TY - JOUR
T1 - A new treatment for reliable functional and esthetic outcome after local facial flap reconstruction
T2 - a transparent polycarbonate facial mask with silicone sheeting
AU - Kant, Sander B.
AU - Ferdinandus, Patrick I.
AU - Van den Kerckhove, Eric
AU - Colla, Carlo
AU - Van der Hulst, Rene R. W. J.
AU - de Grzymala, Andrzej A. Piatkowski
AU - Tuinder, Stefania M. H.
PY - 2017/10
Y1 - 2017/10
N2 - Background Facial flap surgery predominantly leads to good functional results. However, in some cases, it can cause unsatisfactory esthetic results. They include persistent erythema, pincushioning, and development of hypertrophic scars. Conservative, reliable treatment for facial flaps is lacking. Pressure and silicone therapy have proven to result in significant improvement in scar erythema, pliability, and thickness in postburn hypertrophic scars. By combining these therapies in a facial mask, the esthetic outcome of facial flaps could be improved. In this retrospective study, the efficacy of a unique transparent face mask containing silicone sheets on the esthetic outcome of postsurgical facial flaps is assessed.Methods Twenty-one patients were assigned to facial pressure mask therapy after they underwent facial flap surgery between July 2012 and September 2015. Patients were treated for a mean duration of 46 weeks. The effects of pressure mask therapy were examined by means of the Patient and Observer Scar Assessment Scale (POSAS).Results All POSAS components showed a reduction between start and end of therapy, while itchiness, pigmentation, pliability, thickness, and relief of the flap improved significantly (P <0.05). Mean total and patient score showed significant reduction between start and end of therapy.Conclusions This study shows that a facial pressure mask layered with silicone results in noticeable flap improvement with a long-lasting result.
AB - Background Facial flap surgery predominantly leads to good functional results. However, in some cases, it can cause unsatisfactory esthetic results. They include persistent erythema, pincushioning, and development of hypertrophic scars. Conservative, reliable treatment for facial flaps is lacking. Pressure and silicone therapy have proven to result in significant improvement in scar erythema, pliability, and thickness in postburn hypertrophic scars. By combining these therapies in a facial mask, the esthetic outcome of facial flaps could be improved. In this retrospective study, the efficacy of a unique transparent face mask containing silicone sheets on the esthetic outcome of postsurgical facial flaps is assessed.Methods Twenty-one patients were assigned to facial pressure mask therapy after they underwent facial flap surgery between July 2012 and September 2015. Patients were treated for a mean duration of 46 weeks. The effects of pressure mask therapy were examined by means of the Patient and Observer Scar Assessment Scale (POSAS).Results All POSAS components showed a reduction between start and end of therapy, while itchiness, pigmentation, pliability, thickness, and relief of the flap improved significantly (P <0.05). Mean total and patient score showed significant reduction between start and end of therapy.Conclusions This study shows that a facial pressure mask layered with silicone results in noticeable flap improvement with a long-lasting result.
KW - Facial flap reconstruction
KW - Pressure mask
KW - Silicones
KW - PRESSURE GARMENT THERAPY
KW - RANDOMIZED CONTROLLED-TRIAL
KW - SCAR ASSESSMENT SCALE
KW - HYPERTROPHIC SCARS
KW - FOREHEAD FLAP
KW - MANAGEMENT
KW - COMPLICATIONS
KW - PREVENTION
KW - EFFICACY
KW - DEFECTS
U2 - 10.1007/s00238-017-1306-y
DO - 10.1007/s00238-017-1306-y
M3 - Article
C2 - 28989235
SN - 0930-343X
VL - 40
SP - 407
EP - 416
JO - European Journal of Plastic Surgery
JF - European Journal of Plastic Surgery
IS - 5
ER -