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    VIII Treatment of Immature Scars: Evidence-Based Considerations

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    Kdc Ouinbilo
    This document discusses objective assessment techniques for scar assessment, including skin hydration, transcutaneous oxygen tension, and tactile sensitivity. It also covers structural assessment of scars using optical techniques and the future of these assessment methods. Finally, it addresses ethical considerations clinicians may face when managing a patient's scar.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    VIII Treatment of Immature Scars: Evidence-Based Considerations

    Uploaded by

    Kdc Ouinbilo
    18 views1 page
    This document discusses objective assessment techniques for scar assessment, including skin hydration, transcutaneous oxygen tension, and tactile sensitivity. It also covers structural assessment of scars using optical techniques and the future of these assessment methods. Finally, it addresses ethical considerations clinicians may face when managing a patient's scar.

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    504849667-Textbook-on-Scar-Management-Teot-2021-11

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    This document discusses objective assessment techniques for scar assessment, including skin hydration, transcutaneous oxygen tension, and tactile sensitivity. It also covers structural assessment of scars using optical techniques and the future of these assessment methods. Finally, it addresses ethical considerations clinicians may face when managing a patient's scar.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    18 views1 page

    VIII Treatment of Immature Scars: Evidence-Based Considerations

    Uploaded by

    Kdc Ouinbilo
    This document discusses objective assessment techniques for scar assessment, including skin hydration, transcutaneous oxygen tension, and tactile sensitivity. It also covers structural assessment of scars using optical techniques and the future of these assessment methods. Finally, it addresses ethical considerations clinicians may face when managing a patient's scar.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    XI

    Contents

    18  bjective Assessment Techniques: Physiological Parameters


    O
    in Scar Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159
    Peter Moortgat, Mieke Anthonissen, Ulrike Van Daele, Jill Meirte,
    Tine Vanhullebusch, and Koen Maertens

    18.1 Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160


    18.2 Skin Hydration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160
    18.3 Transcutaneous Oxygen Tension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
    18.4 Tactile Sensitivity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
    Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166

    19 Structural Assessment of Scars Using Optical Techniques . . . . . . . . . . . . . . . . . . . 169


    L. van Haasterecht, Paul P. M. van Zuijlen, and ML. Groot

    19.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170


    19.2 Experimental Techniques . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171
    19.3 Future Perspectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175
    References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176

    20 Ethical Considerations: Scar Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179


    Clarisse Ganier and Sonia Gaucher

    20.1  there Truly a Need to Invoke Ethics When the Clinician Is Faced
    Is
    with Managing a Patient’s Scar? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180
    20.2 What Are the Dilemmas that a Clinician Will Confront in Their Daily
    Practice When Managing a Patient’s Scar? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180
    References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181

    VIII Treatment of Immature Scars: Evidence-Based Considerations


    21 Ideal Wound Closure Methods for Minimizing Scarring After Surgery . . . . . . 185
    Rei Ogawa

    21.1 Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 186


    21.2 
    Cutaneous Wound Healing and Mechanobiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 186
    21.3 Surgical Techniques that Can Minimize Dermal Tension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 186
    21.4 Z-Plasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187
    21.5 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 190
    References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191

    22  reatment of Immature Scars: Evidence-Based Techniques


    T
    and Treatments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193
    Julian Poetschke and Gerd G. Gauglitz
    22.1 Techniques for the Treatment of Immature Scars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195
    22.2 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200
    References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201

    23 Silicone Gel for Scar Prevention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203


    Thomas A. Mustoe

    23.1 History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204


    23.2 
    The Role of the Epithelium in Scar Formation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204
    Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 208

    24 Onion Extract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209


    Julian Poetschke and Gerd G. Gauglitz
    24.1 Onion Extract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210

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