Silicone dressing

Silicone dressings have also been used to manage wounds generated by radiotherapy, fingertip injuries, severe mycosis fungoides, and epidermolysis bullosa. 

A flexible silicone dressing that will resist the puU of the scar should be applied (Figure 37.44). 

Strong, topical corticosteroids should be applied, twice daily, very locally. A self-adherent silicone dressing (Silastic or Mepiform /Mepitel Figure 37.44) should be worn 24 hours a day that adapts to the curves of the skin and does not pull away growing cells when the dressing is changed. 

Trace metais in a silicone foam cavity wound dressing... 

This expandable wound dressing is prepared by mixing a silicone elastomer with an... 

Vinyltrichlorosilane is used as raw stock for various silicone products. For example, hydrolytic cocondensation of alkyl(aryl)chlorosilanes with vinyltrichlorosilane and subsequent polymerisation in the presence of benzoyl or kumyl peroxides gives thermostable polymers. Besides, vinyltrichlorosilane is used for the surface treatment (dressing) of glass cloth and other glass products. 

Voronkov MG, Makarskaya VM (1978) Dressing textiles with silicone monomers and polymers. Nauka Novosibirsk [in Russian]... 

Silicone sprays and occlusives, e.g. hydrocolloid dressings, may be effective in preventing and treating pressure sores. 

These dressings consist of a partially open cell structured nylon or viscose fabric that may be finished with a silicone coating. The open cell structure allows fluid transmission to a superimposed absorbent dressing... 

The silicone material needs to be kept in intimate contact with the surface of the wound to function effectively which means that wounds in convex areas present few problems whereas those on concave, jointed, or contoured areas need adequate padding to be applied to exclude voids beneath the dressing where exudate could accumulate. As silicone is an inert material, it has been shown that, where clinically indicated, topical steroids or antimicrobial agents can be applied either over or under the silicone material without diminishing their efficacy. 

Platt, A.J. Phipps, A. Judkins, K. A comparative study of silicone net dressing and paraffin gauze dressing in skin grafted sites. Burns 1996, 22 (7), 543-545. 

Evans BK, Harding KG, Marks J, Ribeiro CD. The disinfection of silicone-foam dressings. / Clin Hosp Pharm 1985 10 289-295. 

Post-peel care has become much easier of late. The BSG is covered with a silicone sheet, such as Mepitel , which is in turn coated in a thin layer of neutral, sterile Vaseline and protected by a thick absorbent dressing that is held in place in a way that is comfortable for the patient. On the third day, the silicone sheet is carefully cleaned and put back in place, ft is again coated in a thin layer of Vaseline ... 

Clean the silicone sheet and reapply the dressing as on day 1, without adding any more BSG Avoid infection administer antibiotics if necessary... 

Temporary replacement skins have also been studied by using velour fabrics (usually a nylon or Dacron) backed by a polymeric film (silicone or protein) (36). synthetic polypeptides (37). collagen (38). and dextran hydrogels (39). These replacement materials are only for short term use and could be classed as wound dressings. Although they do prevent gross infection and body fluid loss, they do not duplicate any of the other functions of the skin. A true artificial skin does not yet exist. 

E-130,131,133. (Wacker Silicones] Silicone emulsions release agents, vinyl deaner/dressing. 

Ucat Silicone [Union Carbide] Amino silicone emulsion used in car care applies., e.g., auto polishes, vinyl protectants, tire dressings. 

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