Assesment of the treatment of earlobe keloids with triamcinolone injections, surgical resection, and local pressure
Autor(a) principal: | |
---|---|
Data de Publicação: | 2015 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Colégio Brasileiro de Cirurgiões |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912015000200009 |
Resumo: | OBJECTIVE: To evaluate the combined treatment of ear lobe keloids. METHODS: We studied 46 consecutive patients with 81 ear lobe keloids. Patients underwent local infiltration of triamcinolone acetonide (TCN) at concentrations of 40mg/ml (Group 1), 20 mg/ml (Group 2) and 10mg/ml (Group 3). The volume of TCN infiltrate varied according to the size of the lesion. Treatment consisted of three monthly injections before surgery, excision of keloid in the fourth month and perioperative infiltration, followed by two more leaks TCN within two months. Patients used earrings pressure on the scar after operation for four months. The pressure exerted by earrings in the ear lobe was measured electronically. Post-treatment follow-up of patients was 24 months. RESULTS: TCN at concentrations of 20mg/ml and 40mg/ml were effective for the treatment of keloids, no difference between the groups (p = 0.58). However, patients in which TCN was infiltrated the 10mg/ml had poor involution of keloid and the study of this group was stopped. CONCLUSION: the combination of infiltration TCN month to 20 mg/mL (1.2mg to 2.0mg per mm3 TCN injury), surgical excision and pressure application device is effective for treatment of keloid ear lobe. |
id |
CBC-1_97267b5b9d80ad9f25568026638fc5e2 |
---|---|
oai_identifier_str |
oai:scielo:S0100-69912015000200009 |
network_acronym_str |
CBC-1 |
network_name_str |
Revista do Colégio Brasileiro de Cirurgiões |
repository_id_str |
|
spelling |
Assesment of the treatment of earlobe keloids with triamcinolone injections, surgical resection, and local pressureKeloidTriamcinolone AcetonideWound HealingSurgical Procedures, Operative OBJECTIVE: To evaluate the combined treatment of ear lobe keloids. METHODS: We studied 46 consecutive patients with 81 ear lobe keloids. Patients underwent local infiltration of triamcinolone acetonide (TCN) at concentrations of 40mg/ml (Group 1), 20 mg/ml (Group 2) and 10mg/ml (Group 3). The volume of TCN infiltrate varied according to the size of the lesion. Treatment consisted of three monthly injections before surgery, excision of keloid in the fourth month and perioperative infiltration, followed by two more leaks TCN within two months. Patients used earrings pressure on the scar after operation for four months. The pressure exerted by earrings in the ear lobe was measured electronically. Post-treatment follow-up of patients was 24 months. RESULTS: TCN at concentrations of 20mg/ml and 40mg/ml were effective for the treatment of keloids, no difference between the groups (p = 0.58). However, patients in which TCN was infiltrated the 10mg/ml had poor involution of keloid and the study of this group was stopped. CONCLUSION: the combination of infiltration TCN month to 20 mg/mL (1.2mg to 2.0mg per mm3 TCN injury), surgical excision and pressure application device is effective for treatment of keloid ear lobe. Colégio Brasileiro de Cirurgiões2015-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912015000200009Revista do Colégio Brasileiro de Cirurgiões v.42 n.1 2015reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-69912015001003info:eu-repo/semantics/openAccessCarvalhaes,Silvia MandelloPetroianu,AndyFerreira,Mauro Augusto TostesBarros,Virgínea Magalhães deLopes,Raquel Virgíneaeng2015-08-04T00:00:00Zoai:scielo:S0100-69912015000200009Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2015-08-04T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false |
dc.title.none.fl_str_mv |
Assesment of the treatment of earlobe keloids with triamcinolone injections, surgical resection, and local pressure |
title |
Assesment of the treatment of earlobe keloids with triamcinolone injections, surgical resection, and local pressure |
spellingShingle |
Assesment of the treatment of earlobe keloids with triamcinolone injections, surgical resection, and local pressure Carvalhaes,Silvia Mandello Keloid Triamcinolone Acetonide Wound Healing Surgical Procedures, Operative |
title_short |
Assesment of the treatment of earlobe keloids with triamcinolone injections, surgical resection, and local pressure |
title_full |
Assesment of the treatment of earlobe keloids with triamcinolone injections, surgical resection, and local pressure |
title_fullStr |
Assesment of the treatment of earlobe keloids with triamcinolone injections, surgical resection, and local pressure |
title_full_unstemmed |
Assesment of the treatment of earlobe keloids with triamcinolone injections, surgical resection, and local pressure |
title_sort |
Assesment of the treatment of earlobe keloids with triamcinolone injections, surgical resection, and local pressure |
author |
Carvalhaes,Silvia Mandello |
author_facet |
Carvalhaes,Silvia Mandello Petroianu,Andy Ferreira,Mauro Augusto Tostes Barros,Virgínea Magalhães de Lopes,Raquel Virgínea |
author_role |
author |
author2 |
Petroianu,Andy Ferreira,Mauro Augusto Tostes Barros,Virgínea Magalhães de Lopes,Raquel Virgínea |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Carvalhaes,Silvia Mandello Petroianu,Andy Ferreira,Mauro Augusto Tostes Barros,Virgínea Magalhães de Lopes,Raquel Virgínea |
dc.subject.por.fl_str_mv |
Keloid Triamcinolone Acetonide Wound Healing Surgical Procedures, Operative |
topic |
Keloid Triamcinolone Acetonide Wound Healing Surgical Procedures, Operative |
description |
OBJECTIVE: To evaluate the combined treatment of ear lobe keloids. METHODS: We studied 46 consecutive patients with 81 ear lobe keloids. Patients underwent local infiltration of triamcinolone acetonide (TCN) at concentrations of 40mg/ml (Group 1), 20 mg/ml (Group 2) and 10mg/ml (Group 3). The volume of TCN infiltrate varied according to the size of the lesion. Treatment consisted of three monthly injections before surgery, excision of keloid in the fourth month and perioperative infiltration, followed by two more leaks TCN within two months. Patients used earrings pressure on the scar after operation for four months. The pressure exerted by earrings in the ear lobe was measured electronically. Post-treatment follow-up of patients was 24 months. RESULTS: TCN at concentrations of 20mg/ml and 40mg/ml were effective for the treatment of keloids, no difference between the groups (p = 0.58). However, patients in which TCN was infiltrated the 10mg/ml had poor involution of keloid and the study of this group was stopped. CONCLUSION: the combination of infiltration TCN month to 20 mg/mL (1.2mg to 2.0mg per mm3 TCN injury), surgical excision and pressure application device is effective for treatment of keloid ear lobe. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912015000200009 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912015000200009 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0100-69912015001003 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
dc.source.none.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões v.42 n.1 2015 reponame:Revista do Colégio Brasileiro de Cirurgiões instname:Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
instname_str |
Colégio Brasileiro de Cirurgiões (CBC) |
instacron_str |
CBC |
institution |
CBC |
reponame_str |
Revista do Colégio Brasileiro de Cirurgiões |
collection |
Revista do Colégio Brasileiro de Cirurgiões |
repository.name.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC) |
repository.mail.fl_str_mv |
||revistacbc@cbc.org.br |
_version_ |
1754209212763734016 |