Comparison of clinical and photographic assessment of facial scars by three different professionals using SCAR scale- An Observational study

Abstract

Scars can have functional, cosmetic and psychological consequences. The impact becomes even more profound when these scars occur on the face. Assessment of scars forms the basis for understanding them. Scars can be assessed both clinically and photographically. Though such assessments are common after burns, they are least studied in the maxillofacial region. Results obtained through an interdisciplinary approach are more effective; this study intends to combine a plastic surgeon, a dermatologist, and two maxillofacial surgeons. This study aims to evaluate the facial scars through the SCAR scale. Subjects and Methods: After obtaining their consent, thirty patients with facial scars were included in this study. Clinically, two OMFS surgeons independently used the SCAR scale to evaluate the rating scale. Scars were photographed in a standardized manner and were evaluated by a plastic surgeon and dermatologist independently using the same scale. Results: The results were tabulated, and interobserver and intraobserver differences were statistically analyzed using an independent t-test, ANOVA test and Turkey B post Hoc test. Conclusion: Clinical assessment of scars is superior to photographs. Assessment of scars by different specialists helps achieve evidence-based research and promotes more sophisticated treatment. Besides that, we must educate the patients about scar revision, as many are unaware of such procedures. Key-words: Facial Scars, Clinical assessment, Photographic assessment, SCAR scale