Study Suggests Dermatography May Be Helpful For People With Surgical Scars

LISA SCHULMEISTER, MN, RN, ACNS-BC, FAAN
Tuesday, September 27, 2016
Talk about this article with nurses and others in the oncology community in the General Discussions Oncology Nursing News discussion group.
Researchers from the Netherlands Cancer Institute and the country’s Diakonessen Hospital noted that although dermatography (medical tattooing) is commonly performed around the world as a component of nipple reconstruction after mastectomy, it is rarely used as an adjuvant to enhance the appearance of scars and skin grafts after surgical procedures.

Indications for dermatography are numerous, the study authors noted, and include primary treatment (eg, burn scars, vitiligo, alopecia of eyebrow or scalp, port-wine hemangioma) and adjuvant treatment (eg, surgical scars, skin grafts, free flaps). Compared with surgical options to improve scar or skin transplant appearance, dermatography is minimally invasive and complications seldom occur.

To analyze the effect of dermatography on the subjective perception of the appearance of scars and skin grafts and quality of life, 56 patients undergoing dermatography in the Netherlands between 2007 and 2015 responded to two questionnaires measuring their scar or graft appearance and their quality of life before and after dermatography as an adjuvant treatment for benign or malignant head and neck tumors. The mean age of the study cohort was 56.5 years, and 42 (75%) were female.

The mean improvement in scar or skin graft perception on the visual analog scale of the modified Utrecht Questionnaire for Outcome Assessment in Aesthetic Rhinoplasty before and after dermatography was 4 points. On the modified Patient Scar Assessment Questionnaire, uniform improvement of approximately 1 point across 9 questions was observed. The answers to all patient satisfaction and quality-of-life questions on both questionnaires improved significantly after dermatography.

Researchers concluded that this is the first evidence to suggest that dermatography is an effective adjuvant procedure that improves the subjective perception of scar and skin graft appearance and the quality of life in people with head and neck cancer.
Drost BH, van de Langenberg R, Manusama OR, et al. Dermatography (medical tattooing) for scars and skin grafts in head and neck patients to improve appearance and quality of life [published online ahead of print September 22, 2016]. JAMA Facial Plast Surg.

Talk about this article with nurses and others in the oncology community in the General Discussions Oncology Nursing News discussion group.
Lisa Schulmeister, MN, RN, ACNS-BC, FAAN
 
Blog Info
Lisa Schulmeister, MN, RN, ACNS-BC, FAAN is an oncology nursing consultant and editor-in-chief of Oncology Nursing News.
Author Bio
Lisa Schulmeister, MN, RN, ACNS-BC, FAAN, is the Editor-in-Chief for OncLive Nursing. She is an oncology nursing consultant and adjunct assistant professor of nursing at Louisiana State Health Sciences Center in New Orleans, LA. She provides continuing nursing education to nurses across the Unites States, is active in several professional nursing organizations, and is intrigued by the many ways nurses use technology to communicate.
 
 
External Resources

MJH Associates
American Journal of Managed Care
Cure
MD Magazine
Pharmacy Times
Physicians' Education Resource
Specialty Pharmacy Times
TargetedOnc
OncNurse Resources

Blogs
Continuing Education
Discussions
Web Exclusives


About Us
Advertise
Advisory Board
Careers
Contact Us
Privacy Policy
Terms & Conditions
Intellisphere, LLC
2 Clarke Drive
Suite 100
Cranbury, NJ 08512
P: 609-716-7777
F: 609-716-4747

Copyright OncNursing 2006-2017
Intellisphere, LLC. All Rights Reserved.