Hypertrophic scarring (HTS) is the single major contributor to physical and psychological difficulties not only to burn survivors, but also to people with trauma and surgical scars. Management of HTS is an enormous challenge to all health professionals, due to a lack of strong evidence of the benefits of different treatments, and, an absence of objective methods of scar assessments to evaluate those different treatments. Although there are several modalities of scar management, including; massage , topical silicone , pressure garment , intra-lesion injection of steroids or other anti-metabolite and, more recently, laser therapy or fat injections, none has thus far demonstrated sufficient evidence of clinical efficacy or cost effectiveness.
To identify a validated, objective, scar assessment tools panel, that addresses the priorities of clinicians and patients with Hypertropic scarring. This will enable the creation of a suitable outcome end-point that will be fundamental to the design of any future clinical trials investigating HTS. In addition, these objective scar assessment tools will help health professionals and patients to monitor the progress of scar management.
Prof Naiem Moiemen