Associação de recursos terapêuticos no tratamento de cicatriz hipotrófica e hiperpigmentada: estudo de caso

Abstract

Introduction: Due to tissue damage caused by abdominoplasty, the body will seek homeostasis with the skin recovering from the injury through the formation of a scar that can be normotrophic or pathological. Objectives: As there is no consensus in the literature regarding the most appropriate therapeutic modality in the treatment of hypotrophic and hyperchromic scars, this study aims to assess whether the combination of combined therapeutic resources (phonophoresis, myofascial release and photobiomodulation with red laser and home care) are effective in their treatment and verifying whether the improvement obtained contributes to raising the level of satisfaction with their body self-image. Method: This is a clinical case study with the participation of a single subject with a hypotrophic and hyperchromic abdominal scar acquired after undergoing abdominoplasty. Before the first and after the twelfth treatment session, the Body Image Satisfaction Scale, the EVA scale of dissatisfaction with the scar, sensitivity test, inspection, palpation, scar measurements, photographic recording and weighing were applied. of the patient. For six weeks, the subject was submitted to the treatment protocol, twice a week and with an average duration of one hour. Data analysis included statistical treatment and visual comparison of photographs by three blind evaluators. Results: Scar width decreased by an average of 1.58 mm; the retraction showed significant improvement with p = 0.007; although the mean points to an increase in sensitivity after treatment in almost all scar intervals, the result was not significant (p = 0.053; CI = 95%). As for hyperchromia, a statistically significant improvement was evidenced (p=0.024). Conclusion: The association of combined therapeutic resources is effective in the treatment of old hypotrophic and hyperchromic scars (twelve years old) resulting from abdominoplasty, contributing to an increase in the level of satisfaction with body image.