Silvadene cream for radiation burns5/2/2024 Plastic surgeon for surgical wound coverage procedures.Respective specialists if associated infectious, metabolic, hematologic, autoimmune, oncologic diseases are suspected.Patient Education: see "Patient Education - Radiation-Induced Cutaneous Damage - Acute Effects" and " Patient Education - Radiation-Induced Cutaneous Damage - Late Effects" Antiperspirant deodorant has been found to be safe and should be continued throughout the course of treatment.įor prevention of both acute and late effects, ensure use of advanced modalities in radiation delivery. Other measures include: unscented, lanolin-free, emollient cream daily, after radiotherapy, and minimization of sun exposure and trauma to the irradiated area.2BClinicians might opt to have patients apply topical corticosteroids on the areas to be irradiated prior to radiotherapy, to mitigate inflammatory symptoms (Grade 2B).1BFor patients undergoing radiotherapy, we recommend gently washing the area to be irradiated with water and soap before radiotherapy.Negative Pressure Wound Therapy : For ulcers that are deep but with no tendon, bone, nerve or vessels exposed, and/or if the patient is not a surgical candidate for surgical wound closure.Hyperbaric oxygen therapy: Indicated as an adjunct intervention to promote healing of refractory wounds on irradiated areas with onset at least 6 months since last radiation exposure, in patients with history of radiation in excess of 40 Gray.2C Cellular and/or Tissue Products: Clinicians may consider utilization of cellular and/or tissue products (CTPs) as an adjunctive therapy to promote healing of refractory chronic radiation-induced wounds (Grade 2C).Larger, non-healing ulcers or exposure of critical structures (e.g., vessels, nerves) require assessment by plastic surgery for consideration of definitive closure with flaps.If factors impeding healing are mitigated, other differential diagnoses are ruled out, adjunctive and/or surgical interventions may be added to the new care plan. Plan Reassessment: if ulcer has not shown signs of improvement in 4 weeks, reassessment and a new care plan are needed.Telangiectasia can be effectively treated with pulse laser dye therapy.Pharmacotherapy (i.e., pentoxifylline and vitamin E), laser therapy, lipotransfer and surgical intervention have also been used.
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