In:
Journal of Cutaneous Medicine and Surgery, SAGE Publications, Vol. 15, No. 3 ( 2011-05), p. 130-136
Abstract:
Ear keloids continue to be a therapeutic challenge. Objective: To evaluate the clinical success of a modified “oyster splint technique.” Methods: Ten patients with an ear keloid agreed to receive the compression therapy. After surgical removal, a compressive device made of acrylic resin was applied on top of a silicone gel sheet and patients were asked to wear the splint 23 hours a day for at least 8 months. If the scar showed a tendency to grow, corticosteroids were injected intralesionally. In addition to recurrence rate, other parameters and wearing times were obtained by an interview. Results: Two of 10 patients experienced a recurrence in a mean follow-up period of 18.2 months (range 4–44 months). The daily wearing time of the compression splint was critical for the success of the treatment ( p = .022). The splint had to be worn at least 10 hours a day for a minimum of 8 months to prevent recurrence. However, the need for additional intralesional steroid injections was significantly lower in patients wearing the splint for more than 20 hours per day ( p = .048). The splint treatment was painless for 80% of patients. The therapeutic result was given a median mark of 1.75 (1 = best, 6 = worst). Conclusion: Although it requires considerable time and effort, the technique seems to be a promising therapy.
Type of Medium:
Online Resource
ISSN:
1203-4754
,
1615-7109
DOI:
10.2310/7750.2011.10015
Language:
English
Publisher:
SAGE Publications
Publication Date:
2011
detail.hit.zdb_id:
2038674-6
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