.tayts@szgmu.ru
SPIN-code: 1579-4967
MD; Dr. Sci. (Med.); Professor
Russian Federation, Piskarevskij prospect, 47, 195067, Saint PetersburgSvyatoslav L. Plavinskij
North-Western State Medical University named after I.I. Mechnikov
Email: splavinskij@szgmu.ru
ORCID iD: 0000-0001-9159-6177
SPIN-code: 5660-4661
MD; Dr. Sci. (Med.); Professor
Russian Federation, Piskarevskij prospect, 47, 195067, Saint PetersburgDarya V. Kozlova
Saint Petersburg State Pediatric Medical University
Email: dashauchenaya@yandex.ru
ORCID iD: 0000-0002-6942-2880
SPIN-code: 3783-8565
5th year student
Russian Federation, Litovskaya str., 2A, 194100, Saint PetersburgOksana V. Bulina
Saint Petersburg State Pediatric Medical University
Email: oksanabulina@yandex.ru
ORCID iD: 0000-0002-2997-7777
SPIN-code: 7960-2040
MD; Cand. Sci. (Med.); assistant professor
Russian Federation, Litovskaya str., 2A, 194100, Saint PetersburgReferences
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