A review of scar scales and scar measuring devices

Regina Fearmonti, Jennifer Bond, Detlev Erdmann, Howard Levinson, Regina Fearmonti, Jennifer Bond, Detlev Erdmann, Howard Levinson

Abstract

Objective: Pathologic scarring affects millions of people worldwide. Quantitative and qualitative measurement modalities are needed to effectively evaluate and monitor treatments.

Methods: This article reviews the literature on available tools and existent assessment scales used to subjectively and objectively characterize scar.

Results: We describe the attributes and deficiencies of each tool and scale and highlight areas where further development is critical.

Conclusion: An optimal, universal scar scoring system is needed in order to better characterize, understand and treat pathologic scarring.

Figures

Figure 1
Figure 1
Three different scars are presented to illustrate the wide variety of scarring: (a) scarred hands and fingers with contractures, (b) large total body surface area scar, and (c) a linear scar. Existing scar scales are useful to evaluate linear scarring but not functionally debilitating scarring or large total body surface area scars. (Photos courtesy of Howard Levinson, MD, and Yixin Zhang, MD).

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Source: PubMed

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