Evaluation of the role of nanocrystalline silver dressing in healing of soft tissue injuries involving the maxillofacial region- A Randomized Control Trial

Soft tissue injuries of the face constitute one of the most commonly encountered problems by maxillofacial surgeons. These injuries present in the form of abrasion, laceration or avulsion which may lead to severe cosmetic and /or functional problems; cosmetic problems include scars, uneven skin surface/dehiscence and hyper or hypo pigmentation while functional problems include restricted facial movements, infection, hemorrhage and nerve damage. The conventional methods of treating these injuries include betadine dressing, chlorhexidine dressing, Framycetin sulfate dressing, tissue adhesives, collagen dressing, foam dressing, hydrocolloid dressing, suturing and the use of split/full skin graft. However, these are associated with limitations in terms of usage, clinical outcome, allergic reactions, patient compliance and expense.  The advantages of nanocrystalline silver dressing are many; sustained release of non-ionic form of silver which is tissue friendly and better antimicrobial efficiency. There is negligible literature regarding the use of nanocrytalline silver dressing for the management of facial wounds due to mechanical trauma. Hence this study has been designed to test the efficacy of nanocrystalline silver dressing material in facilitating soft tissue healing following trauma.