Early Compression Therapy for Deep Skin Defects: A New Treatment Option to Prevent Hypertrophic Scars or Contractures

Background: Conservative treatment of deep dermal or full-thickness skin defects often results in hypertrophic scars contractures; thus, compressive therapy has been used after wound closure to prevent treat scar deformities. However, contraction begins the early proliferative phase and peaks 2 weeks. We therefore attempted compression as a means conservative deep-skin evaluated its clinical outcomes. Methods: In 21 cases (19 patients), was started second week injury. Saline-moistened gauze foam dressings were placed on open wounds, silastic plates epithelialization. The materials included elastic bandages, adhesive tapes, garments. final assessed using Vancouver Scar Scale (VSS) satisfaction degree.Results: Defect size ranged from 1.4×0.7 5×5 cm. duration 4 12 months. follow-up periods 61 Mild hypertrophy contracture occurred 15 subsided application topical corticosteroid triamcinolone injection. shapes linear (n=12), geographic (n=5), oval (n=4). mean VSS score 2.3. degrees excellent (61.9%) good (23.8%). most cases, aesthetically functionally satisfactory outcomes without pathologic demonstrated with minimal size, high quality, satisfaction.Conclusion: Early might be option defects.