A comparative study evaluating the clinical efficacy of skin tapes versus silicone gel for the treatment of posttrauma scar in the rabbit model

Chih-Chien Wang; Juin-Hong Cherng; Shyi-Gen Chen; Tsai-Wang Huang; Leou-Chyr Lin; Ru-Yu Pan; Yi-Hsin Chan; Chih-Hsin Wang

doi:10.4103/1011-4564.143641

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ORIGINAL ARTICLE

Year : 2014 | Volume : 34 | Issue : 5 | Page : 195-200

A comparative study evaluating the clinical efficacy of skin tapes versus silicone gel for the treatment of posttrauma scar in the rabbit model

Chih-Chien Wang¹, Juin-Hong Cherng², Shyi-Gen Chen³, Tsai-Wang Huang⁴, Leou-Chyr Lin⁵, Ru-Yu Pan⁵, Yi-Hsin Chan⁶, Chih-Hsin Wang⁷
¹ Department of Orthopedic Surgery, Division of Plastic Surgery, Tri-Service General Hospital; Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei, Taiwan, Republic of China
² School of Dentistry, National Defense Medical Center, Taipei, Taiwan, Republic of China
³ Department of Surgery, Division of Plastic Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China
⁴ Department of Surgery, Division of Thoracic Surgery, Tri-Service General Hospital; Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei, Taiwan, Republic of China
⁵ Department of Orthopedic Surgery, Division of Plastic Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China
⁶ Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei, Taiwan, Republic of China
⁷ Department of Surgery, Division of Plastic Surgery, Tri-Service General Hospital; Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei, Taiwan, Republic of China

Correspondence Address:
Dr. Chih-Hsin Wang
Department of Surgery, Division of Plastic Surgery, Tri-Service General Hospital and Graduate Institute of Medical Sciences, National Defense Medical Center, Taiwan, Republic of China. No. 325, Sec. 2, Cheng-Gong Road, Taipei 114, Taiwan
Republic of China

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/1011-4564.143641

Background: Skin tape and silicone gel are two common over-the-counter preparations used to enhance the cosmesis of keloids and hypertrophic scars of posttrauma wounds. This animal study was performed to determine the clinical efficacy of skin tape versus silicone gel in subjects with scars. Materials and Methods: Three New Zealand rabbits that received total 12 incision wounds which two incision wounds on one ear side and subsequent primary suturing were studied. Stitches were removed after 1 week. Silicone gel was applied right upper side of the rabbit's ear directly on surgical incision wounds, and skin tapes were also applied left upper side of the rabbit's ear directly on another surgical incision wounds after 1 week of surgery. The lower incisions in both ears were covered with sterilized gauze and served as controls. We compared two experimental groups at binaural with using Vancouver Scar Scale, Manchester Scar Scale, and The Stony Brook Scar Evaluation Scale. These are widely used in clinical practice and research to document change in scar appearance. Results: We describe a rabbit model for incisional wounds and scarring outcome measures. The results of scar measuring devices demonstrated that skin tape reduced scar formation as well as silicone gel. Conclusions: The results of cosmetic demonstrated that skin tape reduced scar formation as well as silicone gel. However, the economical and effective materials were the important subject that suffices for clinical requirement. The application of these scar prevention devices to reduce scar formation after surgical incision is worthy of future investigation. Moreover, skin tape may represent a low-cost alternative and low scar formation for closure of surgical incisions.

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