Postburn Hypertrophic Scar Response to Potassium Iodide Iontophoresis
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- Category: Vol. 85, December 2017
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Postburn Hypertrophic Scar Response to Potassium Iodide Iontophoresis, SALMA A. MOHAMED, MOHAMED M. KHALAF, IBRAHIM G. IBRAHIM and NANCY H. ABO EL-NOUR
Abstract
Background: Hypertrophic scar is the most common complication of burn injuries that may lead to functional disability. Application of Potassium Iodide iontophoresis can soften and remove collagen, which allows scar to be molded and stretched.
Purpose: The aim of this study was to evaluate the effect of Potassium Iodide iontophoresis in treating hypertrophic scar.
Methods: Thirty patients with age ranged from 25 to 40 years with hypertrophic scar over upper extremity participated in this study. The patients were randomly selected from different clinics and hospitals in Giza and divided into 2 equal groups. Group A (study group): Recieved in Potassium Iodide iontophoresis and traditional physical therapy (stretching, strengthening exercises, elastic bandage and medication). Group B (control group): Recieved only traditional physical therapy (stretching, strengthening exercises, elastic bandage and medication) three times per week for 8 weeks. Measure-ments of scar were done using modified vancouver scar scale and ultrasonograghy, which collected before treatment and after the end of treatment.
Results: There were no significant difference in scar assessments pre study measures between both groups. Post-treatment there were significant improvement in scar assess-ments (ultrasonography and modified vancouver scar scale) in study group compared with control group (p=0.002 and p= 0.001) respectively.
Conclusion: Potassium Iodide iontophoresis program was considered as an effective method for hypertrophic scar management in post burned patients in expression of decreasing thickness and firmness.