Promising results from a pilot study on compression treatment of ear keloids
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...
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| Hauptverfasser: | , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
May 1, 2011
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| In: |
Journal of cutaneous medicine and surgery
Year: 2011, Jahrgang: 15, Heft: 3, Pages: 130-136 |
| ISSN: | 1615-7109 |
| DOI: | 10.2310/7750.2011.10015 |
| Online-Zugang: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.2310/7750.2011.10015
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| Verfasserangaben: | Jessica C. Hassel, Christoph Löser, Wolfgang Koenen, Alexander Kreuter, and Alexander J. Hassel |
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| 520 | |a 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. | ||
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