Subcision With PRP and Microneedling Versus Subcision With Saline and Micro-needling in Treatment of Posttraumatic Scars

NCT ID: NCT06135480

Last Updated: 2024-07-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-01

Study Completion Date

2024-03-30

Brief Summary

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Compare different minimally invasive approaches to reach optimum improvement by comparing the efficacy and safety of both combined subcision with platelet-rich plasma and microneedling versus combined subcision with saline and microneedling in the treatment of post-traumatic scars.

Detailed Description

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The scars at the level of the skin represent a normal and inevitable process of healing traumatic or surgical lesions, but except for the appearance of the skin, they also have a profound psychological impact . Thus, people with scars try to integrate them into their sense of self to gain psychological acceptance .

Many treatment options have been developed for the management of traumatic scars .Surgical intervention is an invasive technique, surgery has a high risk of inducing new scar formation .

Non-surgical approaches for the treatment of traumatic scars include topical treatments and minimally invasive approached as subcision,microneedling and laser.

Autologous platelet-rich plasma is plasma with a higher concentration of platelets than normally found, it can enhance wound healing which has been demonstrated in controlled studies for soft and hard tissues . The application of autologous platelet-rich plasma to surgical wounds has been shown to accelerate tissue repair and reduce postoperative pain .

Subcision is a procedure in which a needle is inserted under the skin and passed in multiple directions . Although subcision is adequate as a stand-alone treatment, improved results are achieved when it is combined with other modalities.

Microneedling is a percutaneous collagen induction therapy that causes skin resurfacing. It involves using fine needles to create controlled microdermal injuries starting a complex cascade of growth factors that end in collagen remodeling .

Because of the different treatment options available for this common problem, the current work aimed to combine and compare different minimally invasive approaches to reach optimum improvement.

Conditions

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Post-Traumatic Scar

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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combined subcision with platelet-rich plasma and microneedling group

Group Type ACTIVE_COMPARATOR

subcision ,PRP or saline and microneedling

Intervention Type OTHER

minimally invasive procedures

combined subcision with saline and microneedling group

Group Type ACTIVE_COMPARATOR

subcision ,PRP or saline and microneedling

Intervention Type OTHER

minimally invasive procedures

Interventions

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subcision ,PRP or saline and microneedling

minimally invasive procedures

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients with posttraumatic scars
* Age more than 12 years

Exclusion Criteria

* Patients with platelet or blood clotting disorders, and chronic liver or autoimmune diseases.
* Patients with chronic debilitating diseases, uncontrolled systemic infection, or keloid tendency or with unrealistic expectations.
* Pregnant females.
* Patients who did not complete the treatment sessions or the follow-up period.
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Howida Omar Twisy

principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Faculty of Medicine

Asyut, , Egypt

Site Status

Countries

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Egypt

References

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Twisy HO. Subcision with platelet-rich plasma and microneedling versus subcision with saline and micro-needling in posttraumatic scars. Arch Dermatol Res. 2024 Aug 19;316(8):537. doi: 10.1007/s00403-024-03226-3.

Reference Type DERIVED
PMID: 39158761 (View on PubMed)

Other Identifiers

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Post traumatic scars treatment

Identifier Type: -

Identifier Source: org_study_id

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