A Novel Bespoke Hypertrophic Scar Treatment: Actualizing Hybrid Pressure and Silicone Therapies with 3D Printing and Scanning

Lung Chow, Kit Lun Yick, Yue Sun, Matthew S.H. Leung, Mei ying Kwan, Sun Pui Ng, Annie Yu, Joanne Yip, Ying Fan Chan

Research output: Journal article publicationJournal articleAcademic researchpeer-review

Abstract

The treatment of hypertrophic scars (HSs) is considered to be the most challenging task in wound rehabilitation. Conventional silicone sheet therapy has a positive effect on the healing process of HSs. However, the dimensions of the silicone sheet are typically larger than those of the HS itself which may negatively impact the healthy skin that surrounds the HS. Furthermore, the debonding and displacement of the silicone sheet from the skin are critical problems that affect treatment compliance. Herein, we propose a bespoke HS treatment design that integrates pressure sleeve with a silicone sheet and use of silicone gel using a workflow of three-dimensional (3D) printing, 3D scanning and computer-aided design, and manufacturing software. A finite element analysis (FEA) is used to optimize the control of the pressure distribution and investigate the effects of the silicone elastomer. The result shows that the silicone elastomer increases the amount of exerted pressure on the HS and minimizes unnecessary pressure to other parts of the wrist. Based on this treatment design, a silicone elastomer that perfectly conforms to an HS is printed and attached onto a customized pressure sleeve. Most importantly, unlimited scar treating gel can be applied as the means to optimize treatment of HSs while the silicone sheet is firmly affixed and secured by the pressure sleeve.

Original languageEnglish
Pages (from-to)123-134
Number of pages12
JournalInternational Journal of Bioprinting
Volume7
Issue number1
DOIs
Publication statusPublished - 25 Jan 2021

Keywords

  • 3D-printing
  • 3D-scanning
  • Finite element analysis
  • Hypertrophic scars
  • Surgical scars

ASJC Scopus subject areas

  • Biotechnology
  • Materials Science (miscellaneous)
  • Industrial and Manufacturing Engineering

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