Scars: impact and management, with a focus on topical silicone-based treatments

Onselen, Julie Van

doi:10.12968/joan.2019.8.1.27

Cited by 3 publications

(5 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Silicone has been used for some time in the treatment of healed wounds to reduce or prevent hypertrophic and keloid scarring (Meuleneire and Rücknagel, 2013). Hypertrophic scars are red and raised above the surface, but do not go beyond the boundaries of the original wound site; they can continue to thicken for up to 6 months and can be very itchy or painful (Van Onselen, 2019). Keloid scars, by contrast, grow beyond the boundary of the original wound site due to an overproduction of collagen; they can develop up to 1 year after injury and are painful, itchy and unsightly (Van Onselen, 2019).…”

Section: Silicone Gel Sheeting In Wounds At Risk Of Scarringmentioning

confidence: 99%

“…A Cochrane review and an update of clinical guidelines regarding the prevention and treatment of scars (O'Brien and Jones, 2013;Meaume et al, 2014) both highlighted silicone-based products, including sheets and gels, as improving scar thickness and scar colour. Such products have been suggested by a European Working Group as first line prophylactic and non-invasive treatment options for all scars (Gold et al, 2014;Monstrey et al, 2014;Van Onselen, 2019).…”

Section: Silicone Gel Sheeting In Wounds At Risk Of Scarringmentioning

confidence: 99%

See 1 more Smart Citation

Developments in silicone technology for use in stoma care

Swift,

Westgate,

Van Onselen

et al. 2021

Br J Nurs

View full text Add to dashboard Cite

Soft silicone's flexibility, adhesive capacity and non-toxic, non-odourous and hypoallergenic nature have made it an established material for adhesive and protective therapeutic devices. In wound care, silicone is a component of contact layer dressings for superficial wounds and silicone gel sheeting for reducing the risk of scarring, as well as of barriers for incontinence-associated dermatitis. Regarding stoma accessories, silicone is established in barrier films to prevent contact dermatitis, adhesive removers to prevent skin stripping and filler gels to prevent appliance leaks. Until recently, silicone has not been used in stoma appliances flanges, as its hydrophobic nature has not allowed for moisture management to permit transepidermal water loss and prevent maceration. Traditional hydrocolloid appliances manage moisture by absorbing water, but this can lead to saturation and moisture-associated skin damage (MASD), as well as increased adhesion and resultant skin tears on removal, known as medical adhesive-related skin injury (MARSI). However, novel silicone compounds have been developed with a distinct evaporation-based mechanism of moisture management. This uses colloidal separation to allow the passage of water vapour at a rate equivalent to normal transepidermal water loss. It has been shown to minimise MASD, increase wear time and permit atraumatic removal without the use of adhesive solvents. Trio Healthcare has introduced this technology with a range of silicone-based flange extenders and is working with the University of Bradford Centre for Skin Sciences on prototype silicone-based stoma appliance flanges designed to significantly reduce the incidence of peristomal skin complications, such as MARSI and MASD. It is hoped that this will also increase appliance wear time, reduce costs and improve patient quality of life.

show abstract

Section: Silicone Gel Sheeting In Wounds At Risk Of Scarringmentioning

confidence: 99%

Section: Silicone Gel Sheeting In Wounds At Risk Of Scarringmentioning

confidence: 99%

Developments in silicone technology for use in stoma care

Swift,

Westgate,

Van Onselen

et al. 2021

Br J Nurs

View full text Add to dashboard Cite

show abstract

Section: Silicone Gel Sheeting In Wounds At Risk Of Scarringmentioning

confidence: 99%

“…A Cochrane review and an update of clinical guidelines regarding the prevention and treatment of scars (O'Brien and Jones, 2013; Meaume et al, 2014) both highlighted silicone-based products, including sheets and gels, as improving scar thickness and scar colour. Such products have been suggested by a European Working Group as first line prophylactic and non-invasive treatment options for all scars (Gold et al, 2014;Monstrey et al, 2014;Van Onselen, 2019).…”

Section: Silicone Gel Sheeting In Wounds At Risk Of Scarringmentioning

confidence: 99%

Developments in silicone technology for use in stoma care

et al. 2020

Self Cite

View full text Add to dashboard Cite

Soft silicone's flexibility, adhesive capacity and non-toxic, non-odourous and hypoallergenic nature have made it an established material for adhesive and protective therapeutic devices. In wound care, silicone is a component of contact layer dressings for superficial wounds and silicone gel sheeting for reducing the risk of scarring, as well as of barriers for incontinence-associated dermatitis. Regarding stoma accessories, silicone is established in barrier films to prevent contact dermatitis, adhesive removers to prevent skin stripping and filler gels to prevent appliance leaks. Until recently, silicone has not been used in stoma appliances flanges, as its hydrophobic nature has not allowed for moisture management to permit trans-epidermal water loss and prevent maceration. Traditional hydrocolloid appliances manage moisture by absorbing water, but this can lead to saturation and moisture-associated skin damage (MASD), as well as increased adhesion and resultant skin tears on removal, known as medical adhesive-related skin injury (MARSI). However, novel silicone compounds have been developed with a distinct evaporation-based mechanism of moisture management. This uses colloidal separation to allow the passage of water vapour at a rate equivalent to normal trans-epidermal water loss. It has been shown to minimise MASD, increase wear time and permit atraumatic removal without the use of adhesive solvents. Trio Healthcare has introduced this technology with a range of silicone-based flange extenders and is working with the University of Bradford Centre for Skin Sciences on prototype silicone-based stoma appliance flanges designed to significantly reduce the incidence of peristomal skin complications, such as MARSI and MASD. It is hoped that this will also increase appliance wear time, reduce costs and improve patient quality of life.

show abstract

“…Silicone products formulated either as adhesive sheets or topical gel have been marketed to patients as improving scar appearance. Silicone is a synthetic polymer composed of a silicon oxygen backbone and organic groups that attach to the silicon atom by silicon‐carbon bonds 22 . Silicone can be a fluid, gel, or a thick rubber‐like substance depending on the length of the polymer chain and degree of cross‐linking.…”

Section: Siliconementioning

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

Scars: impact and management, with a focus on topical silicone-based treatments

Cited by 3 publications

References 12 publications

Developments in silicone technology for use in stoma care

Developments in silicone technology for use in stoma care

Developments in silicone technology for use in stoma care

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

Contact Info

Product

Resources

About