Efficacy of a polyurethane dressing versus a soft silicone sheet on hypertrophic scars.
OBJECTIVE
To compare the efficacy and safety of a polyurethane dressing with a silicone sheet in the treatment of hypertrophic scars.


METHODS
Sixty patients participated in this intra-individual 12-week clinical trial. Each scar was divided into two areas, to which the polyurethane dressing and the silicone sheet were randomly allocated. The primary outcome measure was the percentage change in the overall scar index (SI) between baseline and week 12. Secondary outcome measures included changes in skin redness, objectively measured by chromametry, and patients views on the aesthetic outcome of treatment.


RESULTS
Both therapies achieved favourable results for all of the above outcome measures. Results were comparable for the primary outcome measure: 29.4% versus 33.7% for the silicone sheet and polyurethane product respectively. The decrease in the overall SI was significantly more pronounced for the polyurethane product after week 4 (5.6% versus 15.8% for the silicone sheet; p<0.0001) and week 8 (20.2% versus 27.1%; p=0.012).


CONCLUSIONS
Both regimens were associated with a significant reduction in the clinical signs of hypertrophic scars over 12 weeks of treatment. The polyurethane dressing demonstrated a significantly more pronounced reduction in severity of these clinical signs after four and eight weeks of treatment and was better tolerated than the silicone sheet. l


BACKGROUND
This study was funded by Beiersdorf AG. proDERM is an independent research company, and none of the authors have an interest in the sponsors commercial activities.
Wigger-Albert
W
W
proDERM Institute for Applied Dermatological Research, Schenefeld/ Hamburg, Germany.
Kuhlmann
M
M
Wilhelm
D
D
Mrowietz
U
U
Eichhorn
K
K
Ortega
J
J
Bredehorst
A
A
Wilhelm
K-P
KP
D000293:Adolescent; D000328:Adult; D001458:Bandages / Q000592:standards*; D017439:Cicatrix, Hypertrophic / Q000473:pathology / Q000628:therapy*; D004954:Esthetics; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010783:Photometry; D011140:Polyurethanes / Q000592:standards*; D012720:Severity of Illness Index; D012828:Silicones / Q000592:standards*; D016037:Single-Blind Method; D017592:Skin Care / Q000379:methods; D018709:Statistics, Nonparametric; D016896:Treatment Outcome; D014945:Wound Healing
D011140:Polyurethanes; D012828:Silicones