Keloid pressure splint

What do they do?

The purpose of the splint is to restrict the development of the keloid scar by reducing blood flow to the area, softening and reducing the scar tissue. There are four kinds of keloid pressure splint

• ‘Nuts and bolts’ splint
• Magnetic splint
• Spring splint
• Expansion screw splint

The device used will be decided by the Maxillofacial Prosthetist (MfP) during the initial consultation, however you may require a number of devices over the course of your treatment.

Will they completely remove the scar?

Successful pressure splint therapy cannot be guaranteed as successes differ from person to person. Splints are often used in conjunction with steroid injections and silicone gel/sheeting. Your surgeon can provide further information on this. You may be required to wear the splint for a small number of weeks or up to 12 months.

How long should I wear it for?

Specific guidance will be given by your MfP. General advice is to wear the splint for as long as possible during the day.

How much pressure does it exert?

The skin should become lighter (blanching) with the pressure which indicates pressure is in the correct area. You should feel pressure but not pain.

Maintenance

You will have regular review appointments to assess the efficiency of the splint and keloid scar status. Nuts and bolts splints require care not to over-tighten as this may fracture the device; passive tightening will ensure adequate pressure.

The purpose of the splint is to restrict the development of the keloid scar by reducing blood flow to the area, softening and reducing the scar tissue. Splints are often used in conjunction with steroid injections and silicone gel/sheeting. Your referring surgeon will provide further information on this.

Cleaning

The splint can be cleaned with mild soap and warm water and gently dried with a tissue. Ensure both the tissue and splint is clean and dry before attaching.

Risks

If you experience pain, pins and needles or numbness in the splint area, remove immediately and contact your MfP. Do not wear the device as it may cause damage to the treatment area.