Hypertrophic or keloid scars. Hypertrophic disorder of the skin, unspecified
Conditions
Interventions
Intervention 1: Intervention group (Group A: Elastic Compression Therapy):After partial wound healing and the formation of epithelial tissue, standard compression bandages appropriate to the affected
however, all other standard therapeutic measures will be carried out according to the Talaghani Burn Center’s treatment protocol. Thus, the only difference between the two groups lies in the use or ab
Sponsors
Ahvaz University of Medical Sciences
Eligibility
Sex/Gender
All
Age
2 Years to 65 Years
Inclusion criteria
Inclusion criteria: Age range: 2 to 65 years Burn size: 1% to 60% of total body surface area (TBSA) Admission for follow-up of at least three months after discharge
Exclusion criteria
Exclusion criteria: Presence of chronic or genetic skin diseases (e.g., psoriasis or eczema) History of autoimmune diseases or immunodeficiency Unwillingness to continue participation or loss to follow-up Death or readmission due to other causes
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is the mean total score of the Vancouver Scar Scale (VSS), including pigmentation, vascularity, pliability, and thickness, at week 12 after initiation of treatment, compared between the compression bandaging group and the control group. Timepoint: The effect of compression bandaging on the total Vancouver Scar Scale (VSS) score during the follow-up period (weeks 4, 8, and 12) between the compression bandaging group and the control group. Method of measurement: Vancouver Scar Scale (VSS): A standardized scale for assessing scar characteristics including pigmentation, vascularity, pliability, and thickness. | — |
Secondary
| Measure | Time frame |
|---|---|
| VSS Total Score at Week 4,8. Timepoint: 4 week, 8 week. Method of measurement: The total VSS score is calculated by summing four components: Pigmentation, Vascularity, Pliability, and Height/Thickness, with a maximum of 13 points. Pigmentation is scored from 0 to 2 (0 = normal, 1 = mild hypo/hyperpigmentation, 2 = significant color abnormality), Vascularity from 0 to 3 (0 = normal, 1 = slightly red/pink, 2 = clearly red, 3 = purple/hypervascular), Pliability from 0 to 5 (0 = normal, up to 5 = very stiff/contracted based on tissue resistance and movement according to the VSS guidelines), and Height/Thickness from 0 to 3 (0 = normal, 1 = 5 mm). The total VSS score equals the sum of these four components.;"Pigmentation (VSS)". Timepoint: 4 week, 8 week. Method of measurement: English:Pigmentation in the VSS is scored from 0 to 2:0 = Normal1 = Mild hypo/hyperpigmentation2 = Significant color abnormalityTo measure, observe the scar color and compare it with the surrounding normal skin, then assign the appropriate score.;Vascularity (VSS). Timepoint: 4 week, 8 week. Method of measurement: Vascularity in the VSS is scored from 0 to 3:0 = Normal1 = Slightly red/pink2 = Clearly red3 = Purple/hypervascularTo measure, observe the color and visibility of blood vessels in the scar tissue and assign a score according to the intensity of redness or purpleness.;Pliability (VSS). Timepoint: 4 week, 8 week. Method of measurement: Pliability in the VSS is scored from 0 to 5:0 = Normal1 to 5 = Increasing stiffness/contracture of the scarHigher scores indicate a stiffer, less pliable scar.To measure, palpate the scar tissue with fingers and assess its resistance or movement in response to pressure and stretching.;Height/Thickness (VSS). Timepoint: 4 week, 8 week. Method of measurement: Height/Thickness in the VSS is scored from 0 to 3:0 = Normal1 = 5 mmTo measure, assess the elevation of the scar relative to the surrounding skin visually and/or using appropriate measurement tools.;POSAS | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAbdulreza Sheikhi
Ahvaz University of Medical Sciences
Outcome results
None listed