Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 7 Issue 11

Systematic Review: Duration of Applying Silicone Gel Sheet on Hypertrophic or Keloid Scars

Ahmed Almoosa*, Shaima Alrashid and Mody Alowais

National Guard Health Affairs, Jeddah, Saudi Arabia

*Corresponding Author: Ahmed Almoosa, National Guard Health Affairs, Jeddah, Saudi Arabia.

Received: October 05, 2023; Published: October 27, 2023

Abstract

Objective: The purpose of this review was to explore how many hours per day silicone gel sheets should be applied with patients with hypertrophic or keloid scars to best increase pliability and reduce thickness.

Methods: Electronic database searches were carried out using CINAHL Plus with Full Text and PubMed. Eight articles published between 1991 and 2011 met the inclusion criteria.

Results: Silicone gel sheets were effective in reducing scar thickness and increasing scar pliability. Studies that employed 24-hour application of silicone were generalizable because they were high quality studies. However, although studies used less than 24-hour application were effective, they had limitations making generalizability impossible. Additionally, washing the silicone gel sheet and the skin underneath every day was recommended to avoid skin breakdown, which in turn affected the duration of the sheet application.

Conclusion: This review suggests that silicone gel sheets should be worn 20 to 22 hours a day on hypertrophic or keloid scars, taking into account the necessity of important instructions, i.e., washing the sheet and scar daily.

 Keywords: Silicone Gel; American Occupational Therapy Association (AOTA);

References

  1. Carney S., et al. “Cica-care gel sheeting in the management of hypertrophic scarring”. Burns2 (1994): 163-167.
  2. Cruz-Korchin N I. “Effectiveness of silicone sheets in the prevention of hypertrophic breast scars”. Annals of Plastic Surgery4 (1996): 345.
  3. De Oliveira GV., et al. “Silicone versus nonsilicone gel dressings: A controlled trial”. Dermatologic Surgery8 (2001): 721-726.
  4. Edwards J. “The use of silicone gel in hypertrophic scar management”. Journal of Community Nursing12 (2005): 18-19.
  5. Forbes-Duchart L., et al. “Determination of inter-rater reliability in pediatric burn scar assessment using a modified version of the vancouver scar scale”. Journal of Burn Care and Research3 (2007): 460- 467.
  6. Lee S., et al. “A comparison of sil-K and epiderm in scar management”. Burns 6 (1996): 483-487.
  7. Li-Tsang C W P., et al. “A prospective randomized clinical trial to investigate the effect of silicone gel sheeting (cica-care) on post-traumatic hypertrophic scar among the chinese population”. Burns 6 (2006): 678-683.
  8. Majan J. “Evaluation of a self-adherent soft silicone dressing for the treatment of hypertrophic postoperative scars”. Journal of Wound Care 5 (2006): 193-196.
  9. McNee J. “The use of silicone gel in the control of hypertrophic scarring”. Physiotherapy 4 (1990): 194-197.
  10. Momeni M., et al. “Effects of silicone gel on burn scars”. Burns 1 (2008): 70-74.
  11. Mustoe TA., et al. “International clinical recommendations on scar management”. Plastic and Reconstructive Surgery2 (2002): 560- 571.
  12. Nikkonen M., et al. “Problems associated with the use of silicone gel sheeting for hypertrophic scars in the hot climate of saudi arabia”. Burns5 (2001): 498-501.
  13. O’Brien L and Pandit A. “Silicone gel sheeting for preventing and treating hypertrophic and keloid scars”. Cochrane Database Systematic Review (2006): 1.

Citation

Citation: Ahmed Almoosa., et al. “Systematic Review: Duration of Applying Silicone Gel Sheet on Hypertrophic or Keloid Scars”.Acta Scientific Medical Sciences 7.11 (2023): 132-140.

Copyright

Copyright: © 2023 Ahmed Almoosa., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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Impact Factor1.403

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