Case Report: Pediatric Scar Management After Open-heart Surgery.
Tetralogy of Fallot is a congenital disease caused by structural defects within the heart that can lead to cyanosis. The purpose of this case report is to discuss the use of PracaSil-Plus, a proprietary topical anhydrous silicone base containing pracaxi oil, in scar-management therapy, following open-heart surgery on a pediatric patient with tetralogy of Fallot. The Patient and Observer Scar Assessment Scale was the research instrument used to evaluate for efficacy of the scar therapy. Following 8 weeks of treatment with PracaSil-Plus, reduction in scores were observed for scar color, stiffness, thickness, and irregularity, with improvements of 87.5%, 90.0%, 66.7%, and 66.7% from baseline, respectively. The post-treatment scar was similar to normal skin in appearance, with a 77.8% improvement in the total score. These results show that PracaSil-Plus may be a valuable option for practitioners and pharmacists to consider in pediatric scar-management therapy.
Professional Compounding Centers of America, Houston, Texas.
Ha
H
Phan
Professional Compounding Centers of America, Houston, Texas. BHarger@pccarx.com.
Beau
B
Harger
Red Mountain Pharmacy, Mesa, Arizona.
Nick
N
Estrada
D000279:Administration, Cutaneous; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002921:Cicatrix / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D004339:Drug Compounding; D007887:Fabaceae / Q000737:chemistry*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008517:Phytotherapy; D010936:Plant Extracts / Q000008:administration & dosage* / Q000737:chemistry / Q000302:isolation & purification; D010938:Plant Oils / Q000008:administration & dosage* / Q000737:chemistry / Q000302:isolation & purification; D010946:Plants, Medicinal; D012828:Silicones / Q000737:chemistry; D013771:Tetralogy of Fallot / Q000175:diagnosis / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D014945:Wound Healing / Q000187:drug effects*
D010936:Plant Extracts; D010938:Plant Oils; D012828:Silicones