Wound Care With a Porcine Extracellular Matrix After Surgical Treatment of Rhinophyma.
OASIS
extracellular matrix
rhinophyma
shave excision
wound care
Journal
Journal of cutaneous medicine and surgery
ISSN: 1615-7109
Titre abrégé: J Cutan Med Surg
Pays: United States
ID NLM: 9614685
Informations de publication
Date de publication:
Historique:
pubmed:
26
2
2020
medline:
27
2
2021
entrez:
26
2
2020
Statut:
ppublish
Résumé
Rhinophyma surgery is commonly associated with prolonged wound healing and the need for multiple wound dressings. To evaluate clinical outcome with a porcine extracellular matrix (ECM) after shave excision of rhinophyma compared with common wound care procedure. Retrospective analysis of patients with common dressings (CD) compared with patients with additional ECM (OASIS) application. Clinical findings were assessed prior to treatment and at follow-up visit using the Patient and Observer Scar Assessment Scale (POSAS), Vancouver Scar Scale (VSS), and Rhinophyma Severity Index (RHISI). Overall, 28 patients (67.5 ±9.0 years) with a mean wound area of 33.9 (±8.5) cm² were included. After a mean follow-up period of 132 (±73) days, scales of POSAS, VSS, and RHISI showed significant ( The application of porcine ECM is practicable and reduces the number of dressing changes and time to re-epithelization clearly. Crusts are scaling off spontaneously without any aggressive action needed. Our findings indicate that ECM application is a promising approach for rhinophyma wound care.
Sections du résumé
BACKGROUND
BACKGROUND
Rhinophyma surgery is commonly associated with prolonged wound healing and the need for multiple wound dressings.
OBJECTIVES
OBJECTIVE
To evaluate clinical outcome with a porcine extracellular matrix (ECM) after shave excision of rhinophyma compared with common wound care procedure.
MATERIALS AND METHODS
METHODS
Retrospective analysis of patients with common dressings (CD) compared with patients with additional ECM (OASIS) application. Clinical findings were assessed prior to treatment and at follow-up visit using the Patient and Observer Scar Assessment Scale (POSAS), Vancouver Scar Scale (VSS), and Rhinophyma Severity Index (RHISI).
RESULTS
RESULTS
Overall, 28 patients (67.5 ±9.0 years) with a mean wound area of 33.9 (±8.5) cm² were included. After a mean follow-up period of 132 (±73) days, scales of POSAS, VSS, and RHISI showed significant (
CONCLUSIONS
CONCLUSIONS
The application of porcine ECM is practicable and reduces the number of dressing changes and time to re-epithelization clearly. Crusts are scaling off spontaneously without any aggressive action needed. Our findings indicate that ECM application is a promising approach for rhinophyma wound care.
Identifiants
pubmed: 32096427
doi: 10.1177/1203475420906774
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM