Format:
7
ISSN:
1615-7109
Content:
Background: 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.
Note:
Gesehen am 31.08.2022
In:
Journal of cutaneous medicine and surgery, London : Sage, 1997, 15(2011), 3, Seite 130-136, 1615-7109
In:
volume:15
In:
year:2011
In:
number:3
In:
pages:130-136
In:
extent:7
Language:
English
DOI:
10.2310/7750.2011.10015
URL:
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