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J Korean Soc Emerg Med > Volume 26(4); 2015 > Article
Journal of The Korean Society of Emergency Medicine 2015;26(4): 305-312.
응급실에 내원한 안면부 열상환자에게서 흉터를 최소화하기 위한 방법으로 적용한 W-성형술의 효용성: 단기 추적관찰 결과
인용남, 박정수, 김훈, 민진홍, 이석우, 강준호, 이지한
충북대학교 의과대학 응급의학교실
Usefulness of Immediate W-plasty in the Emergency Department for Minimizing Scar Formation: Results from a Short-term Follow-up
Yong Nam In, Jung Soo Park, Hoon Kim, Jin Hong Min, Suk Woo Lee, Jun Ho Kang, Ji Han Lee
Department of Emergency Medicine, College of Medicine, Chungbuk National University, Cheongju, Korea
Correspondence  Jin Hong Min ,Tel: 043) 269-6377, Fax: 043) 269-6954, Email: shiphid@hanmail.net,
Received: May 14, 2015; Revised: May 19, 2015   Accepted: June 25, 2015.  Published online: August 31, 2015.
ABSTRACT
Purpose:
Facial scars are a main complaint of patients who had undergone suture in the emergency department. Therefore, effective techniques for minimizing scar formation are required. W-plasty, a widely used method of scar correction, has been performed to change the scar direction or divide it into multiple segmented scars. This method can be applied in the initial stage of wound repair in the emergency department. The aim of this study was to investigate the effectiveness of direct application of W-plasty to the wound in simultaneously accomplishing the aforementioned objectives.
Method:
This was a prospective study, from June 2012 to June 2014. Either simple debridement or W-plasty for facial laceration was performed in 31 patients. In patients in the simple debridement group, the excision was made along the laceration margin. In patients in the W-plasty group, the excision was made within the W-form predesigned margin of the laceration. The prognosis was evaluated using the Stony Brook scar evaluation scale (SBSES).
Results:
Among 31 patients, 15 underwent simple debridement and 16 underwent W-plasty. In procedure time, there was no significant difference between the two groups. No complications were observed in either group. The median SBSES score was 4 (IQR, 3-4) in the simple debridement group and 5 (IQR, 5-5) in the W-plasty group, indicating a significant difference between the two groups (p<0.001).
Conclusion:
We achieved good results of direct W-plasty application to wound lacerations in terms of minimal scar formation. Thus, for patients with facial lacerations, we suggest that application of W-plasty to the wound debridement is more effective than the classic simple debridement.
Key words: Laceration, Suture techniques, Debridement
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