硅胶假体用于烧伤疤痕伪装:1例报告。

Plastic and aesthetic nursing Pub Date : 2025-04-01 Epub Date: 2025-03-31 DOI:10.1097/PSN.0000000000000599
Tooba Arif, Ahmed Hagiga, Susan Insole, Baljit Dheansa
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引用次数: 0

摘要

烧伤后留下的疤痕会对病人的身体和情感造成毁灭性的影响。疤痕修复手术可能非常有效,但当手术选择用尽或患者拒绝时,伪装是另一种选择。一名43岁的女性在2020年8月的一场房屋火灾中皮肤中深部火焰烧伤,占体表总面积的6%,她接受了化学清创,然后应用同种异体移植物。一个月后,患者接受外科清创手术,在左后肩未愈合的部位植入裂厚皮肤。手术很成功,移植率100%。在她的随访期间,她在该区域出现了增生性瘢痕,这将她的护理重点转移到疤痕管理上。我们开发了一种定制的硅胶假体来伪装疤痕,帮助患者恢复信心,并通过密封水合作用提供治疗效果。该假体与患者的正常肤色和质地相匹配,外表面柔软灵活,内表面光滑,便于粘附。患者发现该假体易于使用,不显眼,但有效地掩盖了疤痕区域。假体也提供了保护免受外部刺激。使用假体后,患者和观察者疤痕评定量表及改良的温哥华疤痕量表均有明显改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Using a Silicone Gel Prosthesis for Burn Scar Camouflage: A Case Report.

The scarring that occurs following a burn injury can have devastating physical and emotional consequences for the patient. Scar revision surgery can be very effective, but when surgical options are exhausted or the patient declines, camouflage is an alternative. A 43-year-old woman with mid-deep dermal flame burns sustained in a house fire in August 2020, comprising 6% total body surface area, underwent chemical debridement followed by allograft application. One month later, the patient underwent surgical debridement with a split-thickness skin graft to an unhealed area on her left posterior shoulder. This procedure was successful, with 100% graft take. During her follow-up visits, she developed hypertrophic scarring in this region, which shifted the focus of her care to scar management. We developed a custom-made silicone gel prosthesis to camouflage the scar, help the patient regain confidence, and also provide therapeutic benefit by sealing in hydration. The prosthesis was matched to the patient's normal skin tone and texture, featuring a soft and flexible outer surface with a smooth inner surface for adherence. The patient found the prosthesis easy to apply and inconspicuous, yet effective at concealing the scarred area. The prosthesis also offered protection from external sources of irritation. Both the Patient and Observer Scar Assessment Scale and the Modified Vancouver Scar Scale showed marked improvement when the prosthesis was used.

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