Objective: To investigate the effect of a chest compression device for scar prevention combined with a nurse-patient WeChat group on scar formation after keloid excision. Methods: Forty patients with chest wall keloids who underwent keloid excision surgery at the Department of Plastic and Reconstructive Surgery, First Medical Center of PLA General Hospital from June 2022 to June 2024 were selected. They were randomly divided into two groups: the observation group (20 cases) and the control group (20 cases). Both groups underwent routine keloid excision, followed by compression therapy for 6 months. The observation group used a chest compression device, while the control group used a compression garment. Scar width, hypertrophy, and Vancouver Scar Scale (VSS) scores were compared between the two groups. Results: There were no significant differences between the two groups in terms of gender, age, disease course, lesion area, and lesion site (P > 0.05). The overall effective rate in the observation group was 95.00%, significantly higher than the 65.00% in the control group, with a statistically significant difference (P < 0.05). After a 6-month follow-up, all VSS indicators (except for pliability) in the observation group (using the chest compression device) were significantly lower than those in the control group (P < 0.05). Conclusion: Compared to the traditional compression garment, the chest compression device for scar prevention is more effective in preventing scar hypertrophy after chest wall keloid excision and improving the appearance of scars. It is worth promoting for clinical application.
Bi S, Liu R, Wu B, et al., 2021, Bioinformatic Analysis of Key Genes and Pathways Related to Keloids. Biomed Res Int, 2021: 5897907. https://doi.org/10.1155/2021/5897907
Stone RC, Chen V, Burgess J, et al., 2020, Genomics of Human Fibrotic Diseases: Disordered Wound Healing Response. Int J Mol Sci, 21(22): 8590. https://doi.org/10.3390/ijms21228590
Ogawa R, Okai K, Tokumura F, et al., 2012, The Relationship Between Skin Stretching/Contraction and Pathologic Scarring: The Important Role of Mechanical Forces in Keloid Generation. Wound Repair Regen, 20(2): 149–57. https://doi.org/10.1111/j.1524-475X.2012.00766.x
Renz P, Hasan S, Gresswell S, et al., 2018, Dose Effect in Adjuvant Radiation Therapy for the Treatment of Resected Keloids. Int J Radiat Oncol Biol Phys, 102(1): 149–154. https://doi.org/10.1016/j.ijrobp.2018.05.027
Long X, Zhang M, Wang Y, et al., 2016, Algorithm of Chest Wall Keloid Treatment. Medicine (Baltimore), 95(35): e4684. https://doi.org/10.1097/MD.0000000000004684
Chong Y, Kim CW, Kim YS, et al., 2018, Complete Excision of Proliferating Core in Auricular Keloids Significantly Reduces Local Recurrence: A Prospective Study. J Dermatol, 45(2): 139–144. https://doi.org/10.1111/1346-8138.14110
Bai C, 2013, Observation on the Efficacy of Epidermal Surgery Combined with 90Sr Patch Radiotherapy in the Treatment of Chest Keloids. Chinese Journal of Integrated Traditional and Western Medicine in Dermatology and Venereology, 12(6): 384–385.
Bao W, 2000, Practical Scar Science. Beijing Medical University Press, Beijing, 74–77.
Kelly AP, 2009, Update on the Management of Keloids. Semin Cutan Med Surg, 28(2): 71–76. https://doi.org/10.1016/j.sder.2009.04.002
Wang L, Wang H, Xin B, et al., 2011, Clinical Analysis of 50 Cases of Comprehensive Treatment of Trunk Keloids. Chinese Journal of Aesthetic Medicine, 20(6): 901–903.
Park TH, Seo SW, Kim JK, et al., 2011, Management of Chest Keloids. J Cardiothorac Surg, 6: 49. https://doi.org/10.1186/1749-8090-6-49
Li BG, Gu CZ, Xiong W, et al., 2011, Excision of Elevated Scar Tissue and Transplantation of Split-Thickness Skin Graft in the Treatment of 13 Cases of Chest Keloids. Chinese Journal of Burns, 27(5): 394–395.
Li ZH, Wang HQ, Sun YK, et al., 2015, The Relationship Between the Efficacy of Radiotherapy for Keloids and Skin Tension. Journal of Shandong University (Medical Edition), 53(7): 78–81.
Chen LB, Chen YH, Gao Z, et al., 2015, Clinical Observation of the Anti-Scar Effect of A Skin Wound Tension-Reducing Device. Journal of Tissue Engineering and Reconstructive Surgery, 11(5): 316–319.