DOI QR코드

DOI QR Code

The Effects of Topical Agent (Kelo-Cote or Contractubex) Massage on the Thickness of Post-Burn Scar Tissue Formed in Rats

  • Ko, Won Jin (Department of Plastic and Reconstructive Surgery, Wonkwang University Hospital, Wonkwang University School of Medicine) ;
  • Na, Young Cheon (Department of Plastic and Reconstructive Surgery, Wonkwang University Hospital, Wonkwang University School of Medicine) ;
  • Suh, Bum Sin (Department of Plastic and Reconstructive Surgery, Wonkwang University Hospital, Wonkwang University School of Medicine) ;
  • Kim, Hyeon A (Department of Plastic and Reconstructive Surgery, Wonkwang University Hospital, Wonkwang University School of Medicine) ;
  • Heo, Woo Hoe (Department of Plastic and Reconstructive Surgery, Wonkwang University Hospital, Wonkwang University School of Medicine) ;
  • Choi, Gum Ha (Department of Pathology, Wonkwang University Hospital, Wonkwang University School of Medicine) ;
  • Lee, Seo Ul (Wonkwang Institute of Clinical Medicine)
  • Received : 2013.07.05
  • Accepted : 2013.08.02
  • Published : 2013.11.15

Abstract

Background We conducted an experimental study to compare the effect of massage using topical agents (Kelo-cote or Contractubex) on scar formation by massaging the healed burn wound on the dorsal area of Sprague-Dawley (SD) rats. Methods Four areas of second degree contact burn were made on the dorsal area of each of 15 SD rats, using a soldering iron 15 mm in diameter. After gross epithelialization in the defect, 15 SD rats were randomly divided into four groups: the Kelo-cote group, Contractubex group, Vaseline group, and control group. Rats in three of the groups (all but the Control group) were massaged twice per day for 5 minutes each day, while those in the Control group were left unattended. For histologic analysis, we performed a biopsy and evaluated the thickness of scar tissue. Results In the Kelo-cote and Contractubex groups, scar tissue thicknesses showed a significant decrease, compared with the Vaseline and control groups. However, no significant differences were observed between the Kelo-cote and Contractubex groups. In the Vaseline group, scar tissue thicknesses showed a significant decrease, compared with the control groups. Conclusions The findings of this study suggest that massage using a topical agent is helpful in the prevention of scar formation and that massage only with lubricant (no use of a topical agent) also has a considerable effect, although not as much as the use of a topical agent. Thus, we recommend massage with a topical agent on the post-burn scar as an effective method for decreasing the scar thickness.

Keywords

References

  1. Broughton G 2nd, Janis JE, Attinger CE. The basic science of wound healing. Plast Reconstr Surg 2006;117:12S-34S. https://doi.org/10.1097/01.prs.0000194900.08776.59
  2. Singer AJ, Clark RA. Cutaneous wound healing. N Engl J Med 1999;341:738-46. https://doi.org/10.1056/NEJM199909023411006
  3. Desmouliere A, Redard M, Darby I, et al. Apoptosis mediates the decrease in cellularity during the transition between granulation tissue and scar. Am J Pathol 1995;146:56-66.
  4. Gurtner GC, Werner S, Barrandon Y, et al. Wound repair and regeneration. Nature 2008;453:314-21. https://doi.org/10.1038/nature07039
  5. Alster TS, Tanzi EL. Hypertrophic scars and keloids: etiology and management. Am J Clin Dermatol 2003;4:235-43. https://doi.org/10.2165/00128071-200304040-00003
  6. Berman B, Perez OA, Konda S, et al. A review of the biologic effects, clinical efficacy, and safety of silicone elastomer sheeting for hypertrophic and keloid scar treatment and management. Dermatol Surg 2007;33:1291-302. https://doi.org/10.1111/j.1524-4725.2007.33280.x
  7. Niessen FB, Spauwen PH, Schalkwijk J, et al. On the nature of hypertrophic scars and keloids: a review. Plast Reconstr Surg 1999;104:1435-58. https://doi.org/10.1097/00006534-199910000-00031
  8. de Giorgi V, Sestini S, Mannone F, et al. The use of silicone gel in the treatment of fresh surgical scars: a randomized study. Clin Exp Dermatol 2009;34:688-93. https://doi.org/10.1111/j.1365-2230.2008.03096.x
  9. Gold MH, Foster TD, Adair MA, et al. Prevention of hypertrophic scars and keloids by the prophylactic use of topical silicone gel sheets following a surgical procedure in an office setting. Dermatol Surg 2001;27:641-4. https://doi.org/10.1046/j.1524-4725.2001.00356.x
  10. Momeni M, Hafezi F, Rahbar H, et al. Effects of silicone gel on burn scars. Burns 2009;35:70-4. https://doi.org/10.1016/j.burns.2008.04.011
  11. Perkins K, Davey RB, Wallis KA. Silicone gel: a new treatment for burn scars and contractures. Burns Incl Therm Inj 1983;9:201-4. https://doi.org/10.1016/0305-4179(83)90039-6
  12. Mustoe TA. Evolution of silicone therapy and mechanism of action in scar management. Aesthetic Plast Surg 2008;32:82-92. https://doi.org/10.1007/s00266-007-9030-9
  13. O'Shaughnessy KD, De La Garza M, Roy NK, et al. Homeostasis of the epidermal barrier layer: a theory of how occlusion reduces hypertrophic scarring. Wound Repair Regen 2009;17:700-8. https://doi.org/10.1111/j.1524-475X.2009.00534.x
  14. Shin TM, Bordeaux JS. The role of massage in scar management: a literature review. Dermatol Surg 2012;38:414-23. https://doi.org/10.1111/j.1524-4725.2011.02201.x
  15. Holavanahalli RK, Helm PA, Parry IS, et al. Select practices in management and rehabilitation of burns: a survey report. J Burn Care Res 2011;32:210-23. https://doi.org/10.1097/BCR.0b013e31820aadd5
  16. Roques C. Massage applied to scars. Wound Repair Regen 2002;10:126-8. https://doi.org/10.1046/j.1524-475X.2002.02107.x
  17. Patino O, Novick C, Merlo A, et al. Massage in hypertrophic scars. J Burn Care Rehabil 1999;20:268-71.
  18. Linares HA, Larson DL. Early differential diagnosis between hypertrophic and nonhypertrophic healing. J Invest Dermatol 1974;62:514-6. https://doi.org/10.1111/1523-1747.ep12681048
  19. Beuth J, Hunzelmann N, Van Leendert R, et al. Safety and efficacy of local administration of contractubex to hypertrophic scars in comparison to corticosteroid treatment: results of a multicenter, comparative epidemiological cohort study in Germany. In Vivo 2006;20:277-83.
  20. Chang CC, Kuo YF, Chiu HC, et al. Hydration, not silicone, modulates the effects of keratinocytes on fibroblasts. J Surg Res 1995;59:705-11. https://doi.org/10.1006/jsre.1995.1227
  21. Davey RB, Wallis KA, Bowering K. Adhesive contact media: an update on graft fixation and burn scar management. Burns 1991;17:313-9. https://doi.org/10.1016/0305-4179(91)90047-K
  22. Chan MW, Hinz B, McCulloch CA. Mechanical induction of gene expression in connective tissue cells. Methods Cell Biol 2010;98:178-205. https://doi.org/10.1016/S0091-679X(10)98008-4
  23. Bhadal N, Wall IB, Porter SR, et al. The effect of mechanical strain on protease production by keratinocytes. Br J Dermatol 2008;158:396-8.
  24. Aarabi S, Bhatt KA, Shi Y, et al. Mechanical load initiates hypertrophic scar formation through decreased cellular apoptosis. FASEB J 2007;21:3250-61. https://doi.org/10.1096/fj.07-8218com

Cited by

  1. Treatment Algorithm of Complications after Filler Injection: Based on Wound Healing Process vol.29, pp.suppl3, 2014, https://doi.org/10.3346/jkms.2014.29.s3.s176
  2. Prevention of Postsurgical Scars: Comparsion of Efficacy and Convenience between Silicone Gel Sheet and Topical Silicone Gel vol.29, pp.suppl3, 2014, https://doi.org/10.3346/jkms.2014.29.s3.s249
  3. Comparative effects of two different doses of low‐level laser therapy on wound healing third‐degree burns in rats vol.79, pp.4, 2013, https://doi.org/10.1002/jemt.22632
  4. Alternative animal model for studies of total skin thickness burns vol.32, pp.10, 2013, https://doi.org/10.1590/s0102-865020170100000005
  5. Evaluation of advantages of Contractubex gel usage for postsurgical scars treatment in comparison with absence of systematized topical scars treatment of kids with congenital cleft lip and palate vol.2020, pp.4, 2020, https://doi.org/10.17116/hirurgia202004188
  6. The effect of silicone gel versus contractubex gel on the upper-extremity postsurgical scars: A randomized, double-blinded, controlled trial vol.34, pp.None, 2013, https://doi.org/10.34171/mjiri.34.146