Page 134 - APPENDIX B: Trials Investigating the Management of Acute Radiation-Induced Skin Reactions Reading Qualitative Research

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WOUND CARE

3) Thilmann, C., Quantifying the increase Increase of the 1) Type of 1) Silicone- coated polyamid With electron therapy, the dose Removal of lesion
Adamietz, I. A., of the dose on the skin skin dose wound net (Mepitel®) 0.5mm thick increase through a wound recommended for
Mose, S., Saran, F., through different wound dressing ) Silk acetate (Cuticerin*) 0.4 dressing is small (3-7%). Any ulcerating tumor
2
Ramm, U., & dressings during 2) Type of mm thick (3) Hydrocolloid of the wound dressings can be as a low surface
Bottcher H. D. irradiation for different Xray beam (Varihesive®, extra thin) left on the skin during electron dose through high
(1996). beam qualities and beam and 0.5mm thick (4) Ca- Na- irradiation, but its thickness dose build up is
Increase of surface energies. 3) quality of Alginate (Kaltostat®) 2 mm should be taken into account not desired. Not
dose using wound beam thick. when calculating the actual clear, if removal of
dressings during applied dose. With photons the non-adherent
percutaneous dose increases depending on wound dressing
radiotherapy with the thickness of its tissue. The was intended.
photons and polyamide and silk acetate
electrons. dressings had equal increase in
Radiotherapy and skin dose; a slightly higher skin
Oncology. dose was measured for the
hydrocolloid wound dressing.
For ulcerating tumor, all non-
adhesive wound dressings
whose clinical aptitude for the
treatment of ulcerating tumors
have been proven can be used
regardless of their dosimetric
characteristic. Wound
dressings can be left on the skin
without increasing the risk of
an aggravated skin reaction.
This has to be taken into
account while calculating the
actual applied dose.