Revista Internacional de Teranóstica

New method for the treatment of keloid of the ear

Ahmed El sissy

After long periods of managing treatment of a few sort of ear keloid either keloid of the ear lobule or the keloid of ear ligament, we never reach to fulfilled outcome either for us or for the patients. At long last, we tracked down another extreme technique for the treatment of ear keloid either in cartilaginous site or in ear lobule which end the issue conclusively and give us and patient complete fulfillment. Ten patients (nine females and one male) experiencing ear keloid were remembered for the investigation. Six of them were ear lobule keloid and the other four was the diverse area of ear ligament the size was about. 3 cm to 1 cm adjusted fit, the pedicle was about 0.4 to 0.7 cm or some time there was no characterized pedicle by any means. So we began setting the ligation similarly as close as conceivable to the foundation of the keloid. Ligation utilized was nylon 1/0 under nearby sedation of xylocaic 1% invasion of the foundation of the sore done. Following 5 minutes, ligation of the foundation of the injury, we unequivocally tied the nylon 1/0 at the foundation of the sore with enough power to impede the blood supply as conceivable as possible. Little dressing was finished with sterile cloth and cement blaster for 24 hours. After this patients were sent home with an arrangement for follow-up following one-week. Ear keloids are among the most difficult plastic medical procedure conditions and may have critical psychosocial sway for the patient. Their tasteful contemplations are not kidding and regardless of an assortment of treatment alternatives, they regularly end up being intermittent. This paper surveys the administration alternatives of ear keloids accessible in writing forward-thinking. Numerous remedial alternatives are examined, for example, careful treatment, corticosteroid infusions, laser treatment, cryotherapy, radiotherapy, pressure treatment, treatment with antitumor or immunosuppressive specialists. The regular reaction of the body to a damaged tissue is the scar. The injury recuperating measure has three distinct stages: the first is the provocative stage, the second - the proliferative stage or the granulation stage and the third is the redesigning stage or the development stage. When there is an irregularity among anabolic and catabolic periods of the scar development, the outcome is the presence of a pathologic scar. Two kinds of extreme scars are portrayed: hypertrophic scar and keloid, because of a distorted recuperating measure. The distinction between the two substances is an interesting issue in the clinical writing. Clinical, histopathologhical, immunohistochemical and electron infinitesimal contrasts have been depicted. Keloids are obsessive scars that develop over the long haul and reach out past the underlying site of injury after impeded injury mending. These scars oftentimes repeat and once in a while relapse. They are tastefully deforming, can cause torment, tingling, distress just as mental pressure, regularly influencing personal satisfaction.

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