Something Old and Something New—A Pilot Study of Shrinkage and Modern Imaging Devices

Shrinkage, a heat-induced process, reorganizes collagen fibers, thereby reducing wound surface area. This technique, commonly applied in surgeries like periareolar mastopexy and skin grafting, is well-established. Despite its widespread use, modern imaging has recently enabled detailed observation o...

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Main Authors: Josephine V. W. Hearing, Raymund E. Horch, Rafael Schmid, Carol I. Geppert, Maximilian C. Stumpfe
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Life
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Online Access:https://www.mdpi.com/2075-1729/15/1/30
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author Josephine V. W. Hearing
Raymund E. Horch
Rafael Schmid
Carol I. Geppert
Maximilian C. Stumpfe
author_facet Josephine V. W. Hearing
Raymund E. Horch
Rafael Schmid
Carol I. Geppert
Maximilian C. Stumpfe
author_sort Josephine V. W. Hearing
collection DOAJ
description Shrinkage, a heat-induced process, reorganizes collagen fibers, thereby reducing wound surface area. This technique, commonly applied in surgeries like periareolar mastopexy and skin grafting, is well-established. Despite its widespread use, modern imaging has recently enabled detailed observation of shrinkage’s effects on tissue temperature and oxygenation. The aim of this study is to investigate the effects of shrinkage on histological level, temperature, and tissue oxygenation. Skin flaps were collected, marked, and subjected to shrinkage in vitro, with wound dimensions recorded before and after shrinkage. Biopsy samples were analyzed histologically. In our clinical set up, Snapshot NIR<sup>®</sup> and FLIR thermography were used to assess tissue oxygenation and temperature changes before and after shrinkage. Shrinkage significantly reduced wound area by almost 47% ± 8.5%, with a 16.5% ± 6.0% reduction in length and a 36.5% ± 7.7% reduction in width. Tissue temperature rose by an average of 38.3 °C post-shrinkage, reaching approximately 65 °C. A slight decrease in oxygen saturation was observed following shrinkage. Histological analyses reveal collagen fiber denaturation and structural reorganization. Thermal shrinkage is an effective method for reducing wound size and tension, demonstrating potential for facilitating larger full-thickness skin grafts. Although minor decreases in oxygenation were observed, shrinkage may enhance wound healing by reducing tension at wound edges. Further studies are needed to quantify its impact on functional and cosmetic outcomes.
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spelling doaj-art-d3fcbe8717654bdb9ccf2508c2c865672025-01-24T13:38:30ZengMDPI AGLife2075-17292024-12-011513010.3390/life15010030Something Old and Something New—A Pilot Study of Shrinkage and Modern Imaging DevicesJosephine V. W. Hearing0Raymund E. Horch1Rafael Schmid2Carol I. Geppert3Maximilian C. Stumpfe4Department of Plastic and Hand Surgery and Laboratory for Tissue Engineering and Regenerative Medicine, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), 91054 Erlangen, GermanyDepartment of Plastic and Hand Surgery and Laboratory for Tissue Engineering and Regenerative Medicine, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), 91054 Erlangen, GermanyDepartment of Plastic and Hand Surgery and Laboratory for Tissue Engineering and Regenerative Medicine, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), 91054 Erlangen, GermanyInstitute of Pathology, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Krankenhausstr. 8–10, 91054 Erlangen, GermanyDepartment of Plastic and Hand Surgery and Laboratory for Tissue Engineering and Regenerative Medicine, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), 91054 Erlangen, GermanyShrinkage, a heat-induced process, reorganizes collagen fibers, thereby reducing wound surface area. This technique, commonly applied in surgeries like periareolar mastopexy and skin grafting, is well-established. Despite its widespread use, modern imaging has recently enabled detailed observation of shrinkage’s effects on tissue temperature and oxygenation. The aim of this study is to investigate the effects of shrinkage on histological level, temperature, and tissue oxygenation. Skin flaps were collected, marked, and subjected to shrinkage in vitro, with wound dimensions recorded before and after shrinkage. Biopsy samples were analyzed histologically. In our clinical set up, Snapshot NIR<sup>®</sup> and FLIR thermography were used to assess tissue oxygenation and temperature changes before and after shrinkage. Shrinkage significantly reduced wound area by almost 47% ± 8.5%, with a 16.5% ± 6.0% reduction in length and a 36.5% ± 7.7% reduction in width. Tissue temperature rose by an average of 38.3 °C post-shrinkage, reaching approximately 65 °C. A slight decrease in oxygen saturation was observed following shrinkage. Histological analyses reveal collagen fiber denaturation and structural reorganization. Thermal shrinkage is an effective method for reducing wound size and tension, demonstrating potential for facilitating larger full-thickness skin grafts. Although minor decreases in oxygenation were observed, shrinkage may enhance wound healing by reducing tension at wound edges. Further studies are needed to quantify its impact on functional and cosmetic outcomes.https://www.mdpi.com/2075-1729/15/1/30shrinkagetissue oxygenationtemperaturecollagen denaturationwound reduction
spellingShingle Josephine V. W. Hearing
Raymund E. Horch
Rafael Schmid
Carol I. Geppert
Maximilian C. Stumpfe
Something Old and Something New—A Pilot Study of Shrinkage and Modern Imaging Devices
Life
shrinkage
tissue oxygenation
temperature
collagen denaturation
wound reduction
title Something Old and Something New—A Pilot Study of Shrinkage and Modern Imaging Devices
title_full Something Old and Something New—A Pilot Study of Shrinkage and Modern Imaging Devices
title_fullStr Something Old and Something New—A Pilot Study of Shrinkage and Modern Imaging Devices
title_full_unstemmed Something Old and Something New—A Pilot Study of Shrinkage and Modern Imaging Devices
title_short Something Old and Something New—A Pilot Study of Shrinkage and Modern Imaging Devices
title_sort something old and something new a pilot study of shrinkage and modern imaging devices
topic shrinkage
tissue oxygenation
temperature
collagen denaturation
wound reduction
url https://www.mdpi.com/2075-1729/15/1/30
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