Current rehabilitation updates in managing facial and neck scar hypertrophy

Jonathan Niszczak MS OTR/L 1,2, Michael A Serghiou, OTR, MBA 2

1 Temple University Burn Center, Philadelphia, PA USA
2 Bio Med Sciences, Inc. Allentown, PA USA

Introduction: The management of burn scar hypertrophy involving the face and neck often poses a unique challenge for burn rehabilitation specialists.  New, advanced burn rehabilitation materials have emerged that aid in achieving good functional and cosmetic outcomes while providing for precision fitting, comfort and a higher degree of acceptance.

Methods: A review of the existing burn rehabilitation specific literature was conducted to determine the preferred materials and techniques currently utilized by therapists to manage face and neck scars.  New technologies and materials are reviewed and compared to the most commonly utilized methodologies in managing facial and neck scars.

Results: Clinical evidence supports the use of advanced thermoplastic materials.  In particular, silicone bonded thermoplastics, fabrics and foam have shown significant advantages over traditional materials and have demonstrated positive clinical outcomes.  Critical factors supporting the use of these materials include: a) improved scar aesthetics via increased scar hydration, pliability and decreased scar height, b) improved contact and drape, c) evidence of decreased scar tissue perfusion with wear, d) sustained decreased perfusion effect upon removal for up to 45 minutes, e) better patient acceptance.

Discussion: Engineered silicone (fabrics, foam, thermoplastics) materials have improved current practice outcomes for burn rehabilitation specialists.  The use of these materials has shown to support patient compliance and has also improved the design and methodology of traditional face and neck appliances.  It is imperative that utilization of these materials be implemented early in the scar management interventions to support long lasting functional outcomes and improve patient quality of life. – 250 Word Limit

Key Words

Rehab; Scar Management; Allied Health


Temple University Hospital Philadelphia, PA  & Bio Med Sciences Inc. Allentown, PA

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