Does taping torso scars following dermatologic surgery improve scar appearance?

Rosengren, Helena; Askew, Deborah; Heal, Clare; Buettner, Petra G.; Humphreys, Willliam O.; Semmens, Lyndie A.

doi:10.5826/dpc.0302a13

Cited by 22 publications

(44 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A randomized control study evaluated 195 patients who underwent surgical excisions on the trunk for nonmelanoma skin cancer and suspected pigmented lesions 32 . A total of 136 patients completed the study.…”

Section: Tapingmentioning

confidence: 99%

Summary and evidence grading of over‐the‐counter scar treatments

Grigoryan

Kampp

2020

Int J Dermatology

View full text Add to dashboard Cite

Background Many products claiming to improve scar appearance are readily available on the Internet. Data behind these claims are often difficult to find or summarize. Patients often ask their surgeon for advice for scarring postdermatologic surgery. Objective We aim to review the evidence behind several advertised products and techniques that claim to improve postsurgical scarring. Methods A PubMed search was performed using products and methods claiming to improve scar appearance along with the terms “scar” and “scarring”. Results Published literature on scar massage, taping of scars, silicone gel and sheeting, onion‐based extract products, and vitamin E was reviewed. Silicone gel/sheeting as well as taping have the most evidence to help improve scarring, but even then the evidence is conflicting and weak. Conclusion Online advertising may tempt patients to buy and trial products to help minimize scarring, although the evidence for the effectiveness of these products is absent to minimal. Dermatologists must be aware of these products to maintain effective patient counseling.

show abstract

Section: Tapingmentioning

confidence: 99%

Summary and evidence grading of over‐the‐counter scar treatments

Grigoryan

Kampp

2020

Int J Dermatology

View full text Add to dashboard Cite

show abstract

“…Silicone gel-based dressings reduce tensile stress in the wound and also minimize contraction by hydrating the stratum corneum. 7,8 Paper tape reduces tension when applied to the wound edge, 9,10 and paper tape containing micropores has been shown to reduce hypertrophic scarring in a rabbit ear model. 10 Electrospun nanofibrous meshes are promising wound dressing materials because their elastic fibrous networks and high porosity resemble the extracellular matrix of skin.…”

Section: Introductionmentioning

confidence: 99%

“…7,8 Paper tape reduces tension when applied to the wound edge, 9,10 and paper tape containing micropores has been shown to reduce hypertrophic scarring in a rabbit ear model. 10 Electrospun nanofibrous meshes are promising wound dressing materials because their elastic fibrous networks and high porosity resemble the extracellular matrix of skin. 11,12 Nanofibrous meshes provide greater mechanical support for cell attachment and migration than hydrogels, and are sufficiently porous to allow cell infiltration and cell-cell interactions.…”

Section: Introductionmentioning

confidence: 99%

Prevention of excessive scar formation using nanofibrous meshes made of biodegradable elastomer poly(3-hydroxybutyrate-co-3-hydroxyvalerate)

Kim

Chen

et al. 2020

J Tissue Eng

View full text Add to dashboard Cite

To reduce excessive scarring in wound healing, electrospun nanofibrous meshes, composed of haloarchaea-produced biodegradable elastomer poly(3-hydroxybutyrate- co-3-hydroxyvalerate) (PHBV), are fabricated for use as a wound dressing. Three PHBV polymers with different 3HV content are used to prepare either solution-cast films or electrospun nanofibrous meshes. As 3HV content increases, the crystallinity decreases and the scaffolds become more elastic. The nanofibrous meshes exhibit greater elasticity and elongation at break than films. When used to culture human dermal fibroblasts in vitro, PHBV meshes give better cell attachment and proliferation, less differentiation to myofibroblasts, and less substrate contraction. In a full-thickness mouse wound model, treatment with films or meshes enables regeneration of pale thin tissues without scabs, dehydration, or tubercular scar formation. The epidermis of wounds treated with meshes develop small invaginations in the dermis within 2 weeks, indicating hair follicle and sweat gland regeneration. Consistent with the in vitro results, meshes reduce myofibroblast differentiation in vivo through downregulation of α-SMA and TGF-β1, and upregulation of TGF-β3. The regenerated wounds treated with meshes are softer and more elastic than those treated with films. These results demonstrate that electrospun nanofibrous PHBV meshes mitigate excessive scar formation by regulating myofibroblast formation, showing their promise for use as wound dressings.

show abstract

“…The authors postulate that applying paper tape perpendicular to the wound edges reduced mechanical tension, thereby minimizing scar formation. 105 Similarly, photographic analysis revealed reduced hypertrophic scarring after treatment with microporous paper tape in a rabbit ear model. 106 Recently, attempts have been made to improve the action of tapes, yielding products such as Dynaclose (mediGroup Australia Pty Ltd., Melbourne, Victoria, Australia), a hybrid of silicone elastomer and paper tape, and Steri-Strip S (3M, St. Paul, MN).…”

Section: Mechanomodulation and Emerging Mechanotherapiesmentioning

confidence: 99%

“…Paper tape has been reported to reduce scarring through its ability to reduce wound tension. 104,105 In a randomized, controlled trial testing the efficacy of paper tape in preventing hypertrophic scarring, intradermal scar volumes were assessed in 39 patients with cesarean section surgical incisions that traversed Langer's skin tension lines. Paper tape significantly reduced scar volume, and the odds of developing a hypertrophic scar was 13.6 times greater in patients receiving no postoperative intervention than those treated with paper tape.…”

Section: Mechanomodulation and Emerging Mechanotherapiesmentioning

confidence: 99%

Mechanical Forces in Cutaneous Wound Healing: Emerging Therapies to Minimize Scar Formation

Barnes

Marshall

Leavitt

et al. 2018

Advances in Wound Care

171

131

View full text Add to dashboard Cite

Significance: Excessive scarring is major clinical and financial burden in the United States. Improved therapies are necessary to reduce scarring, especially in patients affected by hypertrophic and keloid scars. Recent Advances: Advances in our understanding of mechanical forces in the wound environment enable us to target mechanical forces to minimize scar formation. Fetal wounds experience much lower resting stress when compared with adult wounds, and they heal without scars. Therapies that modulate mechanical forces in the wound environment are able to reduce scar size. Critical Issues: Increased mechanical stresses in the wound environment induce hypertrophic scarring via activation of mechanotransduction pathways. Mechanical stimulation modulates integrin, Wingless-type, protein kinase B, and focal adhesion kinase, resulting in cell proliferation and, ultimately, fibrosis. Therefore, the development of therapies that reduce mechanical forces in the wound environment would decrease the risk of developing excessive scars. Future Directions: The development of novel mechanotherapies is necessary to minimize scar formation and advance adult wound healing toward the scarless ideal. Mechanotransduction pathways are potential targets to reduce excessive scar formation, and thus, continued studies on therapies that utilize mechanical offloading and mechanomodulation are needed.

show abstract

Does taping torso scars following dermatologic surgery improve scar appearance?

Cited by 22 publications

References 20 publications

Summary and evidence grading of over‐the‐counter scar treatments

Summary and evidence grading of over‐the‐counter scar treatments

Prevention of excessive scar formation using nanofibrous meshes made of biodegradable elastomer poly(3-hydroxybutyrate-co-3-hydroxyvalerate)

Mechanical Forces in Cutaneous Wound Healing: Emerging Therapies to Minimize Scar Formation

Contact Info

Product

Resources

About