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DOI: 10.1055/s-0041-1728578
Experiences and results from the use of an addition-cured silicone as a new type of dressing in the head and neck area
The right choice of dressing after operations on the skin in the anatomically complex and aesthetically important head and neck area is difficult.
A regular gauze dressing is often not durable, especially on concave structures such as the concha of the ear or locations with a lot of movement in the wound through facial expressions and it is difficult to place a dressing that lasts for several days and permanently ensures a sufficiently large surface area contact. The semi-occlusive dressings, which are advantageous for wound healing, are even more difficult to apply and often only have a short shelf life or, at least when pressure is to be built up, have to be fixed with sutures. Frequent dressing changes are not only logistically complex for the patient and doctor, but often also cause irritation of the surrounding skin. Nevertheless, there is a need for postoperative monitoring of the wound in order to detect wound infections, dehiscences or necrosis. We propose the use of an addition-cured, transparent and individually moulded silicone based on venylpolysiloxane as a dressing applied directly on the graft. The silicone hardens, integrating the thread knots into its material and is thereby fixed on the wound. This creates a three-dimensional, customized, transparent semi-occlusive dressing with the possibility of inspecting the wound without changing the dressing.
The moist environment that is formed improves wound healing and prevents sticking of the sore edge as well as drying out of the skin graft. The durability is very good, so that no dressing change is necessary until the threads are pulled. The application possibilities are wide and range from bandages for full-thickness skin grafts, transposition and rotation flaps to traumatic nasal and auricular defects.
Poster-PDF A-1165.pdf
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Conflict of interest
Der Erstautor gibt keinen Interessenskonflikt an.
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Publication History
Article published online:
13 May 2021
© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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