Epidermos 隔离霜对腮腺切除术后切口疤痕的影响

Ozan Gökdoğan, Ömer Faruk Guzel, Fulden Cantaş Turkiş, Mahmut Demirtaş, Sabri Köseoğlu, Harun Üçüncü
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摘要

改良Blair切口是腮腺浅、深叶病变的常用切口。腮腺切除术最常见的并发症是术后疤痕。表皮屏障霜是一种通过覆盖伤口来帮助伤口愈合的霜。目的:评价表皮屏障霜对术后切口瘢痕的治疗效果。方法:选取46例腮腺良性肿物行手术治疗的患者作为研究对象。患者被要求在标准手术干预后1周进行随访预约拆除缝合线。研究组在创面处使用表皮霜,直至拆线后创面完全愈合;对照组监测创面愈合情况,不使用任何药物。在术后第1、2、4周对患者进行伤口部位评估问卷和手术伤口评估,以评估伤口愈合情况。结果:两组患者第1周的评价结果比较,差异无统计学意义。在第二周检查数据时,两组之间仅在伤口边缘充血方面观察到差异(P = 0.005),在任何其他评估工具中均未发现统计学显著差异。在4周创面愈合评价中,研究组患者对创面部位的评价(P < 0.001)和外科医生对创面部位的评价(P = 0.029)均有统计学差异。结论:表皮乳膏可显著改善腮腺切除术切口术后瘢痕愈合。表皮屏障霜对伤口愈合有一定的促进作用。
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Effect of Epidermos Barrier Cream on Postoperative Parotidectomy Incision Scar.

Introduction: The modified Blair incision is commonly used for superficial and deep lobe lesions of the parotid gland. The most common complication of the parotidectomy procedure is the postoperative surgical scar. Epidermos barrier cream is a type of cream that helps in wound healing by covering the wound. Objective: The purpose of this study was to evaluate the effect of epidermos barrier cream on postoperative incision scars. Methods: Forty-six patients scheduled for surgery due to benign parotid masses were included in the study. Patients were called for a follow-up appointment to remove sutures 1 week after standard surgical intervention. In the study group, epidermos cream was used on the wound site until complete healing was achieved after suture removal, while wound healing in the control group was monitored without any medication. The patients were evaluated in the first, second, and fourth postoperative weeks using a wound site assessment questionnaire and surgical wound assessment for wound healing evaluation. Results: There were no statistically-significant differences between the groups in the evaluation results in the first week. On examination of the data in the second week, a difference was only observed in terms of the presence of hyperemia at the edges of the wound between the groups (P = .005), with no statistically-significant differences found in any other assessment tools. In the 4-week wound healing evaluation, a statistically-significant difference was observed in favor of the study group both in the patient's evaluation of the wound site (P < .001) and in the surgeon's evaluation of the wound site (P = .029). Conclusion: Epidermos cream was found to significantly improve postoperative scar healing in parotidectomy incisions considered challenging in terms of healing. Epidermos barrier cream was found to be beneficial for wound healing in wound sites.

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