#Keylord gloves skin

Moisturizing and humectant creams reduce the scaring in itchy scar. Stress shielding devices wen applied to the scar interface reduces the mechanical stresses and prevents excessive scar formation.īotulinum toxin A (botox) reduces tensile forces on post surgical scar. perpendicular to the langer lines, additional those in the sternal and deltoid regions are at a higher risk for developing excessive scarring. The greatest tension of a wound is at its edges i.e. Prevention of a scar of of priority and can be done by 3 preventive measures:

Numerical Scar Rating Scale: Border height of the scar, scar stiffness, color difference and the thickness of the scar. Hamilton scale: Proportion of irregular scar with its height, depth, color, vascularity and numerical scar rating scale Standardized outcomes īurns scar index (vancouver Scar scale): Measures Pliability, pigmentation, vascularity and height Useful in conducting research, however are noninvasive, commercially available.

#Keylord gloves skin

Tewameter (Courage+Khazaka Electronic GmbH, Cologne, Germany) measures the skin hydration and rate of oxygen diffusion Skin hydration also affects the skin elasticity, Scar maturity is related to the oxygen tension present transcutaneusly.

The deeper the wound the longer stratum corneum takes to normalize. Transepidermal Water Loss and Transepidermal Oxygen: The water loss across the skin increases due to the destruction of stratum corneum. Non invasive method of assessing temperature Infrared camera or Infrared tympanic thermometer Temperature: The temperature of a scar is dependent o the vascularity and amount of metabolic activity. Non invasive, esy to use, objective but expensiveĬutometer: Measures vertical deformation using a suction device NK Derma Durometer: This is a computerised device that uses the pressure required to deform skin through the electric resistance of skin. The reliability of these tools is yet to be tested. Horizontal Stretch tools: These are the extensometer and elastometer Properties good against the ultrasound, however not used frequently Mdodified Shiotz tonometer: this device even gives a reading of the power required for a given deformation. The firmer the skin the higher the rod will move It however is an indirect assessment of function and not merely a measure of the scarĬicatronometer: hand held tonometer that's held vertically on the skin, depressed is an indicator rod. Pliability: This refers to the extensibility or elasticity of skin Visual observation, photographic analysisĬolor control strips, computer packages like adobe allocate numerical values to colors Quantifies size of the scar both above and below the surface of the skin(depth of the scar), however this is time consumingĬolor: This is a measure of vascularity as well as pigmentation (measure of the melanocytes, bile ad carotene pigments).

Objective and quantifiable, difficult to use in clinical setting Negative impression made of the scar in a dental stone, used to later reproduce a positive impression of the scar. Photographing the scar or tracing it onto a piece of paperĮasy, inexpensive in clinical use, however unable provide quantification Mark points along the scar and measure length, width, height and elevation with a ruler Size: A scar usually undergoes a period of over growth before maturing and becoming flatter. This can adversely affect range of motion and cause functional limitations when present around a joint. The resulting scare is red, vascular, immobile and raised. Prolonged inflammation causes excessive collagen deposition with an increased adhesiveness and contractility of the scar.

They frequently develop in areas rich in blood supply like the ear lobe or the presternal area. Scars that progressively encroach on the surrounding area of skin tissue resulting in a cosmetic and emotional distress.