GULHANE MEDICAL JOURNAL 2018 , Vol 60 , Issue 4
The effectiveness of topical scar-reducing therapies administered for scarring due to burns and other causes: A retrospective pilot clinical research
Hasan Mete Aksoy1,Berna Aksoy2,Aslı Tatlıparmak2,Emel Çalıkoğlu3
1Bahçeşehir University, School of Medicine, Plastic and Reconstructive Surgery, Istanbul, Turkey
2Bahçeşehir University, School of Medicine, Dermatology, Istanbul, Turkey
3Aksaray University, Faculty of Medicine, Dermatology, Aksaray, Turkey
DOI : 10.26657/gulhane.00039 Aims: Multiple modalities are used to treat scarring; however, data on the efficacy of the topical scar-reducing treatments most frequently used by patients is insufficient. This study aimed to retrospectively determine the effectiveness of topical scar-reducing treatments and patients" compliance.

Methods: The medical records of patients adimitted for the treatment of scarring were retrospectively evaluated. Patient satisfaction with the treatment was assessed via telephone interviews. Each patient also sent recent photographs of their scars. Pre- and post-treatment photographs were scored according to the Manchester Scar Scale, and in terms of vascularity and scar surface area (modified MSS ).

Results: The study included 71 patients with a median scar age of 18 days at the time treatment was initiated. Mean duration of follow-up was 41 months. The prescribed treatments included onion extract, silicone gel or sheet, and a pressure garment. The patients reported that the treatments were effective, they were satisfied with the treatments, and the treatments were not excessively difficult to apply. MSS and ModMSS scores decreased significantly following treatment.

Conclusions: The prescribed topical scar-reducing treatments effectively improved the cosmetic appearance of the patients" scars and reduced scar-related symptoms. The effectiveness of the topical scar-reducing therapies increased as scar age decreased. Keywords : Onion extract, scar, silicone, pressure garment, treatment