دورية أكاديمية
The Effect of Smoking on Sternal Scar Healing: A Prospective Cohort Study.
| العنوان: | The Effect of Smoking on Sternal Scar Healing: A Prospective Cohort Study. |
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| المؤلفون: | Deliaert AEK; Department of Plastic, Reconstructive, and Hand Surgery, VieCuri Medical Center, Venlo, The Netherlands; Department of Plastic, Reconstructive, and Hand Surgery, Maastricht University Medical Center, Maastricht, The Netherlands., Mermans JF; Department of Plastic, Reconstructive, and Hand Surgery, VU Medical Center, Amsterdam, The Netherlands., Schop SJ; Department of Plastic, Reconstructive, and Hand Surgery, Maastricht University Medical Center, Maastricht, The Netherlands., Dormaar TS; Department of Plastic, Hand, and Microsurgery, Friederikenstift, Hannover, Germany., Heerdt EM; Department of Cardiothoracic Surgery, Maastricht University Medical Center, Maastricht, The Netherlands., Xanthoulea SA; Department of Plastic, Reconstructive, and Hand Surgery, Maastricht University Medical Center, Maastricht, The Netherlands., Maessen JG; Department of Cardiothoracic Surgery, Maastricht University Medical Center, Maastricht, The Netherlands., van den Kerckhove E; Department of Plastic, Reconstructive, and Hand Surgery, Maastricht University Medical Center, Maastricht, The Netherlands; Department of Rehabilitation Sciences and Kinesiology, KU Leuven, Leuven, Belgium; Department of Physical Medicine and Rehabilitation and Burns Centre, KU Leuven, Leuven, Belgium., van der Hulst RRWJ; Department of Plastic, Reconstructive, and Hand Surgery, Maastricht University Medical Center, Maastricht, The Netherlands. |
| المصدر: | Wounds : a compendium of clinical research and practice [Wounds] 2019 Aug; Vol. 31 (8), pp. 200-204. Date of Electronic Publication: 2019 May 31. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: HMP Global Country of Publication: United States NLM ID: 9010276 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1943-2704 (Electronic) Linking ISSN: 10447946 NLM ISO Abbreviation: Wounds Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2023?>- : [King of Prussia, PA] : HMP Global Original Publication: King of Prussia, PA : Health Management Publications, c1989- |
| مواضيع طبية MeSH: | Cicatrix, Hypertrophic/*physiopathology , Smoking/*adverse effects , Sternum/*physiology , Wound Healing/*physiology, Aged ; Female ; Humans ; Male ; Middle Aged ; Postoperative Complications/physiopathology ; Prospective Studies ; Sternotomy/adverse effects |
| مستخلص: | Introduction: Cardiothoracic surgery with a median sternotomy is an electing factor for the development of a hypertrophic scar. Hypertrophic scars, characterized by an increased vascularity, often result in aesthetic and functional problems. Smoking, due to its negative effects on vascularization, could therefore have an effect on scar healing. Objective: A prospective cohort study was conducted to evaluate the effect of smoking on scar healing after cardiothoracic surgery with a median sternotomy incision. Materials and Methods: One hundred patients who underwent cardiac surgery with a median sternotomy were divided into 3 groups: smokers, ex-smokers, and nonsmokers. Erythema values of the scar were measured with a colorimeter on 3 standardized parts of the scar. Scar evaluation was performed at 6 weeks, 3 months, 6 months, and 12 months after surgery. Results: During 1 year, a total of 90 patients were followed after a median sternotomy; 10 patients were lost to follow-up. There were 23 smokers, 52 ex-smokers, and 15 nonsmokers with an overall mean age of 61.5 ± 8.83 years. No significant difference in redness as a parameter for hypertrophic scarring was observed between the 3 groups. Nevertheless, a trend in favor of the smokers was seen, as they developed less hyperemic scars. The caudal part of the scar showed a significantly higher incidence of hypertrophy compared with the middle and cranial part of the scar at all time points. Conclusions: It is presumed that a large sample size with younger patients is needed to confirm the results herein. Furthermore, more caudally located skin, especially the subxiphoidal part, is prone to hypertrophic scarring and should, for that reason, be avoided in the incision. |
| تواريخ الأحداث: | Date Created: 20190612 Date Completed: 20200210 Latest Revision: 20200210 |
| رمز التحديث: | 20240628 |
| PMID: | 31184995 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1943-2704 |
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