Application of transcutaneous oxygen pressure in scar assessment_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

ZHOU Yi ¹ , TANG Songjia ² , CAO Yilin ³ ,  ZHANG Jufang ²

1. Nanjing Medical University, Nanjing Jiangsu, 211166, P.R.China;
2. Department of Medical Cosmetology, the Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangzhou Zhejiang, 310006, P.R.China;
3. Shanghai Key Laboratory of Tissue Engineering, Shanghai Ninth People’s Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, 200011, P.R.China;

Corresponding author：

ZHANG Jufang, Email: zhjuf@vip.sina.com

Keywords：

Scar; transcutaneous oxygen pressure; microvessel; scar assessment

DOI：

10.7507/1002-1892.201810098

Video：

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Objective To review the application and research progress of transcutaneous oxygen pressure (TcPO₂) in scar assessment. Methods The original articles about scar and TcPO₂ were reviewed and analyzed. Results Hypoxia environment plays an important role in the progression of scar tissue. TcPO₂ can accurately reflect the oxygen tension of scar tissue, which is of great significance in the assessment of scar maturity, the guidance of scar treatment, and the study of correlations between hypoxia and the progression of scar. Conclusion TcPO₂ measurement is important in the study of scar evaluation, treatment, and correlation between hypoxia and scar formation.

Citation： ZHOU Yi, TANG Songjia, CAO Yilin, ZHANG Jufang. Application of transcutaneous oxygen pressure in scar assessment. Chinese Journal of Reparative and Reconstructive Surgery, 2018, 32(12): 1615-1618. doi: 10.7507/1002-1892.201810098 Copy

1.	Brown BC, McKenna SP, Siddhi K, et al. The hidden cost of skin scars: quality of life after skin scarring. J Plast Reconstr Aesthet Surg, 2008, 61(9): 1049-1058.
2.	Sheridan RL, Hinson MI, Liang MH, et al. Long-term outcome of children surviving massive burns. JAMA, 2000, 283(1): 69-73.
3.	Rooth G. Transcutaneous oxygen tension measurements in newborn infants. Pediatrics, 1975, 55(2): 232-235.
4.	Yip WL. Evaluation of the clinimetrics of transcutaneous oxygen measurement and its application in wound care. Int Wound J, 2015, 12(6): 625-629.
5.	Dowd GS, Linge K, Bentley G. Measurement of transcutaneous oxygen pressure in normal and ischaemic skin. J Bone Joint Surg (Br), 1983, 65(1): 79-83.
6.	Goldman RJ, Salcido R. More than one way to measure a wound: an overview of tools and techniques. Adv Skin Wound Care, 2002, 15(5): 236-243.
7.	Pecoraro RE, Ahroni JH, Boyko EJ, et al. Chronology and determinants of tissue repair in diabetic lower-extremity ulcers. Diabetes, 1991, 40(10): 1305-1313.
8.	Fagher K, Katzman P, Löndahl M. Transcutaneous oxygen pressure as a predictor for short-term survival in patients with type 2 diabetes and foot ulcers: a comparison with ankle-brachial index and toe blood pressure. Acta Diabetol, 2018, 55(8): 781-788.
9.	Carter SA, Tate RB. The relationship of the transcutaneous oxygen tension, pulse waves and systolic pressures to the risk for limb amputation in patients with peripheral arterial disease and skin ulcers or gangrene. Int Angiol, 2006, 25(1): 67-72.
10.	Andrews KL, Dib MY, Shives TC, et al. Noninvasive arterial studies including transcutaneous oxygen pressure measurements with the limbs elevated or dependent to predict healing after partial foot amputation. Am J Phys Med Rehabil, 2013, 92(5): 385-392.
11.	Alster TS, Lewis AB, Rosenbach A. Laser scar revision: comparison of CO₂ laser vaporization with and without simultaneous pulsed dye laser treatment. Dermatol Surg, 1998, 24(12): 1299-1302.
12.	Oliveira GV, Chinkes D, Mitchell C, et al. Objective assessment of burn scar vascularity, erythema, pliability, thickness, and planimetry. Dermatol Surg, 2005, 31(1): 48-58.
13.	Taylor B, McGrouther DA, Bayat A. Use of a non-contact 3D digitiser to measure the volume of keloid scars: a useful tool for scar assessment. J Plast Reconstr Aesthet Surg, 2007, 60(1): 87-94.
14.	Fong SS, Hung LK, Cheng JC. The cutometer and ultrasonography in the assessment of postburn hypertrophic scar—a preliminary study. Burns, 1997, 23: S12-S18.
15.	Kim YJ, Kim MY, Lee PK, et al. Evaluation of natural change of skin function in split-thickness skin grafts by noninvasive bioengineering methods. Dermatol Surg, 2006, 32(11): 1358-1363.
16.	Nguyen DQ, Potokar T, Price P. A review of current objective and subjective scar assessment tools. J Wound Care, 2008, 17(3): 101-102.
17.	Sloan DF, Brown RD, Wells CH, et al. Tissue gases in human hypertrophic burn scars. Plast Reconstr Surg, 1978, 61(3): 431-436.
18.	Berry RB, Tan OT, Cooke ED, et al. Transcutaneous oxygen tension as an index of maturity in hypertrophic scars treated by compression. Br J Plast Surg, 1985, 38(2): 163-173.
19.	Zheng J, Song F, Lu SL, et al. Dynamic hypoxia in scar tissue during human hypertrophic scar progression. Dermatol Surg, 2014, 40(5): 511-518.
20.	Phillips TJ, Gerstein AD, Lordan V. A randomized controlled trial of hydrocolloid dressing in the treatment of hypertrophic scars and keloids. Dermatol Surg, 1996, 22(9): 775-778.
21.	Farjo B, Farjo N, Williams G. Hair transplantation in burn scar alopecia. Scars Burn Heal, 2015, 1: 2059513115607764.
22.	Jung S, Oh SJ, Hoon Koh S. Hair follicle transplantation on scar tissue. J Craniofac Surg, 2013, 24(4): 1239-1241.
23.	Unger W, Unger R, Wesley C. The surgical treatment of cicatricial alopecia. Dermatol Ther, 2008, 21(4): 295-311.
24.	Gordillo GM, Sen CK. Revisiting the essential role of oxygen in wound healing. Am J Surg, 2003, 186(3): 259-263.
25.	Ueda K, Yasuda Y, Furuya E, et al. Inadequate blood supply persists in keloids. Scand J Plast Reconstr Surg Hand Surg, 2004, 38(5): 267-271.
26.	Kischer CW, Brody GS. Structure of the collagen nodule from hypertrophic scars and keloids. Scan Electron Microsc, 1981, (Pt 3): 371-376.
27.	宋菲, 刘英开, 王西樵. 增生性瘢痕发生和演变过程中微血管和氧分压动态变化的研究. 上海交通大学学报 (医学版), 2016, 36(11): 1553-1557.
28.	Song KX, Liu S, Zhang MZ, et al. Hyperbaric oxygen therapy improves the effect of keloid surgery and radiotherapy by reducing the recurrence rate. J Zhejiang Univ Sci B, 2018, 19(11): 853-862.

1. Brown BC, McKenna SP, Siddhi K, et al. The hidden cost of skin scars: quality of life after skin scarring. J Plast Reconstr Aesthet Surg, 2008, 61(9): 1049-1058.
2. Sheridan RL, Hinson MI, Liang MH, et al. Long-term outcome of children surviving massive burns. JAMA, 2000, 283(1): 69-73.
3. Rooth G. Transcutaneous oxygen tension measurements in newborn infants. Pediatrics, 1975, 55(2): 232-235.
4. Yip WL. Evaluation of the clinimetrics of transcutaneous oxygen measurement and its application in wound care. Int Wound J, 2015, 12(6): 625-629.
5. Dowd GS, Linge K, Bentley G. Measurement of transcutaneous oxygen pressure in normal and ischaemic skin. J Bone Joint Surg (Br), 1983, 65(1): 79-83.
6. Goldman RJ, Salcido R. More than one way to measure a wound: an overview of tools and techniques. Adv Skin Wound Care, 2002, 15(5): 236-243.
7. Pecoraro RE, Ahroni JH, Boyko EJ, et al. Chronology and determinants of tissue repair in diabetic lower-extremity ulcers. Diabetes, 1991, 40(10): 1305-1313.
8. Fagher K, Katzman P, Löndahl M. Transcutaneous oxygen pressure as a predictor for short-term survival in patients with type 2 diabetes and foot ulcers: a comparison with ankle-brachial index and toe blood pressure. Acta Diabetol, 2018, 55(8): 781-788.
9. Carter SA, Tate RB. The relationship of the transcutaneous oxygen tension, pulse waves and systolic pressures to the risk for limb amputation in patients with peripheral arterial disease and skin ulcers or gangrene. Int Angiol, 2006, 25(1): 67-72.
10. Andrews KL, Dib MY, Shives TC, et al. Noninvasive arterial studies including transcutaneous oxygen pressure measurements with the limbs elevated or dependent to predict healing after partial foot amputation. Am J Phys Med Rehabil, 2013, 92(5): 385-392.
11. Alster TS, Lewis AB, Rosenbach A. Laser scar revision: comparison of CO₂ laser vaporization with and without simultaneous pulsed dye laser treatment. Dermatol Surg, 1998, 24(12): 1299-1302.
12. Oliveira GV, Chinkes D, Mitchell C, et al. Objective assessment of burn scar vascularity, erythema, pliability, thickness, and planimetry. Dermatol Surg, 2005, 31(1): 48-58.
13. Taylor B, McGrouther DA, Bayat A. Use of a non-contact 3D digitiser to measure the volume of keloid scars: a useful tool for scar assessment. J Plast Reconstr Aesthet Surg, 2007, 60(1): 87-94.
14. Fong SS, Hung LK, Cheng JC. The cutometer and ultrasonography in the assessment of postburn hypertrophic scar—a preliminary study. Burns, 1997, 23: S12-S18.
15. Kim YJ, Kim MY, Lee PK, et al. Evaluation of natural change of skin function in split-thickness skin grafts by noninvasive bioengineering methods. Dermatol Surg, 2006, 32(11): 1358-1363.
16. Nguyen DQ, Potokar T, Price P. A review of current objective and subjective scar assessment tools. J Wound Care, 2008, 17(3): 101-102.
17. Sloan DF, Brown RD, Wells CH, et al. Tissue gases in human hypertrophic burn scars. Plast Reconstr Surg, 1978, 61(3): 431-436.
18. Berry RB, Tan OT, Cooke ED, et al. Transcutaneous oxygen tension as an index of maturity in hypertrophic scars treated by compression. Br J Plast Surg, 1985, 38(2): 163-173.
19. Zheng J, Song F, Lu SL, et al. Dynamic hypoxia in scar tissue during human hypertrophic scar progression. Dermatol Surg, 2014, 40(5): 511-518.
20. Phillips TJ, Gerstein AD, Lordan V. A randomized controlled trial of hydrocolloid dressing in the treatment of hypertrophic scars and keloids. Dermatol Surg, 1996, 22(9): 775-778.
21. Farjo B, Farjo N, Williams G. Hair transplantation in burn scar alopecia. Scars Burn Heal, 2015, 1: 2059513115607764.
22. Jung S, Oh SJ, Hoon Koh S. Hair follicle transplantation on scar tissue. J Craniofac Surg, 2013, 24(4): 1239-1241.
23. Unger W, Unger R, Wesley C. The surgical treatment of cicatricial alopecia. Dermatol Ther, 2008, 21(4): 295-311.
24. Gordillo GM, Sen CK. Revisiting the essential role of oxygen in wound healing. Am J Surg, 2003, 186(3): 259-263.
25. Ueda K, Yasuda Y, Furuya E, et al. Inadequate blood supply persists in keloids. Scand J Plast Reconstr Surg Hand Surg, 2004, 38(5): 267-271.
26. Kischer CW, Brody GS. Structure of the collagen nodule from hypertrophic scars and keloids. Scan Electron Microsc, 1981, (Pt 3): 371-376.
27. 宋菲, 刘英开, 王西樵. 增生性瘢痕发生和演变过程中微血管和氧分压动态变化的研究. 上海交通大学学报 (医学版), 2016, 36(11): 1553-1557.
28. Song KX, Liu S, Zhang MZ, et al. Hyperbaric oxygen therapy improves the effect of keloid surgery and radiotherapy by reducing the recurrence rate. J Zhejiang Univ Sci B, 2018, 19(11): 853-862.

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Application of transcutaneous oxygen pressure in scar assessment

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