Beausang et al used a clinical score to evaluate a scar. The authors are from the University of Manchester and Withington Hospital in Manchester, England.
Parameters:
(1) visual analogue scale (VAS)
(2) color
(3) surface
(4) contour
(5) distortion
(6) texture
The visual analogue scale is anchored at excellent and poor, with the scale 6 cm in the descriptive scale. In the implementation I will use a 10 cm scale.
|
Parameter |
Finding |
Points |
|
color |
perfect |
1 |
|
|
slight mismatch (mild) |
2 |
|
|
obvious mismatch (moderate) |
3 |
|
|
gross mismatch (severe) |
4 |
|
surface |
matte |
1 |
|
|
shiny |
2 |
|
contour |
flush with surrounding skin |
1 |
|
|
slightly proud or indented |
2 |
|
|
hypertrophic |
3 |
|
|
keloid |
4 |
|
distortion |
none |
1 |
|
|
mild |
2 |
|
|
moderate |
3 |
|
|
severe |
4 |
|
texture |
normal |
1 |
|
|
just palpable |
2 |
|
|
firm |
3 |
|
|
hard |
4 |
If the color shows mismatch (not perfect), then it is described as lighter or darker than the surrounding skin.
total score for graded items =
= SUM(points for the 5 graded parameters)
Interpretation:
• minimum score: 5
• maximum score: 18
• The higher the score, the more abnormal the scar.
Specialty: Dermatology
