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Case Reports
. 2024 May 31;16(5):e61450.
doi: 10.7759/cureus.61450. eCollection 2024 May.

Role of Dermatix in the Management of Eyelid Hypertrophic Scars After Facial Trauma

Cristiana Germano  1 , Carlo Calvanese  1 , Giovanni Dell' Aversana Orabona  1 , Vincenzo Abbate  1 , Paola Bonavolontà  1
Affiliations
Case Reports

Role of Dermatix in the Management of Eyelid Hypertrophic Scars After Facial Trauma

Cristiana Germano et al. Cureus. .

Abstract

Facial trauma can cause skin wounds with uneven and discoloured edges that require healing by secondary intention. These wounds often produce excess collagen fibres, leading to fibrosis and hypertrophic scars that can cause discomfort and negatively impact the patient's quality of life. A man suffered facial trauma due to a motor vehicle accident, resulting in a fracture of the left zygomatic-maxillary complex. He underwent surgery to fix the fracture and reconstruct his eyelid but developed a hypertrophic scar during recovery that caused eye dryness and discomfort. To treat the scar, Dermatix silicone gel (SG) (Viatris, Canonsburg, PA) was applied twice a day. After two months of treatment, the scar had improved significantly, and the patient's eyelid function had also improved. This case describes the use of Dermatix SG to treat a patient with a traumatic hypertrophic scar of the eyelid associated with eyelid malposition. Silicone gel is a non-invasive treatment for scars and has been shown to be effective in reducing scar elevation and erythema. However, there is a gap in the literature regarding the routine use of SG to preserve functionality and aesthetics in traumatic hypertrophic scars of complex anatomical structures. Further studies are needed to understand the principles of using SG for these types of scars to improve functional and aesthetic outcomes. Applying Dermatix SG twice a day for 60 days corrected a patient's functional and aesthetic issues. More studies should be conducted to investigate the product's effectiveness further.

Keywords: cosmetic outcome; dermatix silicone gel; eyelid elevator; head and neck trauma; hypertrophic scar.

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Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Preoperative CT scan
Red arrow: left zygomatic-maxillary complex fracture
Figure 2
Figure 2. Preoperative picture of the left upper eyelid and eyebrow laceration wound
Figure 3
Figure 3. A. scar before treatment with Dermatix SG; B. scar after treatment with Dermatix SG
SG: silicone gel
See this image and copyright information in PMC

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