J Med Assoc Thai 2000; 83 (4):439

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Self-adhesive Silicone Gel Sheet : A Treatment for Hypertrophic Scars and Keloids
Chuangsuwanich A Mail, Osathalert V , Muangsombut S

An open clinical trial was conducted to assess the effect of sci f-adhesive silicone gel
sheet (SASGS) for the treatment of hypertrophic scars and keloids in Thai people. Patients were
instructed
to
apply the SASGS
to
the scars as long as possible, but not less than 12 hours per day
for at least 8 weeks. The subjective results of the treatment were evaluated by the patients. The
scars were evaluated for color, height, weight before and after treatment at 4 and 8 weeks.
Eighteen patients with 18 hypertrophic scars or keloids were recruited into the study.
Their ages ranged from 6 to 33 years (mean 21 years). The average duration of the scars was 5.7
years. Twelve patients (66.67%) stated good results. All of the I 8 patients wanted to continue the
treatment with SASGS. Heights of the scars were reduced in 12 lesions (66.67o/r) after treatment
for 8 weeks (P=0.058). Weights of the lesions were decreased in 10 lesions (55.55o/c) but were
not statistically different (P=0.090). Seven lesions (36.84%) were improved in color. Two patients
( 11.11%) developed erythematous rash around the lesions which subsided after withdrawal of the
treatment. The long term follow-up for the recurrence and the mechanism of action of this
treatment should be studied further.
Key word : Keloid, Silicone Gel Sheet

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