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Ear Keloid

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https://www.readbyqxmd.com/read/29022793/intralesional-excision-with-topical-intralesional-cryotherapy-improves-the-treatment-of-keloid-scarring-in-a-paediatric-patient
#1
D Reissis, T Tickunas, R A Agha, Avh Greig
Recurrent keloid scarring has a significant impact on quality of life. Management is complex, particularly for scars resistant to conventional treatments and in paediatric cases where radiotherapy is not a suitable adjunct to surgical excision. We present the case of a nine-year-old African Caribbean girl with multiple large and recurrent keloid scars on both ears and bilateral sensorineural deafness. Following repeated intralesional excisions, corticosteroid and botulinum toxin injections, she continued to experience rapid recurrence of her keloids, worsening pain and pruritus...
November 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28946730/the-rolling-earlobe-flap-for-dilated-ear-holes-following-ear-gauging-a-novel-approach-to-aesthetically-preserving-earlobe-soft-tissue-volume
#2
Wan-Sze Pek, Lin Hon Terence Goh, Chong Han Pek
Patients are increasingly seeking repair of their earlobes following ear gauging. Research has shown that current repair techniques either excessively reduce the lobular volume or leave an obvious scar along the free edge of the earlobe. In our case series, we describe the use of a novel technique for repairing earlobes following ear gauging using a rolling earlobe flap that preserves the lobular volume and avoids leaving a scar on the free edge of the lobule. The procedure was performed on 3 patients (6 earlobes) who had defects from ear gauging that ranged from 3...
September 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/28807013/microneedle-physical-contact-as-a-therapeutic-for-abnormal-scars
#3
David C Yeo, Elizabeth R Balmayor, Jan-Thorsten Schantz, Chenjie Xu
BACKGROUND: Abnormal (keloid and hypertrophic) scars are a significant affliction with no satisfactory single modality therapy to-date. Available options are often ineffective, painful, potentially hazardous, and require healthcare personnel involvement. Herein a self-administered microneedle device based on drug-free physical contact for inhibiting abnormal scars is reported. Its therapeutic activity through microneedle contact eliminates hazards associated with toxic anti-scarring drugs while self-treatment enables administration flexibility...
August 14, 2017: European Journal of Medical Research
https://www.readbyqxmd.com/read/28458983/s-shaped-wound-closure-technique-for-dumbbell-shaped-keloids
#4
Seiji Komatsu, Shougo Azumi, Yuko Hayashi, Tsuneharu Morito, Yoshihiro Kimata
Dog-ear collection, Z-plasty, and W-plasty are often performed for excision of dumbbell-shaped keloids; however, these procedures require additional incisions or excision of normal skin. Thus, an S-shaped wound closure technique was performed. The keloid lesions were extralesionally excised above the deep fascia, and the wound edges were shifted in opposite directions along the major axis to form an S-shape. The incision was closed by applying deep fascial sutures, subcutaneous sutures, and superficial sutures...
March 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28375976/advancing-keloid-treatment-a-novel-multimodal-approach-to-ear-keloids
#5
Michael E Jones, Jennifer McLane, Rachael Adenegan, JoAnne Lee, Christine A Ganzer
BACKGROUND/OBJECTIVE: Management of keloids of the pinna, in particular, those located in the helix and antihelix and lobule that occur as complications of ear piercing. MATERIALS AND METHODS: Retrospective analysis of 49 patients treated with extralesional surgical excision of keloids localized to the ear followed by the application of autologous platelet-rich plasma (PRP) to wound site and postoperative in-office superficial radiation therapy (SRT). Radiation protocol consisted of 1 to 3 fractions, with cumulative dosage ranging from 1,300 to 1,800 cGy...
September 2017: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/28321844/keloids-on-the-ears
#6
Carolina Cabrera-Salom, Luis F González, Mariam Rolón, Boris F Sánchez
No abstract text is available yet for this article.
August 2017: International Journal of Dermatology
https://www.readbyqxmd.com/read/28163460/diode-laser-ear-piercing-a-novel-technique
#7
Bibilash Babu Suseela, Preethitha Babu, Ravi Kumar Chittoria, Devi Prasad Mohapatra
Earlobe piercing is a common office room procedure done by a plastic surgeon. Various methods of ear piercing have been described. In this article, we describe a novel method of laser ear piercing using the diode laser. An 18-year-old female patient underwent an ear piercing using a diode laser with a power of 2.0 W in continuous mode after topical local anaesthetic and pre-cooling. The diode laser was fast, safe, easy to use and highly effective way of ear piercing. The advantages we noticed while using the diode laser over conventional methods were more precision, minimal trauma with less chances of hypertrophy and keloids, no bleeding with coagulation effect of laser, less time taken compared to conventional method and less chance of infection due to thermal heat effect of laser...
October 2016: Journal of Cutaneous and Aesthetic Surgery
https://www.readbyqxmd.com/read/27992948/pinnaplasty-improved-access-to-the-antihelical-fold
#8
J Tahery, G H Jones, S Shah
No abstract text is available yet for this article.
December 19, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27978889/-advances-in-therapy-of-auricular-keloid
#9
REVIEW
K Liu, X L Wu, P H Wang
Auricularis keloids are the keloids locating on the earlobe and helix which often caused by ear piercing, burn wound and skin injury. Because of its high recurrence, the treatment of auricularis keloids is troublesome to ENT doctors. In the past, clinicians harvested some achievements by combining surgical therapy, drug therapy and physical therapy. Keloid therapies were reviewed in this article.
December 7, 2016: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/27888895/treating-scars-in-the-auricle-region
#10
REVIEW
Deborah Watson, Bharat Panuganti
This article provides a review of the surgical and nonsurgical options available to manage a variety of auricular scars. The basics of wound healing are discussed in addition to the etiology of keloids and the cauliflower ear. Many auricular scars can be revised with scar excision techniques, but separate discussions for the treatment of keloids and the cauliflower ear are provided. The management plan for auricular scarring requires appropriate patient counseling regarding the risk of recurrence in keloids, regrowth of scar tissue in cauliflower ears, scar hypertrophy at the line of closure, widening of the scar, and persisting ear contour deformities...
February 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27720205/a-novel-conformal-superficial-high-dose-rate-brachytherapy-device-for-the-treatment-of-nonmelanoma-skin-cancer-and-keloids
#11
Clara Ferreira, Daniel Johnson, Karl Rasmussen, Clinton Leinweber, Salahuddin Ahmad, Jae Won Jung
PURPOSE: To develop a novel conformal superficial brachytherapy (CSBT) device as a treatment option for the patient-specific radiation therapy of conditions including superficial lesions, postsurgical positive margins, Dupuytren's contractures, keloid scars, and complex anatomic sites (eyelids, nose, ears, etc.). METHODS AND MATERIALS: A preliminary CSBT device prototype was designed, built, and tested using readily available radioactive seeds. Iodine-125 ((125)I) seeds were independently guided to the treatment surface to conform to the target...
January 2017: Brachytherapy
https://www.readbyqxmd.com/read/27566093/ear-keloid-treated-with-infiltrated-non-cross-linked-hyaluronic-acid-and-cortisone-therapy
#12
Arianna DI Stadio
BACKGROUND: Several treatments are available to treat the keloid scar. Keloids have the tendency to recur after surgical removal and new treatments for keloid scars include radiotherapy, cryotherapy or compressive therapy. Topical treatments have been also used to treat this pathology, such as injections or medical device applications. CASE REPORT: A 33-year-old man came to our attention and we treated him for a keloid scar located between the ear's helical tubercle and the ante-helix upper root of the left ear...
September 2016: In Vivo
https://www.readbyqxmd.com/read/27536142/cutaneous-basal-cell-carcinoma-arising-within-a-keloid-scar-a-case-report
#13
Maya Goder, Rachel Kornhaber, Daniele Bordoni, Eyal Winkler, Josef Haik, Ariel Tessone
Basal cell carcinomas (BCCs) are one of the most frequent cutaneous malignancies. The majority of BCCs are reported to occur on the auricular helix and periauricular region due to ultraviolet light exposure. Despite the frequency of BCCs, those that develop within scar tissue are rare, and the phenomenon of keloid BCCs has rarely been reported in the literature. Keloid collagen within BCCs is associated with morphoeiform characteristics, ulceration, or necrosis. Extensive keloid collagen is often seen in BCCs of the ear region, a site prone to keloid scarring...
2016: OncoTargets and Therapy
https://www.readbyqxmd.com/read/27502264/porokeratotic-adnexal-ostial-nevus-report-of-a-case-with-unusual-clinical-and-histologic-features
#14
Julien Lanoue, Karen B Jacobson, Kohtaro Ooka, Chanpreet Singh, Olga Camacho-Vanegas, John A Martignetti, Jacob Levitt, Robert G Phelps
An 11-year-old Tanzanian girl presented with diffuse verrucous lesions of varying morphology, scarring alopecia, and keloid scars over the face with a predilection for the ears. Physical examination revealed dark keratoderma and patches of hypopigmentation near the midline of the dorsal trunk (Figure 1a). Her forearms were densely covered by verrucous lesions with the exception of a clear linear patch on the dorsal aspect of the left forearm (Figure 1b). The perioral area was notable for white spires projecting from verrucous papules (Figure 1c) while the oral mucosa and teeth appeared normal on visual examination...
2016: Skinmed
https://www.readbyqxmd.com/read/27382689/-the-combined-treatment-of-auricular-keloid-with-multi-function-electric-ion-surgery
#15
Cao Lv, Zhong Bai, Yan Niu
No abstract text is available yet for this article.
March 2016: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/27219228/a-comparison-of-the-effectiveness-of-triamcinolone-and-radiation-therapy-for-ear-keloids-after-surgical-excision-a-systematic-review-and-meta-analysis
#16
REVIEW
Jin Yong Shin, Jin-Won Lee, Si-Gyun Roh, Nae-Ho Lee, Kyung-Moo Yang
BACKGROUND: The ear is a common site for keloid formation, usually after trauma or ear piercing. This study is a meta-analysis to identify effective treatments for ear keloids after surgical excision. METHODS: A systematic literature review and meta-analysis were performed using core databases. Postoperative adjuvant treatment modalities for ear keloids and recurrence rates were extracted and analyzed. Fixed and random effect models were applied. RESULTS: Twenty-five studies published before August of 2015 were identified...
June 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/26999853/-treatment-of-ear-keloids-by-striping-combined-with-asiaticoside-ointment-and-triamcinolone-acetonide
#17
Lin Chen, Chunying Li
No abstract text is available yet for this article.
October 2015: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/26986991/a-novel-approach-to-keloid-reconstruction-with-bilaminar-dermal-substitute-and-epidermal-skin-grafting
#18
Khang T Nguyen, Lauren Shikowitz, Armen K Kasabian, Nicholas Bastidas
BACKGROUND: Keloids represent a challenging problem. Surgical excision remains the definitive treatment for immediate lesion debulking, but recurrence rates are reported to be 45 to 100 percent. The authors present a staged reconstructive approach using a dermal regeneration substrate and epidermal grafting to minimize recurrence and donor-site morbidity. METHODS: Keloids were completely excised down to normal subcutaneous tissue or perichondrium. A bilaminar dermal regeneration matrix was approximated to the entire wound, with the silicone lamina oriented superficially...
July 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/26933284/simple-device-to-determine-the-pressure-applied-by-pressure-clips-for-the-treatment-of-earlobe-keloids
#19
Aashish Sasidharan, Ann David, Amish Gohil, Ashish Kumar Gupta
BACKGROUND: Keloids of the ear are common problems. Various treatment modalities are available for the treatment of ear keloids. Surgical excision with intralesional steroid injection along with compression therapy has the least recurrence rate. Various types of devices are available for pressure therapy. Pressure applied by these devices is uncontrolled and is associated with the risk of pressure necrosis. We describe here a simple and easy to use device to measure pressure applied by these clips for better outcome...
September 2015: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/26597884/s100a8-and-s100a9-are-induced-by-decreased-hydration-in-the-epidermis-and-promote-fibroblast-activation-and-fibrosis-in-the-dermis
#20
Aimei Zhong, Wei Xu, Jingling Zhao, Ping Xie, Shengxian Jia, Jiaming Sun, Robert D Galiano, Thomas A Mustoe, Seok J Hong
The most critical function of the epidermis is to prevent water loss and maintain skin homeostasis. Disruption of the functional skin barrier causes delayed wound healing, hypertrophic scarring, and many skin diseases. Herein, we show that reduced hydration increases the expression of S100 protein family members, S100A8/S100A9, in stratified keratinocyte culture and human ex vivo skin culture. Immunohistological analyses show that S100A8/A9 are highly expressed in the epidermis of human hypertrophic scar and keloid tissues...
January 2016: American Journal of Pathology
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