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Liu et al. Plast Aesthet Res 2017;4:92-6                                           Plastic and
           DOI: 10.20517/2347-9264.2017.26
                                                                                  Aesthetic Research

                                                                                               www.parjournal.net
            Topic: Keloid and its Treatment                                                     Open Access
           Inflatable pressure garment device for

           pressure therapy after chest wall keloid

           operation and radiotherapy




           Shu Liu *, Ke-Xin Song *, You-Bin Wang
                  1
                               2
                                              2
           1 China Meitan General Hospital Affiliated to North China University of Science and Technology, Beijing 100028, China.
           2 Department of Plastic Surgery, Peking Union Medical College Hospital, Beijing 100032, China.
           *Authors contributed equally.
           Correspondence to: Dr. You-Bin Wang. Department of Plastic Surgery, Peking Union Medical College Hospital, Beijing 100032, China.
           E-mail: wybenz@sina.com
           How to cite this article: Liu S, Song KX, Wang YB. Inflatable pressure garment device for pressure therapy after chest wall keloid operation and
           radiotherapy. Plast Aesthet Res 2017;4:92-6.

                         Dr. You-Bin Wang is an outstanding Professor in the Department of Plastic Surgery at Peking Union Medical College
                         Hospital. He is famous in keloid treatment and study. He has invented many new surgical methods in keloid treatment
                         and has published many articles in this field. He is also good at cleft lip surgery, nose reconstructive surgery and
                         breast reconstruction.



                                         ABSTRACT
            Article history:              Aim: Keloids often occur on the chest wall, with high recurrence rates despite surgery and
            Received: 21-03-2017          radiotherapy. Garment pressure therapy is commonly used to treat hypertrophic scars and
            Accepted: 04-05-2017          keloids. Irregularity of the chest wall surface can inhibit the effects of the garment pressure
            Published: 16-06-2017         therapy. This clinical study is to determine the effect of inflatable pressure garment in preventing
                                          keloid recurrence after keloid operation and radiotherapy.  Methods: Chest wall keloid was
            Key words:                    removed and radiotherapy was administered at the surgical sites on the 1st and 7th postoperative
            Chest wall keloid,            days in 61 patients. An inflatable pressure garment device was designed and its pressure effect
            inflatable pressure garment device,   was confirmed by comparing it with the general pressure garment at the sites of the right and
            pressure therapy              left  infraclavicular  area,  manubrium  and  sternal  area  between  breasts.  The  keloid  patients
                                          were treated with inflatable pressure garment device 1 month after the operation. The clinical
                                          results were observed. Results: The detected pressures were 0.26 ± 0.21, 0.49 ± 0.16, 0.53 ± 0.10
                                          and 0.91 ± 0.17 kPa at the sites of the right infraclavicular area, the manubrium area, the left
                                          infraclavicular area and sternal area between breasts with the general pressure garment. These
                                          were obvious lower (P < 0.05) than that generated with the inflatable pressure garment device of
                                          which the average pressures were 7.26 ± 0.41, 7.6 ± 0.32, 9.02 ± 0.54 and 10.31 ± 0.14 kPa at the
                                          corresponding sites. Sixty-one patients were treated with this device after keloid surgical excision
                                          and radiotherapy. Satisfactory results were observed. Conclusion: Appropriate and effective
                                          pressure can be generated with inflatable pressure garment on the chest wall. This device may
                                          be useful in preventing chest wall keloid recurrence after keloid operation and radiotherapy.
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