Abnormal scar modulation with the use of micropore tape

Daya, Mahendra

doi:10.1007/s00238-010-0455-z

Cited by 9 publications

(21 citation statements)

References 10 publications

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“…Tapes were used for management of abnormal scarring as a result of surgery or burn injury. 11,35,39,53 mature scars. 11,35,39,53 A reduction in pain and subsequent increase in patient adherence was found in two studies where tape was applied for an average of 12.25 months.…”

Section: Late Applicationmentioning

confidence: 99%

“…11,35,39,53 mature scars. 11,35,39,53 A reduction in pain and subsequent increase in patient adherence was found in two studies where tape was applied for an average of 12.25 months. 11,39 Karwacińska et al 35 found scars that were present for more than a year required taping to be used for 3-12 weeks to observe a subjective change.…”

Section: Late Applicationmentioning

confidence: 99%

“… 8 , 18 , 19 , 24 , 34 – 36 The process of re-establishing homeostasis of a wound healed under tension has been shown to be achieved through passive mechanical stabilisation with paper tape application. 5 , 6 , 8 , 13 , 14 , 16 , 17 , 20 – 22 , 37 – 39 To translate mechanotransduction into clinical therapies, a number of therapeutic options have been proposed that are adaptable to the nature and location of a scar. 6 , 8 , 24 , 25 , 32 , 34 – 36 , 39 – 42 …”

Section: Introductionmentioning

confidence: 99%

“… 5 , 6 , 8 , 13 , 14 , 16 , 17 , 20 – 22 , 37 – 39 To translate mechanotransduction into clinical therapies, a number of therapeutic options have been proposed that are adaptable to the nature and location of a scar. 6 , 8 , 24 , 25 , 32 , 34 – 36 , 39 – 42 …”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Use of tape for the management of hypertrophic scar development: A comprehensive review

O'Reilly

Crofton

Brown

et al. 2021

Scars, Burns & Healing

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Introduction: Tapes have been used to aid fresh wound closure. For hypertrophic scars, the use of tapes as a therapy to reduce the mechanical forces that stimulate excessive and long-term scarring is yet to be evaluated. The aim of this comprehensive review was to explore the current clinical application of tapes, as a minimally invasive option, as purposed specifically for the management of hypertrophic scarring, regardless of scar causation. Method: Databases were searched using MeSH terms including one identifier for hypertrophic scar and one for the intervention of taping. Studies included the following: patients who received tape for a minimum of 12 weeks as a method of wound closure specifically for the purpose of scar prevention; those who received tape as a method of scar management after scar formation; reported outcomes addressing subjective and/or objective scar appearance; and were available in English. Results: With respect to non-stretch tapes, their use for the prevention of linear surgical scarring is evident in reducing scar characteristics of height, colour and itch. Statistically significant results were found in median scar width, reduction in procedure times and overall scar rating. Tapes were predominately applied by participants themselves, and incidence of irritation was infrequently reported. After 12 months, significance with respect to scar pain, itch, thickness and overall scar elevation was reported in one study investigating paper tape. Two papers reported the use of high stretch tapes; however, subjective results limited formal analysis. Although the use of taping for abnormal hypertrophic scar management is in its infancy, emerging research indicates tapes with an element of stretch may have a positive impact. Conclusions: Non-stretch tapes, for the prevention of linear surgical scarring, are effective in reducing scar characteristics of height, colour and itch. Paper tapes have shown effectiveness when applied during wound remodelling or even on mature scarring, with reported subjective changes in scar colour, thickness and pliability. Preliminary evidence of the benefits of high-stretch, elasticised tapes for scar management in the remodelling phase of wound healing have also been reported. Lay Summary Patients are often concerned about unsightly scars that form on their bodies after trauma, especially burn injuries. These scars can be thick, red and raised on the skin, and can impact on the patient’s quality of life. For some scars, the process of skin thickening continues for up to two years after an injury. Unfortunately, scar formation is a part of the body’s healing process, whereby there is a constant pull or tension under and along the skin’s surface. The use of simple tapes, such as microporetm, to help with wound closure are sometimes used as a therapy to reduce the tension on the skin’s surface when a wound is healing to minimise scar formation. However, the effectiveness of taping has not been proven. This paper looks at the available evidence to support the use of taping to reduce scar features of height, thickness and colour. Initial evidence of mixed levels, suggests some benefits of tapes for scar management and show preliminary efficacy for reduction of scar height, thickness and colour. More research is required to determine the direct impact, comparison to other treatments available and patient viewpoint for this therapy.

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Section: Late Applicationmentioning

confidence: 99%

Section: Late Applicationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Use of tape for the management of hypertrophic scar development: A comprehensive review

O'Reilly

Crofton

Brown

et al. 2021

Scars, Burns & Healing

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show abstract

“…Currently, treatments against keloids are multiple, sometimes empirical (Ud-Din and Bayat, 2013) and their effectiveness is relative. Some papers reported reduction in scar inflammation (Daya, 2011;Atkinson et al, 2005), or no keloid development after treatment with adhesive band positioned in order to reduce the tension exerted in the wound region post keloid surgery (Atkinson et al, 2005). Combinaison of compression therapy and silicon sheets has been tested to manage keloid scarring (Fraccalvieri et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Multimodal investigation of a keloid scar by combining mechanical tests in vivo with diverse imaging techniques

Chambert

Lihoreau

Joly

et al. 2019

Journal of the Mechanical Behavior of Biomedical Materials

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Keloids are pathologic scars, defined as fibroproliferative diseases resulting from abnormal wound responses, which grow beyond the original wound margins. They develop on specific pro-keloid anatomic sites frequently characterized by high stress states. The initiation and growth mechanisms of keloid are not well-understood. This study relates multimodal investigation of a keloid by using mechanical tests in vivo and imaging techniques. A single case composed of a keloid, the healthy skin surrounding the keloid, and the contralateral healthy skin on the upper arms of a woman has been investigated in extension and suction by using non-invasive devices dedicated to in vivo skin measurement. The thickness and microstructure of these soft tissues have been observed by echography, tomography and confocal microscopy. Displacement fields 1 have been obtained by using digital image correlation. Unlike healthy skin, keloid is not a well-defined multilayer structure: the frontier between epidermis and dermis disappears. The mechanical behavior of keloid is highly different from healthy skin one. The R-parameters have been deduced from suction curves. Physical parameters as tissue extensibility, initial and final tangent moduli have been identified from the stress-strain curves. The extensibility (respectively, initial rigidity) of keloid is highly lower (respectively, higher) than that of healthy skin. To compare the final rigidity of keloid versus healthy skin, further tests have to be performed with higher strain values.

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Pushing Back: Wound Mechanotransduction in Repair and Regeneration

Wong

Akaishi

Longaker

et al. 2011

Journal of Investigative Dermatology

183

161

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Human skin is a highly specialized mechanoresponsive interface separating our bodies from the external environment. It must constantly adapt to dynamic physical cues ranging from rapid expansion during embryonic and early postnatal development to ubiquitous external forces throughout life. Despite the suspected role of the physical environment in cutaneous processes, the fundamental molecular mechanisms responsible for how skin responds to force remain unclear. Intracellular pathways convert mechanical cues into biochemical responses (in a process known as mechanotransduction) via complex mechanoresponsive elements that often blur the distinction between physical and chemical signaling. For example, cellular focal adhesion components exhibit dual biochemical and scaffolding functions that are critically modulated by force. Moreover, the extracellular matrix itself is increasingly recognized to mechanically regulate the spatiotemporal distribution of soluble and matrix-bound ligands, underscoring the importance of bidirectional crosstalk between cells and their physical environment. It seems likely that a structural hierarchy exists to maintain both cells and matrix in mechanical homeostasis and that dysregulation of this architectural integrity may underlie or contribute to various skin disorders. An improved understanding of these interactions will facilitate the development of novel biophysical materials and mechanomodulatory approaches to augment wound repair and regeneration.

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Abnormal scar modulation with the use of micropore tape

Cited by 9 publications

References 10 publications

Use of tape for the management of hypertrophic scar development: A comprehensive review

Use of tape for the management of hypertrophic scar development: A comprehensive review

Multimodal investigation of a keloid scar by combining mechanical tests in vivo with diverse imaging techniques

Pushing Back: Wound Mechanotransduction in Repair and Regeneration

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